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    Trond Flaten

    The Nord-Trøndelag Health Study (The HUNT Study) is a large health survey population study in the county of Trøndelag, Norway. The survey has been repeated four times in about 10-year intervals. In the HUNT3 survey (2006–2008), we... more
    The Nord-Trøndelag Health Study (The HUNT Study) is a large health survey population study in the county of Trøndelag, Norway. The survey has been repeated four times in about 10-year intervals. In the HUNT3 survey (2006–2008), we collected 28,000 samples for trace element analysis. Blood samples from 758 healthy persons without known occupational exposure were selected for multielement analysis of a small sample of blood (0.25 mL). The aim of the study was to determine the minimum blood volume that can be used for the analytical procedure and to compare our results with previously published results of similar surveys in healthy populations. Samples were digested and the concentration of selected trace elements was determined by ICP-MS. We report results on essential elements (B, Co, Cu, Mn, Se and Zn) as well as non-essential elements (As, Be, Br, Cd, Cs, In, La, Pb, Hg, Nd, Ni, Nb, Pd, Pt, Sm, Ta and Sn). Results are similar to previous studies on the HUNT3 population, and with a ...
    Road traffic emissions are known to contribute heavily to the pollution in urban environments. The aim of this study was to establish specific traffic pollution markers in an urban road setting based on the occurrence profiles of... more
    Road traffic emissions are known to contribute heavily to the pollution in urban environments. The aim of this study was to establish specific traffic pollution markers in an urban road setting based on the occurrence profiles of benzotriazoles, benzothiazoles and trace elements in road dust and relevant matrices, including airborne particulate matter and core asphalt. Benzotriazoles and benzothiazoles are high-production volume chemicals that are used as complexing and anticorrosive agents for metals, act as vulcanizing accelerators for rubber materials, and possess anti-freezing/anti-icing properties. In this study, six benzothiazoles (benzothiazole, 2‑morpholin‑4‑yl‑benzothiazole, 2‑hydroxy‑benzothiazole, 2‑thio‑benzothiazole, 2‑methylthio‑benzothiazole, and 2‑amino‑benzothiazole), seven benzotriazoles (1H‑benzotriazole, 1‑hydroxy‑benzotriazole, 5‑chloro‑1H‑benzotriazole, tolyltriazole, xylyltriazole, benzotriazole‑5‑carboxyl acid, and 5‑amino‑1H‑benzotriazole), and 66 trace elem...
    Differences in trace elements levels between individuals with type 2 diabetes and controls have been reported in several studies in various body fluids and tissues, but results have been inconsistent. In order to examine trace element... more
    Differences in trace elements levels between individuals with type 2 diabetes and controls have been reported in several studies in various body fluids and tissues, but results have been inconsistent. In order to examine trace element levels in the early phase of type 2 diabetes, we investigated the association between whole blood levels of 26 trace elements and the prevalence of previously undiagnosed, screening-detected type 2 diabetes. The study was conducted as a case-control study nested within the third survey of the population-based Nord-Trøndelag Health Study (HUNT3 Survey). Among participants without previously known diabetes, 128 cases of type 2 diabetes were diagnosed in people with a high diabetes risk score (FINDRISC≥15), and frequency-matched for age and sex with 755 controls. Blood samples were analyzed by high resolution inductively coupled plasma mass spectrometry. Associations between trace element levels and the prevalence of previously undiagnosed type 2 diabetes...
    Several epidemiological studies have indicated that a number of trace elements may play a role in type 2 diabetes (T2D). We investigated the association between prevalent T2D and the concentrations of 25 trace elements in whole blood, and... more
    Several epidemiological studies have indicated that a number of trace elements may play a role in type 2 diabetes (T2D). We investigated the association between prevalent T2D and the concentrations of 25 trace elements in whole blood, and the relationships between T2D duration and blood levels of the trace elements that we found to be related to T2D prevalence. In this population based case-control study, 267 patients with self-reported T2D and 609 controls (frequency matched), were selected from the third Nord-Trøndelag Health Survey. Trace element blood levels were determined by high resolution inductively coupled plasma-mass spectrometry. Multivariable conditional logistic regression and multivariable linear regression were used to estimate associations. The prevalence of T2D was positively associated with boron, calcium and silver, and inversely associated with indium, lead and magnesium (Ptrend<0.05). We found no statistical evidence for associations between blood levels of ...
