Objective: To provide levels of total and speciated urinary arsenic in a representative sample of the US population. Methods: For the first time, total arsenic and seven inorganic and organic arsenic species were measured in the urine of participants (n ¼ 2557) for the [2003][2004] National Health and Nutrition Examination Survey (NHANES). Data were compiled as geometric means and selected percentiles of urinary arsenic concentrations (mg/l) and creatinine-corrected urinary arsenic (mg/g creatinine) for total arsenic, dimethylarsinic acid, arsenobetaine, and a sum of the inorganic related species. Results: Arsenic acid, arsenous acid, arsenocholine, and trimethylarsine oxide were detected in 7.6%, 4.6%, 1.8%, and 0.3% of the participants, respectively (the limits of detection of 0.6-1.2 mg/l). Monomethylarsonic acid was detected in 35% of the overall population. For all participants aged Z6 years, dimethylarsinic acid (geometric mean of 3.71 mg/l) and arsenobetaine (geometric mean of 1.55 mg/l) had the greatest contribution to the total urinary arsenic levels. A relatively greater percentage contribution from arsenobetaine is seen at higher total urinary arsenic levels and from dimethylarsinic acid at lower total urinary arsenic levels. For all participants aged Z6 years, the 95th percentiles for total urinary arsenic and the sum of inorganic-related arsenic (arsenic acid, arsenous acid, dimethylarsinic acid, and monomethylarsonic acid) were 65.4 and 18.9 mg/l, respectively. For total arsenic and dimethylarsinic acid, covariate-adjusted geometric means demonstrated several slight differences due to age, gender, and race/ethnicity. Conclusions: The data reflect relative background contributions of inorganic and seafood-related arsenic exposures in the US population. Arsenobetaine and dimethylarsinic acid are the major arsenic species present with arsenobetaine, accounting for a greater proportion of total arsenic as total arsenic levels increase. Keywords: speciated arsenic, human, urine, biomonitoring, NHANES.
IntroductionArsenic is an element that is widely distributed in the earth's surface in small amounts, primarily in its inorganic forms. Anthropomorphic sources of arsenic have included the smelting of mined metals. Inorganic arsenic is used currently as an outdoor wood preservative, in some pesticides, as semiconductor dopant materials, and in certain medicines. General human exposure to inorganic arsenic results from natural amounts consumed in drinking water. However, dietary arsenic may be an important source (NRC, 2001) when drinking water levels are low. Arsenic also forms organic compounds through biological action on inorganic arsenic. These organic forms are found in fish, shellfish, seaweed, and aquatic sediments and are generally much less toxic. These dietary arsenic species are commonly represented by arsenobetaine and, to a lesser extent, by arsenocholine and arsenosugars (Heinrich-Ramm et al., 2002). In addition to the arsenical forms found in marine organisms, mono-and dimethylated pentava...