TY - JOUR T1 - A Systematic Review and Meta-Analysis of Lead Concentrations in Fish: Implications for Dietary Exposure and Risk Assessment TT - Balıklardaki Kurşun Konsantrasyonlarına İlişkin Sistematik Derleme ve Meta-Analiz: Diyetle Alım ve Risk Değerlendirmesine Etkileri AU - Demir, Tuğba AU - Tutun, Soner AU - Karapınar, Betül PY - 2025 DA - September Y2 - 2025 DO - 10.58626/memba.1758457 JF - MEMBA Su Bilimleri Dergisi PB - Kastamonu Üniversitesi WT - DergiPark SN - 3062-3200 SP - 375 EP - 387 VL - 11 IS - 3 LA - en AB - This meta-analysis aims to comprehensively evaluate lead (Pb) accumulation levels in edible fish tissues and the potential health risks associated with dietary exposure. A systematic search was conducted following the PRISMA 2020 guidelines, and out of an initial 500 studies, only 95 met the inclusion criteria. Studies published after 2015, presenting tissue-specific Pb data from fish samples, were included. The weighted mean Pb concentration was calculated using a random-effects model, and inter-study heterogeneity was assessed (τ², Q-statistic). Health risk assessment was conducted using the Target Hazard Quotient (THQ) based on USEPA parameters. The overall weighted mean Pb concentration was 0.37 µg/g (95% CI: 0.32–0.41). THQ values varied by region, with several liver tissue samples exceeding the acceptable risk threshold (THQ ≥ 1). High heterogeneity among studies was attributed to variations in environmental contamination, fish species, and methodological approaches. These findings highlight the necessity for stricter monitoring of Pb residues in fish, especially in regions exposed to industrial and agricultural pollution, and call for region-specific regulatory updates. This study provides a robust global-scale statistical assessment of lead contamination in the aquatic food chain, aiming to inform and support food safety and public health policy development. KW - Lead contamination KW - Fish tissue KW - Risk assessment KW - THQ (Target Hazard Quotient) KW - Meta-analysis N2 - Bu meta-analiz, yenilebilir balık dokularında kurşun (Pb) birikim düzeylerini ve bu birikimin diyet yoluyla insan sağlığı üzerindeki olası risklerini kapsamlı şekilde değerlendirmeyi amaçlamaktadır. PRISMA 2020 kılavuzuna uygun olarak yürütülen sistematik tarama sonucunda, başlangıçta belirlenen 500 çalışmadan yalnızca 95’i belirlenen dahil etme kriterlerini karşılamıştır. Yalnızca 2015 sonrası yayımlanmış, dokuya özgü Pb verisi sunan ve balık örneklerini içeren çalışmalar analiz kapsamına alınmıştır. Ağırlıklı ortalama Pb düzeyi rassal etkiler modeliyle hesaplanmış ve çalışmalar arası heterojenlik (τ², Q-istatistiği) değerlendirilmiştir. Sağlık risk değerlendirmesi ise USEPA parametrelerine dayalı olarak Hedef Tehlike Katsayısı (THQ) yöntemiyle gerçekleştirilmiştir. Toplam ağırlıklı ortalama Pb düzeyi 0.37 µg/g olarak bulunmuştur (95% GA: 0.32–0.41). THQ değerleri bölgelere göre değişiklik göstermiş, özellikle karaciğer dokusuna ait örneklerde birçok ülkenin kabul edilebilir risk sınırını (THQ ≥ 1) aştığı belirlenmiştir. Çalışmalar arası heterojenlik oldukça yüksek olup, bu durum çevresel kirlilik düzeyi, tür farklılıkları ve metodolojik çeşitlilik gibi etkenlerle ilişkilidir. Bu bulgular, başta endüstriyel ve tarımsal kirliliğe maruz kalan bölgelerde olmak üzere, balıklardaki Pb kalıntılarının daha sıkı izlenmesi ve mevzuatın bölgesel koşullara göre güncellenmesi gerektiğini ortaya koymaktadır. Bu çalışma, sucul gıda zincirindeki kurşun kirliliğine dair küresel düzeyde istatistiksel açıdan güçlü ve bilimsel bir değerlendirme