    Combined exposure to engineered nanoparticles (ENPs) and anthropogenic contaminants can lead to changes in bioavailability, uptake and thus effects of both groups of contaminants. In this study we investigated effects of single and... more
    Combined exposure to engineered nanoparticles (ENPs) and anthropogenic contaminants can lead to changes in bioavailability, uptake and thus effects of both groups of contaminants. In this study we investigated effects of single and combined exposures of silver (Ag) nanoparticles (AgNPs) and the synthetic hormone 17α-ethinylestradiol (EE2) on tissue uptake of both contaminants in juvenile turbot (Scophthalmus maximus). Silver uptake and tissue distribution (gills, liver, kidney, stomach, muscle and bile) were analyzed following a 14-day, 2-h daily pulsed exposure to AgNPs (2 μg L(-1) and 200 μg L(-1)), Ag(+) (50 μg L(-1)), EE2 (50 ng L(-1)) and AgNP + EE2 (2 or 200 μg L(-1)+50 ng L(-1)). Effects of the exposures on plasma vitellogenin (Vtg) levels, EE2 and steroid hormone concentrations were investigated. The AgNP and AgNP + EE2 exposures resulted in similar Ag concentrations in the tissues, indicating that combined exposure did not influence Ag uptake in tissues. The highest Ag conc...
    Water samples were collected from 384 waterworks that supply 70.9% of the Norwegian population. The samples were collected after water treatment and were analysed for 30 constituents. Although most constituents show wide concentration... more
    Water samples were collected from 384 waterworks that supply 70.9% of the Norwegian population. The samples were collected after water treatment and were analysed for 30 constituents. Although most constituents show wide concentration ranges, Norwegian drinking water is generally soft. The median values obtained are: 0.88 mg Si l-1, 0.06 mg Al l-1, 47 micrograms Fe l-1, 0.69 mg Mg l-1, 2.9 mg Ca l-1, 3.8 mg Na l-1, 6 micrograms Mn l-1, 12 micrograms Cu l-1, 14 micrograms Zn l-1, 9 micrograms Ba l-1, 15 micrograms Sr l-1, 0.14 mg K l-1, 58 micrograms F- l-1, 6.4 mg Cl- l-1, 11 micrograms Br- l-1, 0.46 mg NO3- l-1, 5.3 mg SO4(2-) l-1, 2.4 mg TOC l-1, 6.8 (pH), 5) microseconds cm-1 (conductivity) and 11 mg Pt l-1 (colour). Titanium, Pb, Ni, Co, V, Mo, Cd, Be and Li were seldom or never quantified, due to insufficient sensitivity of the ICP (inductively coupled plasma) method. Norwegian quality criteria, which exist for 17 of the constituents examined, are generally fulfilled, indicating that the chemical quality of drinking water, by and large, is good in Norway. For Fe, Ca, Mn, Cu, pH, TOC and colour, however, the norms for good drinking water are exceeded in more than 9% of the samples, reflecting two of the major problems associated with Norwegian drinking water supplies: (i) many water sources contain high concentrations of humic substances; (ii) in large parts of the country, the waters are soft and acidic, and therefore corrosive towards pipes, plumbing and other installations. Most constituents show marked regional distribution patterns, which are discussed in the light of different mechanisms contributing to the chemical composition of drinking water, namely: chemical weathering of mineral matter; atmospheric supply of salt particles from the sea; anthropogenic pollution (including acid precipitation); corrosion of water pipes and plumbing; water treatment; decomposition of organic matter; and hydrological differences.
    Tunnel rehabilitation work involves exposure to various air contaminants, including airborne particulate matter (APM). Little is known on the contents of different chemical components of APM generated during tunnel work. The objective of... more
    Tunnel rehabilitation work involves exposure to various air contaminants, including airborne particulate matter (APM). Little is known on the contents of different chemical components of APM generated during tunnel work. The objective of the present study was to characterize exposure to APM and various elements for different job categories in different size fractions of APM during a subsea tunnel rehabilitation project carried out in Western Norway. Personal as well as stationary samples of inhalable, thoracic and respirable dust were collected from workers divided into 11 different job categories based on work operations performed, and air concentrations of a range of elements were determined using high-resolution inductively coupled plasma-mass spectrometry (HR-ICP-MS). Overall, APM concentrations were low, but with some measurements exceeding the American Conference of Governmental Industrial Hygienists (ACGIH) Threshold Limit Value (TLV) for inhalable particles, and considerable...
    Thesis (doctoral)--Norges tekniske høgskole, 1986. Includes bibliographical references (p. 174-202).
