Even small levels of nitrate in drinking water results in smaller babies 即使飲用水中的硝酸鹽含量很少，也會導致較小的嬰兒

News Release 24-Mar-2021

Editor’s note: The report talks about nitrates in drinking water. Could high levels of nitrates in drinking water indicate some degree of pollution? And what causes low-weight babies may be some other pollutants or in addition to nitrates?

Nitrates are everywhere. We do not know if nitrates from natural foods like green leafy vegetables (not industrially processed) should be considered safe. Logically, they should as they are part of the healthy nutrition package.

More worrying are the nitrates in processed foods. Nitrates can be unnaturally high in some foods such as cured meat such ham, bacon and hotdog and pickled foods. Pregnant women should not risk their babies’ health by eating nitrate-high processed foods even if nitrates are harmless.

該報告談到飲用水中的硝酸鹽。 飲用水中的硝酸鹽含量高是否可以表明某種程度的污染？ 導致低體重嬰兒的原因可能是某些其他污染物或除硝酸鹽之外的其他原因？ 硝酸鹽無處不在。 我們不知道從天然食品（非工業加工）中獲得的硝酸鹽是否應被認為是安全的。 從邏輯上講，它們應作為健康營養包的一部分。 更令人擔憂的是加工食品中的硝酸鹽。 某些食物中的硝酸鹽含量過高，例如火腿，培根和熱狗等醃製肉和醃製食品。 即使硝酸鹽無害，孕婦也不應通過食用硝酸鹽含量高的加工食品來冒著嬰兒健康的風險。

It appears that the weight of newborn babies decreases if even small amounts of nitrates are present in the drinking water that mothers drink before and during pregnancy. This is shown by a major new register-based study from Denmark and USA.

Aarhus University

Research News

The more nitrate there is in mothers’ drinking water, the smaller the babies they give birth to. But alarmingly, the declining birth weight can also be registered when the women are exposed to nitrate levels below the EU’s threshold of 50 milligrams of nitrate per litre.

This is shown by a register-based study of more than 850,000 births in Denmark carried out in a Danish-American partnership led by Professor Torben Sigsgaard from the Department of Public Health at Aarhus University and Professor Leslie Stayner and Dr. Vanessa Coffman from the Division of Epidemiology and Biostatistics at the University of Illinois at Chicago, School of Public Health.

On the basis of Danish registry data, the research group concluded that babies born to mothers whose drinking water contains between 25 and 50 milligrams of nitrates per litre – i.e. from half of the current threshold value up to the maximum limit – on average weigh ten grams less than babies born to mothers with smaller amounts of nitrate in the tap water. Not only did the babies weigh less, they were also slightly shorter, while their head size was unaffected by the amount of nitrate – which is the form of nitrogen run off from the agricultural sector that most frequently appears in groundwater.

According to Professor Torben Sigsgaard from Aarhus University, it is difficult to say whether we should be concerned about public health in areas with high amounts of nitrate:

“The difference in body length and weight doesn’t sound like much at first as it’s on average only ten grams, but this is not insignificant if the newborn also begins life as underweight for other reasons. Birth weight is generally recognised as having a life-long impact on a person’s health and development,” says Torben Sigsgaard.

“There is no doubt that the results of the study challenge the threshold value that is in place throughout the Western world, and that any changes will be a bit like turning around a supertanker. But it’s important to discuss these results,” he adds with reference to the WHO, EU and American authorities who all view drinking water as harmful when the content of nitrates is higher than fifty milligrams per litre.

The study was initiated because it has long been known that very high nitrate concentrations may lead to people being exposed to nitrite. This inhibits the body’s ability to absorb oxygen and can lead to the dangerous blue-baby syndrome, or methemoglobinemia to give it its medical name. Nitrate in drinking water is also suspected of causing other chronic diseases, including bowel cancer. Research has also documented how, depending on local geological and geochemical conditions in theearth, the fertiliser used in agriculture more or less percolates down to the groundwater.

“With the study, we’ve established that there is a need to explore the effect of the low nitrate concentrations in the drinking water, if we’re to assess the adequacy of the current threshold values – and this is possible thanks to the unique Danish registers. It wouldn’t be possible to carry out corresponding studies on the basis of US data alone, because such data simply doesn’t exist,” says Torben Sigsgaard.

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The research results – more information

The register-based study compares data from more than 850,000 births in Denmark during the period 1991-2011 including the weight, height and head size of the newborn babies – before in turn comparing this with the content of nitrate in drinking water via the parents’ place of residence and the GEUS Jupiter register, which contains information about the quality of drinking water in Danish households based on more than 300,000 nitrate samples from routine water quality monitoring. GEUS stands for Geological Survey of Denmark and Greenland.

Vanessa Coffman and Leslie Stayner from the University of Illinois, Chicago (UIC) and Jörg Schullehner and Birgitte Hansen from GEUS, were important partners on the project. Additional contributions came from colleagues at Aarhus University, including the “Drinking water group” under the Center for Integrated Register-based Research (CIRRAU), as well as researchers from the University of Copenhagen.