sunarak, gıda güvenliği ve halk sağlığı politikalarının şekillendirilmesine katkı sağlamayı hedeflemektedir. CR - Abadi, D. R. V., Dobaradaran, S., Nabipour, I., Lamani, X., Ravanipour, M., Tahmasebi, R., & Nazmara, S. (2015). Comparative investigation of heavy metal, trace, and macro element contents in commercially valuable fish species harvested off from the Persian Gulf. Environmental Science and Pollution Research, 22, 6670-6678. CR - Abdel-Mohsien, H. S., & Mahmoud, M. A. (2015). Accumulation of some heavy metals in Oreochromis niloticus from the Nile in Egypt: potential hazards to fish and consumers. Journal of Environmental Protection, 6(09), 1003. CR - Ahmad, H., Yousafzai, A. M., Siraj, M., Ahmad, R., Ahmad, I., Nadeem, M. S., ... & Muhammad, K. (2015). Pollution problem in river kabul: Accumulation estimates of heavy metals in native fish speciazes. BioMed research international, 2015(1), 537368. CR - Ahmed, M. K., Baki, M. A., Islam, M. S., Kundu, G. K., Habibullah-Al-Mamun, M., Sarkar, S. K., & Hossain, M. M. (2015). Human health risk assessment of heavy metals in tropical fish and shellfish collected from the river Buriganga, Bangladesh. Environmental science and pollution research, 22, 15880-15890. CR - Ahmed, M. K., Baki, M. A., Kundu, G. K., Islam, M. S., Islam, M. M., & Hossain, M. M. (2016). Human health risks from heavy metals in fish of Buriganga river, Bangladesh. SpringerPlus, 5(1), 1697. CR - Ahmed, Q., & Bat, L. (2015). Heavy metal levels in Euthynnus affinis (Cantor 1849) Kawakawa fish marketed at Karachi Fish Harbour, Pakistan and potential risk to human health. Journal of Black Sea/Mediterranean Environment, 21(1), 35-44. CR - Ahsan, M. A., Siddique, M. A. B., Munni, M. A., Akbor, M. A., Bithi, U. H., & Mia, M. Y. (2018). Analysis of major heavy metals in the available fish species of the Dhaleshwari River, Tangail, Bangladesh. Int J Fish Aquat Stud, 6(4), 349-354. CR - Ajima, M. N. O., Nnodi, P. C., Ogo, O. A., Adaka, G. S., Osuigwe, D. I., & Njoku, D. C. (2015). Bioaccumulation of heavy metals in Mbaa River and the impact on aquatic ecosystem. Environmental monitoring and assessment, 187, 1-9. CR - Al-Ghanim, K. A., Abdelatty, M., Abdelfattah, L., & Mahboob, S. (2015). Differential uptake of heavy metals by gill, muscles and liver of four selected fish species from Red Sea. Pakistan Journal of Zoology, 47(4). CR - Baharom, Z. S., & Ishak, M. Y. (2015). Determination of heavy metal accumulation in fish species in Galas River, Kelantan and Beranang mining pool, Selangor. Procedia Environmental Sciences, 30, 320-325. CR - Baki, M. A., Hossain, M. M., Akter, J., Quraishi, S. B., Shojib, M. F. H., Ullah, A. A., & Khan, M. F. (2018). Concentration of heavy metals in seafood (fishes, shrimp, lobster and crabs) and human health assessment in Saint Martin Island, Bangladesh. Ecotoxicology and environmental safety, 159, 153-163. CR - Banerjee, S., Maiti, S. K., & Kumar, A. (2015). Metal contamination in water and bioaccumulation of metals in the planktons, molluscs and fishes in J amshedpur stretch of S ubarnarekha R iver of C hotanagpur plateau, I ndia. Water and Environment Journal, 29(2), 207-213. CR - Bashir, F. A., & Alhemmali, E. M. (2015, September). Analysis of some heavy metal in marine fish in muscle, liver and gill tissue in two marine fish spices from Kapar coastal waters, Malaysia. In The Second Symposium on Theories and Applications of Basic and Biosciences (Vol. 2, No. 1, pp. 1-15). CR - Bat, L., Arıcı, E., Sezgin, M., & Şahin, F. (2015). Heavy metal levels in the liver and muscle tissues of the