    Water samples have been collected from 386 Norwegian waterworks that supply 70% of the population in Norway. The samples were collected after water treatment and were analysed for 30 constituents. Most elements show wide concentration... more
    Water samples have been collected from 386 Norwegian waterworks that supply 70% of the population in Norway. The samples were collected after water treatment and were analysed for 30 constituents. Most elements show wide concentration ranges and marked regional distribution patterns, some of which are supposed to be natural (Sr,Cl), while others may partly be anthropogenic (Mn). The composition of the drinking water is compared later with municipal rates of mortality and morbidity of cancer and other diseases.
    The Norwegian population has among the highest hip fracture rates in the world. The incidence varies geographically, also within Norway. Calcium in drinking water has been found to be beneficially associated with bone health in some... more
    The Norwegian population has among the highest hip fracture rates in the world. The incidence varies geographically, also within Norway. Calcium in drinking water has been found to be beneficially associated with bone health in some studies, but not in all. In most previous studies, other minerals in water have not been taken into account. Trace minerals, for which drinking water can be an important source and even fulfill the daily nutritional requirement, could act as effect-modifiers in the association between calcium and hip fracture risk. The aim of the present study was to investigate the association between calcium in drinking water and hip fracture, and whether other water minerals modified this association. A survey of trace metals in 429 waterworks, supplying 64% of the population in Norway, was linked geographically to the home addresses of patients with incident hip fractures (1994-2000). Drinking water mineral concentrations were divided into "low" (below and equal waterworks average) and "high" (above waterworks average). Poisson regression models were fitted, and all incidence rate ratios (IRRs) were adjusted for age, geographic region, urbanization degree, type of water source, and pH of the water. Effect modifications were examined by stratification, and interactions between calcium and magnesium, copper, zinc, iron and manganese were tested both on the multiplicative and the additive scale. Analyses were stratified on gender. Among those supplied from the 429 waterworks (2,110,916 person-years in men and 2,397,217 person-years in women), 5,433 men and 13,493 women aged 50-85 years suffered a hip fracture during 1994-2000. Compared to low calcium in drinking water, a high level was associated with a 15% lower hip fracture risk in men (IRR=0.85, 95% CI: 0.78, 0.91) but no significant difference was found in women (IRR=0.98, 95%CI: 0.93-1.02). There was interaction between calcium and copper on hip fracture risk in men (p=0.051); the association between calcium and hip fracture risk was stronger when the copper concentration in water was high (IRR=0.52, 95% CI: 0.35, 0.78) as opposed to when it was low (IRR=0.88, 95% CI: 0.81, 0.94). This pattern persisted also after including potential confounding factors and other minerals in the model. No similar variation in risk was found in women. In this large, prospective population study covering two thirds of the Norwegian population and comprising 19,000 hip fractures, we found an inverse association between calcium in drinking water and hip fracture risk in men. The association was stronger when the copper concentration in the water was high.
    Tea (Camellia sinensis) is one of a few plants accumulating aluminium (Al), making tea a major source of dietary Al intake. This paper reviews published studies on the concentrations, speciation and bioavailability of Al in tea. With very... more
    Tea (Camellia sinensis) is one of a few plants accumulating aluminium (Al), making tea a major source of dietary Al intake. This paper reviews published studies on the concentrations, speciation and bioavailability of Al in tea. With very few exceptions, the total concentration of Al in tea infusions is in the range 1–6 mg l−1. Probably more than 90% of
    The pathophysiological mechanisms of progressive demyelinating disorders including multiple sclerosis are incompletely understood. Increasing evidence indicates a role for trace metals in the progression of several neurodegenerative... more
    The pathophysiological mechanisms of progressive demyelinating disorders including multiple sclerosis are incompletely understood. Increasing evidence indicates a role for trace metals in the progression of several neurodegenerative disorders. The study of Skogholt disease, a recently discovered demyelinating disease affecting both the central and peripheral nervous system, might shed some light on the mechanisms underlying demyelination. Cerebrospinal fluid iron and copper concentrations are about four times higher in Skogholt patients than in controls. The transit into cerebrospinal fluid of these elements from blood probably occurs in protein bound form. We hypothesize that exchangeable fractions of iron and copper are further transferred from cerebrospinal fluid into myelin, thereby contributing to the pathogenesis of demyelination. Free or weakly bound iron and copper ions may exert their toxic action on myelin by catalyzing production of oxygen radicals. Similarities to demyel...
