Dyslipidaemia among Miners and Residents of a Lead–zinc Mining Community in Ebonyi State, Nigeria: A Comparative Cross-sectional Study
Tilako Bello Halilu
Department of Medical Laboratory Science, Faculty of Allied Health Sciences, Federal University Wukari, Taraba State, Nigeria.
Egwu Mary Chinyere
*
Department of Medical Laboratory Science, Faculty of Allied Health Sciences, Federal University Wukari, Taraba State, Nigeria.
Eleje David Eze
Laboratory Services, Federal Medical Centre, Jalingo, Taraba State, Nigeria.
Igbinosa Isaac
Department of Medical Laboratory Science, Faculty of Allied Health Sciences, Federal University Wukari, Taraba State, Nigeria.
Gushit Seth Longchi
Department of Medical Laboratory Science, Faculty of Allied Health Sciences, Federal University Wukari, Taraba State, Nigeria.
Okeke Catherine Nneka
Laboratory Services, Federal Medical Centre, Jalingo, Taraba State, Nigeria.
*Author to whom correspondence should be addressed.
Abstract
Aims: To compare fasting serum total cholesterol (TC), triglycerides (TG) and low-density lipoprotein cholesterol (LDL-C), and the frequencies of elevated concentrations, among miners, non-mining community residents and comparison adults in Ebonyi State, Nigeria.
Study Design: Comparative cross-sectional study.
Place and Duration of Study: Enyigba lead–zinc mining community, Abakaliki Local Government Area, Ebonyi State, Nigeria; April–September 2018.
Methodology: The study included 215 adults: 89 miners, 61 non-mining residents and 65 comparison participants. Fasting serum lipids were measured using Roche reagents and a COBAS c111 analyzer. Group means were compared using one-way analysis of variance reconstructed from rounded group summaries. The frequencies of elevated TC (≥5.2 mmol/L), TG (≥1.7 mmol/L) and LDL-C (≥3.4 mmol/L) were compared using Pearson chi-square tests. Wilson 95% confidence intervals (CIs) were calculated for within-group percentages. All comparisons were unadjusted.
Results: Elevated TC occurred in 41 miners (46.1%), 6 non-mining residents (9.8%) and no comparison participants; elevated TG occurred in 60 (67.4%), 28 (45.9%) and 1 (1.5%), respectively; and elevated LDL-C in 39 (43.8%), 7 (11.5%) and 2 (3.1%). The respective chi-square statistics were 53.88, 67.91 and 41.74 (all p < .001). Mean TC, TG and LDL-C concentrations followed the same miner–resident–comparison ordering. The analysis did not include direct measurements of metal exposure or adjustment for cardiometabolic confounding.
Conclusion: The sampled occupational and residential groups differed in three unadjusted lipid outcomes. The findings do not establish effects of lead or other mining-related metals and should not be interpreted as population prevalence or as evidence of cardiovascular events.
Keywords: Dyslipidaemia, serum lipids, miners, lead–zinc mining, environmental health, cross-sectional study, Nigeria, Tilako Bello Halilu