four commercial fishes from Lake Balik, Kızılırmak Delta (Samsun, Turkey). Journal of Coastal Life Medicine, 3(12), 950-955. CR - Bawuro, A. A., Voegborlo, R. B., & Adimado, A. A. (2018). Bioaccumulation of heavy metals in some tissues of fish in Lake Geriyo, Adamawa State, Nigeria. Journal of environmental and public health, 2018(1), 1854892. CR - Bonsignore, M., Manta, D. S., Sharif, E. A. A. T., D'Agostino, F., Traina, A., Quinci, E. M., ... & Sprovieri, M. (2018). Marine pollution in the Libyan coastal area: environmental and risk assessment. Marine pollution bulletin, 128, 340-352. CR - Bozorgzadeh, E., Pasdaran, A., & Ebrahimi-Najafabadi, H. (2021). Determination of toxic heavy metals in fish samples using dispersive micro solid phase extraction combined with inductively coupled plasma optical emission spectroscopy. Food Chemistry, 346, 128916. CR - Cui, L., Ge, J., Zhu, Y., Yang, Y., & Wang, J. (2015). Concentrations, bioaccumulation, and human health risk assessment of organochlorine pesticides and heavy metals in edible fish from Wuhan, China. Environmental Science and Pollution Research, 22, 15866-15879. CR - Demir, T., & Ağaoğlu, S. (2023). Estimated daily intake and health risk assessment of toxic elements in infant formulas. British Journal of Nutrition, 130(10), 1732-1742. CR - Demir, T., Mutlu, E., & Gültepe, N. (2024). Bioaccumulation of heavy metals in Capoeta tinca fish and health risk assessment. Revista Cientifica de la Facultade de Veterinaria, 34(2). CR - Demir, T., Mutlu, E., Aydın, S., & Gültepe, N. (2021). Physicochemical water quality of Karabel, Çaltı, and Tohma brooks and blood biochemical parameters of Barbus plebejus fish: assessment of heavy metal concentrations for potential health risks. Environmental monitoring and assessment, 193, 1-15. CR - DerSimonian, R., & Laird, N. (1986). Meta-analysis in clinical trials. Controlled Clinical Trials, 7(3), 177–188. https://doi.org/10.1016/0197-2456(86)90046-2 CR - Dhanakumar, S., Solaraj, G., & Mohanraj, R. (2015). Heavy metal partitioning in sediments and bioaccumulation in commercial fish species of three major reservoirs of river Cauvery delta region, India. Ecotoxicology and environmental safety, 113, 145-151. CR - EC (2011) Commission regulation no.420/2011 of 29 April 2011 amending Regulation (EC) No 1881/2006 setting maximum levels for certain contaminants in foodstuffs (Text with EEA relevance). Off J Eur Communities L111:3–6 CR - El-Shafei, H. M. (2015). Some heavy metals concentration in water, muscles and gills of tilapia niloticus as biological indicator of Manzala Lake pollution. CR - EL-Shafei, H. M. (2015). Some Heavy Metals Concentration in Water, Muscles and Gills of Tilapia Niloticus as Biological Indicator of Manzala Lake Pollution. J Aquac Res Development, 6, Article 358. https://doi.org/10.4172/2155-9546.1000358 CR - EOSQC (1993) Egyptian Organization for Standardization and Quality Control, maximum residue limits for heavy metals in food. Ministry of Industry No. 2360/1993, 5. CR - Fatima, M., Usmani, N., Firdaus, F., Zafeer, M. F., Ahmad, S., Akhtar, K., ... & Hossain, M. M. (2015). In vivo induction of antioxidant response and oxidative stress associated with genotoxicity and histopathological alteration in two commercial fish species due to heavy metals exposure in northern India (Kali) river. Comparative Biochemistry and Physiology Part C: Toxicology & Pharmacology, 176, 17-30. CR - FSANZ (Food Standards Australia New Zealand). (2008). Australia New Zealand Food Standards Code (Incorporating amendments up to and including Amendment 