Evidence map›Paper›PMID 41163027›Full record

ArticleJournal of occupational medicine and toxicology (London, England)2025

Occupational zirconium and co-metal exposure - cobalt, nickel, and arsenic: an integrated air and biomonitoring assessment in Taiwanese industry.

Ting-An Yang, Chia-Chen Chang, Hung-Chi Su, Kuen-Yuan Chuang, Yu-Chung Tsao

Abstract read
In one paragraph

Article in Journal of occupational medicine and toxicology (London, England), 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

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

What it found

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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

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3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

5 authors.

Ting-An YangDepartment of Occupational Medicine, Linkou Chang Gung Memorial Hospital, No.5, Fuxing St., Guishan Dist., Taoyuan City, 333, Taiwan R.O.C.
Chia-Chen ChangDepartment of Occupational Medicine, Linkou Chang Gung Memorial Hospital, No.5, Fuxing St., Guishan Dist., Taoyuan City, 333, Taiwan R.O.C.
Hung-Chi SuDepartment of Occupational Medicine, Linkou Chang Gung Memorial Hospital, No.5, Fuxing St., Guishan Dist., Taoyuan City, 333, Taiwan R.O.C.
Kuen-Yuan ChuangDepartment of Safety Health and Environmental Engineering, Central Taiwan University of Science and Technology, Taichung City, Taiwan.
Yu-Chung TsaoDepartment of Occupational Medicine, Linkou Chang Gung Memorial Hospital, No.5, Fuxing St., Guishan Dist., Taoyuan City, 333, Taiwan R.O.C.. eusden@gmail.com.

Funding

Institute of Labor, Occupational Safety and Health, Ministry of Labor, Taiwan ILOSH113-2015
6 · The paper itself

Abstract

backgroundZirconium (Zr) compounds have increasingly been used as alternatives to traditional toxic metals in industrial processes, yet comprehensive exposure and biomonitoring data are scarce. This study aimed to assess occupational exposure to zirconium and co-metals (cobalt, nickel, arsenic) in Taiwanese manufacturing industries through integrated environmental and biological monitoring.

methodsA cross-sectional investigation was conducted in eight metal surface treatment plants, with biomonitoring conducted among ten exposed workers. Personal and area air sampling were analyzed for zirconium and co-metals using inductively coupled plasma-optical emission spectrometry (ICP-OES); urine and blood samples were analyzed for internal exposure biomarkers (urinary zirconium, urinary/blood cobalt, urinary nickel, blood arsenic) by inductively coupled plasma-mass spectrometry (ICP-MS). Pulmonary effects were assessed using spirometry.

resultsAirborne Zr concentrations varied substantially by process, with the highest levels observed in shelling and slurry mixing operations (up to 22.55 µg/m³). Urinary Zr was undetectable in all participants (< 0.2 µg/L), consistent with limited systemic absorption. In contrast, co-metals were consistently detected: cobalt and nickel were elevated in workers handling ceramic pigments and surface finishing tasks. Regression analyses indicated inverse associations between cobalt and hemoglobin, nickel and oxidative/inflammatory markers (8-OHdG, CRP), and positive associations between nickel and IgM, and arsenic and IgM. Spirometry indices remained within clinical reference ranges but tended to be lower among high-exposure workers.

conclusionsThis study provides the first integrated dataset of zirconium and co-metal exposure in Taiwanese industry, showing measurable airborne Zr but undetectable urinary Zr under current conditions. Co-metals (cobalt, nickel, arsenic) demonstrated significant associations with hematologic, oxidative, and immunologic markers, underscoring the complexity of mixed-metal exposures. These findings support ongoing workplace surveillance and further research on health implications of zirconium and co-metal co-exposures.

Indexed as

Air samplingBiomonitoringHeavy metalsOccupational healthPulmonary functionZirconium exposure

Identifiers

PMID41163027
PMCPMC12573892

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LicenceCC BY-NC-ND
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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.