Evidence map›Paper›PMID 41269412›Full record

SynthesisMycotoxin research2025

Systematic review and meta-analysis on the prevalence and concentration of aflatoxin B

Mahmoud Vahidi, Siavash Hamzeh Pour, Fatemeh Heydari, Melika Naghavi, Peyman Aslani

Abstract readMeta-AnalysisSystematic Review
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In one paragraph

Synthesis in Mycotoxin research, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0citing papers in PubMed
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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

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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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

5 authors.

Mahmoud VahidiDepartment of Medical Laboratory Sciences, Faculty of Paramedicine, AJA University of Medical Sciences, Tehran, Iran.
Siavash Hamzeh PourDepartment of Pathobiology, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran.
Fatemeh HeydariCommunity Nursing Research Center, Zahedan University of Medical Sciences, Zahedan, Iran.
Melika NaghaviDepartment of Biotechnology, Institute of Sciences and High Technology and Environmental Sciences, Graduate University of Advanced Technology, Kerman, Iran.
Peyman AslaniDepartment of Medical Mycology, School of Medicine, Aja University of Medical Sciences, Tehran, Iran. PeymanAslani@yahoo.com.

Funding

AJA University of Medical Sciences IR.AJAUMS.REC.1403.249
6 · The paper itself

Abstract

Wheat flour is a nutritionally complete food that can be affected by fungal attacks, leading to mycotoxins contamination and posing serious health risks. Therefore, the aim of the present study was to investigate the prevalence and determine the concentration of AFB1 in Iranian wheat flour. In the current meta-analysis, a systematic search was conducted based on the PRISMA guidelines to find published research in international electronic databases (PubMed, Scopus, Web of Science) and Iranian local electronic databases (Iranian scientific information database [SID], Magiran, IranMedex) as well as in Google Scholar, without time limit and until January 1, 2025. To perform the analysis, the collected data were transferred to Stata version 18. Furthermore, health risk assessment was performed based on estimated daily intake (EDI) of AFB1 from wheat flour consumption, margin of exposure (MOE), and liver cancer risk in Iranian children and adults. In this meta-analysis, 10 studies with 735 wheat flour samples were considered for the final analysis. This analysis showed that the overall prevalence of AFB1 in Iranian wheat flour was 74.17% (95% CI: 57.50-90.84). Also, the pooled mean AFB1 concentration in Iranian wheat flour was 2.75 ng/g (95% CI: 1.94-3.56), which was lower than the maximum limit accepted by the Iranian National Standardization Organization (5 ng/g). This review showed that the mean EDI of AFB1 through wheat flour consumption for Iranian children and adults was 15 and 12 ng/kg bw/day, respectively. In addition, the mean MOE for children and adults was 11 and 14, respectively, indicating a public health concern. As well as, the current meta-analysis showed that the risk of liver cancer associated with wheat flour consumption among Iranian children and adults was 0.22 and 0.17 cancer cases/year/ per 10

Indexed as

Aflatoxin B1FlourFood ContaminationTriticumChildHumansIranLiver NeoplasmsPrevalenceRisk AssessmentAflatoxin B1Aflatoxin B1ExposureMycotoxinsPublic health concernWheat flour

Identifiers

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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.