97). Anstat Pty Ltd., Melbourne. CR - Gu, Y. G., Lin, Q., Wang, X. H., Du, F. Y., Yu, Z. L., & Huang, H. H. (2015). Heavy metal concentrations in wild fishes captured from the South China Sea and associated health risks. Marine pollution bulletin, 96(1-2), 508-512. Günes, M., Sökmen, T., & Kirici, M. (2019). Determination of Some Metal Levels in Water. Sediment and Fish Species of Tercan Dam Lake. Turkey. Appl. Ecol. Environ. Res, 17, 14961-14972. CR - Helmy, N. A., Maarouf, A. A., Hassan, M. A., & Hassanien, F. S. (2018). Detection of heavy metals residues in fish and shellfish. Benha Veterinary Medical Journal, 34(2), 255-264. CR - Hermenean, A., Damache, G., Albu, P., Ardelean, A., Ardelean, G., Ardelean, D. P., ... & Dinischiotu, A. (2015). Histopatological alterations and oxidative stress in liver and kidney of Leuciscus cephalus following exposure to heavy metals in the Tur River, North Western Romania. Ecotoxicology and environmental safety, 119, 198-205. CR - 34. Hosseini, M., Nabavi, S. M. B., Nabavi, S. N., & Pour, N. A. (2015). Heavy metals (Cd, Co, Cu, Ni, Pb, Fe, and Hg) content in four fish commonly consumed in Iran: risk assessment for the consumers. Environmental monitoring and assessment, 187, 1-7. CR - Idriss, A. A., & Ahmad, A. K. (2015). Heavy metal concentrations in fishes from Juru River, estimation of the health risk. Bulletin of environmental contamination and toxicology, 94, 204-208. CR - Islam, M. S., Ahmed, M. K., & Habibullah-Al-Mamun, M. (2015). Determination of heavy metals in fish and vegetables in Bangladesh and health implications. Human and Ecological Risk Assessment: An International Journal, 21(4), 986-1006. CR - Jebakumar, J. P. P., Nandhagopal, G., Sundradarajan, S., Karuppasamy, M., & Ragumaran, S. (2015). Eminence of heavy metal accumulation in fishes and crustaceans from the Gulf of Khambhat, India. Current Science, 109(3), 409-412. CR - Jia, Y., Wang, L., Qu, Z., Wang, C., & Yang, Z. (2017). Effects on heavy metal accumulation in freshwater fishes: species, tissues, and sizes. Environmental Science and Pollution Research, 24, 9379-9386. CR - Kuton, M. P., Ayanda, I. O., Uzoalu, I. A., Akhiromen, D. I., George, A., & Akinsanya, B. (2021). Studies on heavy metals and fish health indicators in Malapterurus electricus from Lekki Lagoon, Lagos, Nigeria. Veterinary and Animal Science, 12, 100169. CR - Lipy, E. P., Hakim, M., Mohanta, L. C., Islam, D., Lyzu, C., Roy, D. C., ... & Abu Sayed, M. (2021). Assessment of heavy metal concentration in water, sediment and common fish species of Dhaleshwari River in Bangladesh and their health implications. Biological Trace Element Research, 199, 4295-4307. CR - Md Yunus, S., Hamzah, Z., Wood, A. K., & Ahmad. (2015, April). Assessment of heavy metals in seawater and fish tissues at Pulau Indah, Selangor, Malaysia. In AIP Conference Proceedings (Vol. 1659, No. 1, p. 050007). AIP Publishing LLC. CR - Micheline, G., Rachida, C., Céline, M., Gaby, K., Rachid, A., & Petru, J. (2019). Levels of Pb, Cd, Hg and As in fishery products from the Eastern Mediterranean and human health risk assessment due to their consumption. International Journal of Environmental Research, 13, 443-455. CR - Moiseenko, T. I., & Gashkina, N. A. (2020). Distribution and bioaccumulation of heavy metals (Hg, Cd and Pb) in fish: Influence of the aquatic environment and climate. Environmental Research Letters, 15(11), 115013. CR - Mukherjee, J., Saha, N. C., & Karan, S. (2022). Bioaccumulation pattern of heavy metals in fish tissues and associated health hazards in human population. Environmental