Evidence map›Paper›PMID 39840829›Full record

SynthesisVeterinary medicine and science2025

A Comprehensive Systematic Review and Meta-Analysis on the Prevalence of Aflatoxin M1 in Dairy Products in Selected Middle East Countries.

Bahareh Arghavan, Kosar Kordkatuli, Helia Mardani, Ali Jafari

Abstract readSystematic ReviewMeta-Analysis
In one paragraph

Synthesis in Veterinary medicine and science, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Decrease of AFMBrazilian journal of microbiology : [publication of the Brazilian Society for Microbiology] · 2025
    Article
  5. Review
  6. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Bahareh ArghavanDepartment of Basic Medical Sciences, School of Medicine, Abadan University of Medical Sciences, Abadan, Iran.
Kosar KordkatuliStudent Research Committee, Department of Surgical Technology, School of Paramedical Sciences, Golestan University of Medical Sciences, Gorgan, Iran.
Helia MardaniStudent Research Committee, Department of Nutrition, School of Nutritional Sciences and Dietetics, Tehran University of Medical Sciences (TUMS), Tehran, Iran.
Ali JafariStudent Research Committee, Department of Community Nutrition, Faculty of Nutrition Sciences and Food Technology, National Nutrition and Food Technology Research Institute, Shahid Beheshti University of Medical Sciences, Tehran, Iran.ORCID 0000-0001-7343-027X

Funding

Abadan University of Medical Sciences 1957
6 · The paper itself

Abstract

backgroundHuman consumption of dairy products contaminated with aflatoxin (AF) M1 can lead to severe health issues. This AF's significance and impact on health necessitate a thorough investigation of its prevalence in dairy products.

objectivesThis study aims to determine the prevalence of AFM1 in dairy products through a systematic review and meta-analysis, focusing on data from Middle Eastern countries.

methodsWe identified relevant studies through electronic database searches (PubMed, Scopus and Web of Science) up to August 2023. We employed a random-effects model to derive an overall estimate and used 95% confidence intervals to determine pooled prevalence rates.

resultsThe meta-analysis included 193 studies encompassing 297,530 samples of dairy products. The results showed that AFM1 contaminated 87% of dairy products. The following is a ranking of countries based on the prevalence of AFM1 in their dairy products: Iran > Jordan > Turkey > Kuwait > Lebanon > Syria > Egypt > Cyprus > the United Arab Emirates. The current meta-analysis indicated that Middle Eastern countries exhibited a high prevalence of AFM1 in dairy products. The prevalence rates for AFM1 in various dairy products were as follows: milk (87%), yogurt (68.9%), cheese (63.6%), kashk (62.9%), doogh (55.6%) and ice cream (54%). Pasteurized milk (99.5%), ultra-high temperature (91.3%), raw milk (73%) and traditional milk (51%), among other milk types, had the highest contamination rates.

conclusionThe study reveals a high prevalence of AFM1 in dairy products, particularly in Middle Eastern countries. Given the critical importance of milk and dairy products in the diet, special measures are needed to safeguard their quality and protect consumers from AF contamination.

Indexed as

Aflatoxin M1Dairy ProductsFood ContaminationAnimalsMiddle EastPrevalenceAflatoxin M1aflatoxin M1cheesemeta‐analysismilkmycotoxinsprevalence

Identifiers

PMID39840829
PMCPMC11752159

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.