Evidence map›Paper›PMID 42254424›Full record

ReviewFood science & nutrition2026

Radionuclides in Milk: A Global Systematic Review and Meta-Analysis and Probabilistic Human Risk Assessment.

Yadolah Fakhri, Zeinab Gholami, Olga A Malanova, Farshid Soleimani, Seid Kamal Ghadiri, Mohammadreza Gharepour, Moayed Adiban, Mansour Sarafraz

Abstract readReview
In one paragraph

Review in Food science & nutrition, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing 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

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

8 authors.

Yadolah FakhriFood Health Research Center Hormozgan University of Medical Sciences Bandar Abbas Iran.ORCID https://orcid.org/0000-0002-3579-7641
Zeinab GholamiHealth and Environment Research Center Ilam University of Medical Sciences Ilam Iran.
Olga A MalanovaSechenov First Moscow State Medical University (Sechenov University) Moscow Russia.
Farshid SoleimaniTobacco and Health Research Center Hormozgan University of Medical Sciences Bandar Abbas Iran.ORCID https://orcid.org/0000-0002-2701-888X
Seid Kamal GhadiriEnvironmental and Occupational Health Research Center Shahroud University of Medical Sciences Shahroud Iran.
Mohammadreza GharepourStudent Research Committee, School of Public Health Shahroud University of Medical Sciences Shahroud Iran.
Moayed AdibanHealth and Environment Research Center Ilam University of Medical Sciences Ilam Iran.
Mansour SarafrazEnvironmental and Occupational Health Research Center Shahroud University of Medical Sciences Shahroud Iran.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

This study conducted a systematic review and meta-analysis of radionuclide concentrations of Cesium-137 (Cs-137), Cesium-134 (Cs-134), Iodine-131 (I-131), Lead-210 (Pb-210), and Potassium-40 (K-40) in milk worldwide, along with an assessment of human health risks, in accordance with the PRISMA guidelines. Pooled radionuclide concentrations were estimated using a random-effects model, while excess lifetime cancer risk (ELCR) was calculated to evaluate carcinogenic effects using the Monte Carlo Simulation (MCS) model. A comprehensive search of Scopus, PubMed, Embase, and Web of Science identified 66 papers (200 data reports, 2000-2025) that cover milk samples from 32 countries. The global pooled mean concentrations (Bq/L) followed the order: K-40: 57.494 > Cs-137: 0.904 > I-131: 0.301 > Pb-210: 0.136 > Cs-134: 0.032. Extreme concentrations were observed in the United Kingdom (Cs-137: 288.000), Syria (I-131: 76.000; K-40: 243.500), and India (Pb-210: 1.080), whereas Mali (Cs-137: 0.003) and Algeria (K-40: 2.349) showed the lowest levels. Probabilistic human health risk assessments revealed that the mean cancer risk (CR) for adults from Cs-137 ingestion exceeded the acceptable limit (1E-4) in the United Kingdom, Austria, South Korea, Serbia, the Czech Republic, Germany, Kazakhstan, and Iceland. For Cs-134, the CR in Finland and France remained below the limit. The CR from K-40 exceeded the limit in Spain, Syria, Bangladesh, Mali, Iraq, Singapore, Thailand, Japan, Italy, and Turkey. For I-131, the limit was exceeded in Syria, Romania, Greece, and Spain. The CR of Pb-210 exceeded the limit in Tunisia, Slovenia, India, the Czech Republic, Italy, and Syria. These disparities reflect variations in environmental contamination, nuclear legacy, and regulatory standards. The results highlight the necessity for strict monitoring, especially in high-risk areas, and promote enhanced agricultural practices and food safety policies to reduce radionuclide exposure through milk consumption.

Indexed as

cancer riskfood safetymeta‐analysismilk contaminationradioactive isotopesradionuclides

Identifiers

PMID42254424
PMCPMC13239174

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.