Science and Pollution Research, 1-15. CR - Naeem, S., Ashraf, M., Babar, M. E., Zahoor, S., & Ali, S. (2021). The effects of some heavy metals on some fish species. Environmental Science and Pollution Research, 28, 25566-25578. CR - Olgunoğlu, M. P., Artar, E., & Olgunoğlu, İ. A. (2015). Comparison of heavy metal levels in muscle and gills of four benthic fish species from the Northeastern Mediterranean Sea. Polish Journal of Environmental Studies, 24(4), 1743-1748. CR - Qiu, Y. W. (2015). Bioaccumulation of heavy metals both in wild and mariculture food chains in Daya Bay, South China. Estuarine, Coastal and Shelf Science, 163, 7-14. CR - Rahman, M. S., Molla, A. H., Saha, N., & Rahman, A. (2012). Study on heavy metals levels and its risk assessment in some edible fishes from Bangshi River, Savar, Dhaka, Bangladesh. Food chemistry, 134(4), 1847-1854. CR - Rajeshkumar, S., & Li, X. (2018). Bioaccumulation of heavy metals in fish species from the Meiliang Bay, Taihu Lake, China. Toxicology reports, 5, 288-295. CR - Rakib, M. R. J., Jolly, Y. N., Enyoh, C. E., Khandaker, M. U., Hossain, M. B., Akther, S., ... & Bradley, D. A. (2021). Levels and health risk assessment of heavy metals in dried fish consumed in Bangladesh. Scientific reports, 11(1), 14642. CR - Sheikhzadeh, H., & Hamidian, A. H. (2021). Bioaccumulation of heavy metals in fish species of Iran: a review. Environmental Geochemistry and Health, 43(10), 3749-3869. CR - Shen, M., Kang, C., Song, T., Lu, H., Wang, Y., Yu, B., ... & Cheng, J. (2020). Content and health risk assessment of heavy metals and polybrominated diphenyl ethers in fish from Songhua Lake (Jilin City), China. Environmental Science and Pollution Research, 27, 40848-40856. CR - Sökmen, T. Ö., Güneş, M., & Kırıcı, M. (2018). Karasu Nehri’nden (Erzincan) alınan su, sediment ve Capoeta umbla dokularındaki ağır metal düzeylerinin belirlenmesi. Turkish Journal of Agricultural and Natural Sciences, 5(4), 578-588. CR - Turkish Food Codex. (TFC): Regulation of setting maximum levels for certain contaminants in foodstuffs. CR - Turkish Official Gazette, (28145). [Internet]. [Accessed 17 December 2011]. Available in: https://www.tarimorman.gov.tr/Turkish-Food-Codex-Legislation# US EPA. (2011). Regional screening level (RSL) summary table. United States Environmental Protection Agency, Washington https://www.epa.gov/risk/regional-screening-levels-rsls-generic-tables CR - WHO (2016). Lead poisoning and health". WHO. September 2016. Archived from the original on 18 October 2016. Retrieved 14 October 2016 CR - WHO/FAO (2011). Report of the Joint FAO/WHO Expert Consultation on the Risks and Benefits of Fish Consumption. Food and Agriculture Organization of the United Nations, Rome, Geneva, World Health Organization, p. 50. CR - Yi, Y., Tang, C., Yi, T., Yang, Z., & Zhang, S. (2017). Health risk assessment of heavy metals in fish and accumulation patterns in food web in the upper Yangtze River, China. Ecotoxicology and environmental safety, 145, 295-302. CR - Younis, A. M., Amin, H. F., Alkaladi, A., & Mosleh, Y. Y. (2015). Bioaccumulation of heavy metals in fish, squids and crustaceans from the Red Sea, Jeddah Coast, Saudi Arabia. Open Journal of Marine Science, 5(4), 369-378. CR - Zhu, F., Qu, L., Fan, W., Wang, A., Hao, H., Li, X., & Yao, S. (2015). Study on heavy metal levels and its health risk assessment in some edible fishes from Nansi Lake, China. Environmental monitoring and assessment, 187, 1-13. UR - https://doi.org/10.58626/memba.1758457 L1 - https://dergipark.org.tr/tr/download/article-file/5123680 ER -