Abstract
INTRODUCTION: In Malaysia, herbal medicines are used for variety of reasons including health promotion and home remedies during pregnancy and postpartum. Among the available herbs, Manjakani is one of the most commonly consumed during this period and raised concerns over possible heavy metals exposure. This study aims to determine Manjakani consumption among postpartum mothers, and its heavy metals level, namely Lead (Pb), Cadmium (Cd), Arsenic (As) and Chromium (Cr). METHODS: This study involves comparative questionnaire involving 106 postpartum mothers. A sample of Manjakani was collected from six districts in Kuala Lumpur (Segambut, Seputeh, Cheras, Bandar Tun Razak, Bukit Bintang and Lembah Pantai). Samples were extracted using microwave digester and analysed in triplicates, totalling 18 samples using Inductively coupled plasma mass spectrometry (ICP-MS). Non-carcinogenic health risks for herbal medicine consumption were calculated using Hazard Quotient (HQ). RESULTS: Manjakani was consumed by 16% of mothers (n=17). No significance was found between jaundice and manjakani consumption. Highest level of the metals was shown by Cr with mean concentration of 4208.5±1906 ug/kg, followed by Pb (170.8±193.2), As (39.3±27.1) and Cd (7.7±0.76). following a decreasing order of Cr>Pb>As>Cd. There were no significant non-carcinogenic health risks depicting worst case scenario with Pb, As and Cd contamination (HQ<1). CONCLUSION: Heavy metals were quantified in Manjakani which raises concerns on safety for consumption during pregnancy or postpartum period. This warrants for further investigation on other frequently consumed herbs.
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@proceedings{APCPH-2019-43,
title = {Consumption of Manjakani Among Postpartum Mothers and Risk of Heavy Metal Contamination},
author = {Normina Ahmad Bustami and Ho Yu Bin and Tan Chung Keat and Ahmad Zaharin Aris and Eugenie Tan Sin Sing},
year = {2019},
date = {2019-07-22},
urldate = {2019-07-22},
journal = {6th Asia-Pacific Conference on Public Health 2019 Proceedings},
issue = {6},
abstract = {INTRODUCTION: In Malaysia, herbal medicines are used for variety of reasons including health promotion and home remedies during pregnancy and postpartum. Among the available herbs, Manjakani is one of the most commonly consumed during this period and raised concerns over possible heavy metals exposure. This study aims to determine Manjakani consumption among postpartum mothers, and its heavy metals level, namely Lead (Pb), Cadmium (Cd), Arsenic (As) and Chromium (Cr). METHODS: This study involves comparative questionnaire involving 106 postpartum mothers. A sample of Manjakani was collected from six districts in Kuala Lumpur (Segambut, Seputeh, Cheras, Bandar Tun Razak, Bukit Bintang and Lembah Pantai). Samples were extracted using microwave digester and analysed in triplicates, totalling 18 samples using Inductively coupled plasma mass spectrometry (ICP-MS). Non-carcinogenic health risks for herbal medicine consumption were calculated using Hazard Quotient (HQ). RESULTS: Manjakani was consumed by 16% of mothers (n=17). No significance was found between jaundice and manjakani consumption. Highest level of the metals was shown by Cr with mean concentration of 4208.5±1906 ug/kg, followed by Pb (170.8±193.2), As (39.3±27.1) and Cd (7.7±0.76). following a decreasing order of Cr\>Pb\>As\>Cd. There were no significant non-carcinogenic health risks depicting worst case scenario with Pb, As and Cd contamination (HQ\<1). CONCLUSION: Heavy metals were quantified in Manjakani which raises concerns on safety for consumption during pregnancy or postpartum period. This warrants for further investigation on other frequently consumed herbs.},
note = {Type: ORAL PRESENTATION; Organisation: Faculty of Medicine and Health Science, UCSI University, Department of Environmental and Occupational Health, Faculty of Medicine and Health Sciences, Universiti Putra Malaysia, Selangor, Malaysia, Faculty of Environmental Studies, Universiti Putra Malaysia, Selangor, Malaysia},
keywords = {heavy metals exposure, Manjakani, non-carcinogenic health risk, postpartum mothers},
pubstate = {published},
tppubtype = {proceedings}
}