    Concentrations of essential and non-essential elements in five widespread species of natural boreal vegetation were studied with respect to seasonal variation and contribution from different sources. The plant species included in the... more
    Concentrations of essential and non-essential elements in five widespread species of natural boreal vegetation were studied with respect to seasonal variation and contribution from different sources. The plant species included in the study were Betula pubescens, Sorbus aucuparia, Vaccinium myrtillus, Vaccinium uliginosum, Calluna vulgaris and Deschampsia flexuosa. Concentrations of elements essential to plants remained essentially constant or decreased slightly throughout the growing season. Concentrations of most non-essential elements increased or tended to increase on a dry mass basis from June to July as well as from July to September. The increasing trend for these elements was observed for all species except C. vulgaris. Principal component analysis (PCA) of the material indicated a common source for many of the non-essential elements; Sc, Ti, V, Ga, As, Y, Sb, lanthanides, Pb, Bi, and U, i.e. both elements presumably of geogenic origin and elements associated with trans-bound...
    Impaired cellular homeostasis of metals, particularly of Cu, Fe and Mn may trigger neurodegeneration through various mechanisms, notably induction of oxidative stress, promotion of α-synuclein aggregation and fibril formation, activation... more
    Impaired cellular homeostasis of metals, particularly of Cu, Fe and Mn may trigger neurodegeneration through various mechanisms, notably induction of oxidative stress, promotion of α-synuclein aggregation and fibril formation, activation of microglial cells leading to inflammation and impaired production of metalloproteins. In this article we review available studies concerning Fe, Cu and Mn in Parkinson's disease and Wilson's disease. In Parkinson's disease local dysregulation of iron metabolism in the substantia nigra (SN) seems to be related to neurodegeneration with an increase in SN iron concentration, accompanied by decreased SN Cu and ceruloplasmin concentrations and increased free Cu concentrations and decreased ferroxidase activity in the cerebrospinal fluid. Available data in Wilson's disease suggest that substantial increases in CNS Cu concentrations persist for a long time during chelating treatment and that local accumulation of Fe in certain brain nucle...
    Amyotrophic lateral sclerosis (ALS) and parkinsonism-dementia complex (PDC) are neurodegenerative disorders that occurred with extremely high frequency among the native population on Guam, especially in the 1950s and 1960s, but have... more
    Amyotrophic lateral sclerosis (ALS) and parkinsonism-dementia complex (PDC) are neurodegenerative disorders that occurred with extremely high frequency among the native population on Guam, especially in the 1950s and 1960s, but have substantially declined over the last half-century. The etiology of these diseases is unknown, but the most plausible hypothesis centers on imbalances in essential and toxic metals. We have determined the concentrations of Cd, Co, Cu, Fe, Mn, Rb, V, and Zn in formalin-fixed brain tissue collected during the period 1979-1983 from eight Guamanian patients with ALS, four with PDC, and five control subjects using high-resolution inductively coupled plasma-mass spectrometry. The concentrations of Cd are markedly and significantly elevated both in gray and white matter in ALS, but not in PDC patients. The concentrations of Zn are elevated for both patient groups, in both gray and white matter, but only the difference in gray matter for PDC is significant. For t...
    As a "hard", trivalent metal ion, Al3- binds strongly to oxygen-donor ligands such as citrate and phosphate. The aqueous coordination chemistry of Al is complicated by the tendency of many Al complexes to hydrolyze and form... more
    As a "hard", trivalent metal ion, Al3- binds strongly to oxygen-donor ligands such as citrate and phosphate. The aqueous coordination chemistry of Al is complicated by the tendency of many Al complexes to hydrolyze and form polynuclear species, many of which are sparingly soluble. Thus there is considerable variation among the Al stability constants reported for several important ligands. The complexity in the aqueous chemistry of Al has also affected Al toxicity studies, which have often utilized poorly characterized Al stock solutions. Serum fractionation studies show that most Al is protein bound, primarily to the serum iron transport protein transferrin. Albumin appears to play little, if any, role in serum transport. There is little agreement as to the speciation of the remaining low-molecular mass fraction of serum Al. The lability of the Al3+ion precludes the simple separation and identification of individual Al complexes. Computational methods are available for det...
    A wide range of toxic effects of aluminum (Al) have been demonstrated in plants and aquatic animals in nature, in experimental animals by several routes of exposure, and under different clinical conditions in humans. Aluminum toxicity is... more
    A wide range of toxic effects of aluminum (Al) have been demonstrated in plants and aquatic animals in nature, in experimental animals by several routes of exposure, and under different clinical conditions in humans. Aluminum toxicity is a major problem in agriculture, affecting perhaps as much as 40% of arable soils in the world. In fresh waters acidified by acid rain, Al toxicity has led to fish extinction. Aluminum is a very potent neurotoxicant. In humans with chronic renal failure on dialysis, Al causes encephalopathy, osteomalacia, and anemia. There are also reports of such effects in certain patient groups without renal failure. Subtle neurocognitive and psychomotor effects and electroencephalograph (EEG) abnormalities have been reported at plasma Al levels as low as 50 micrograms/L. Infants could be particularly susceptible to Al accumulation and toxicity, reduced renal function being one contributory cause. Recent reports clearly show that Al accumulation occurs in the tiss...
    ... The main classes are, in the direction of finer particles: gravel, sand, silt and clay. The clay fraction (particle diameter <0.002 mm) is especially important in this respect. ... The clay fraction in soils mainly consists of... more
    ... The main classes are, in the direction of finer particles: gravel, sand, silt and clay. The clay fraction (particle diameter <0.002 mm) is especially important in this respect. ... The clay fraction in soils mainly consists of three particle categories: silicate clay, oxide and humus. ...
    Finished drinking water samples were collected from 384 waterworks that supply 70.9% of the Norwegian population. For 97 municipalities where a majority of the population has had a stable drinking water supply from at least 1965,... more
    Finished drinking water samples were collected from 384 waterworks that supply 70.9% of the Norwegian population. For 97 municipalities where a majority of the population has had a stable drinking water supply from at least 1965, analytical results for Si, Al, Fe, Mg, Ca, Na, Mn, Cu, Zn, Ba, Sr, K, F-, Cl-, Br-, NO3-, SO4(2-), pH, electrical conductivity, total organic carbon (TOC) and colour are correlated with municipal rates for morbidity of 16 groups of cancer (1975-84), and for mortality of 17 groups of other diseases (1974-83). Several associations are found, some of which may be real, while others are incidental due to the large number of correlations involved. The ecological design of this study implies that cause-and-effect interpretations should be made with great care.
    Water samples were collected from 384 waterworks that supply 70.9% of the Norwegian population. The samples were collected after water treatment and were analysed for 30 constituents. Although most constituents show wide concentration... more
    Water samples were collected from 384 waterworks that supply 70.9% of the Norwegian population. The samples were collected after water treatment and were analysed for 30 constituents. Although most constituents show wide concentration ranges, Norwegian drinking water is generally soft. The median values obtained are: 0.88 mg Si l-1, 0.06 mg Al l-1, 47 micrograms Fe l-1, 0.69 mg Mg l-1, 2.9 mg Ca l-1, 3.8 mg Na l-1, 6 micrograms Mn l-1, 12 micrograms Cu l-1, 14 micrograms Zn l-1, 9 micrograms Ba l-1, 15 micrograms Sr l-1, 0.14 mg K l-1, 58 micrograms F- l-1, 6.4 mg Cl- l-1, 11 micrograms Br- l-1, 0.46 mg NO3- l-1, 5.3 mg SO4(2-) l-1, 2.4 mg TOC l-1, 6.8 (pH), 5) microseconds cm-1 (conductivity) and 11 mg Pt l-1 (colour). Titanium, Pb, Ni, Co, V, Mo, Cd, Be and Li were seldom or never quantified, due to insufficient sensitivity of the ICP (inductively coupled plasma) method. Norwegian quality criteria, which exist for 17 of the constituents examined, are generally fulfilled, indicating that the chemical quality of drinking water, by and large, is good in Norway. For Fe, Ca, Mn, Cu, pH, TOC and colour, however, the norms for good drinking water are exceeded in more than 9% of the samples, reflecting two of the major problems associated with Norwegian drinking water supplies: (i) many water sources contain high concentrations of humic substances; (ii) in large parts of the country, the waters are soft and acidic, and therefore corrosive towards pipes, plumbing and other installations. Most constituents show marked regional distribution patterns, which are discussed in the light of different mechanisms contributing to the chemical composition of drinking water, namely: chemical weathering of mineral matter; atmospheric supply of salt particles from the sea; anthropogenic pollution (including acid precipitation); corrosion of water pipes and plumbing; water treatment; decomposition of organic matter; and hydrological differences.

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