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33

Pilot Research Grants

Endocrine Disrupting Chemical Burden among Residents of a

Vegan-Organic Rural Community: The Amirim Study

Endocrine disrupting chemicals (EDCs) are suspected to be involved in diseases

whose incidence has risen in the last decades such as obesity, diabetes, reproductive

abnormalities, and endocrine-related cancers. Biomonitoring surveys of those EDCs

in populations have pointed to geographical variations, possibly linked to lifestyle

differences. The recent Israeli biomonitoring survey uncovered high levels of

exposure of the Israeli population to BPA and phthalates when compared to the data

available for the US and Canada. We hypothesized that, compared to the background

omnivorous Israeli population, a lower burden of EDCs would be found among

residents of the Amirim vegetarian/vegan village in the upper Galilee. The sample

collection part of the study has now been completed and the mass spectrometry-

based analytical part is underway. The results will be compared to those of the Israeli

survey, and correlated to the anthropometric data and the numerous lifestyle and

nutritional parameters we obtained. If the results confirm our hypothesis, this study

will lay the ground for a long term life style intervention study.

Karen Tordjman

1

Tamar Berman

2

Thomas Göen

3

1. Tel-Aviv Sourasky Medical

Center

2. Israel Ministry of Health

3. Erlangen-Nuremberg University,

Germany

2013-

Evaluation of Adverse Health Effects in the Israeli Population from Lack of

Magnesium and Iodine in Drinking Water from Desalinized Sea Water

Extensive seawater desalination in Israel may decrease magnesium in drinking

water (DW), causing hypomagnesemia and adverse health effects. We will study the

association between consumption of desalinated drinking water (DSW) and serum

magnesium in acute myocardial infarction (AMI) patients, the incidence of diabetes,

hypertension and colorectal cancer. The study's specific components include: (1) Data

on 11,683 AMI patients from the Acute Coronary Syndrome Israeli Survey (ACSIS)

multi-center study (2002-2013): serum magnesium and clinical outcomes, controlled

for risk factors; (2) Trends in serum magnesium in Clalit Health Services patients in

regions with or without DSW, incidence of CV diseases, diabetes, colorectal cancer

and hypothyroidism; (3) Association between serummagnesium and clinical outcomes

in patients with AMI with a 1 year follow-up in 300 patients in regions supplied with

DSW (Sheba MC) and 150 patients in regions with non-desalinated DW (Nahariya MC).

(5) Urinary iodine in 150 pregnant women residing in areas with or without DSW,

and neonatal thyroid functions. Potential positive findings may bear important

consequences for public health in Israel.

Yona Amitai

1

Meital Shlezinger

1,2

Michael Shechter

2

Maya Leventer-Roberts

3

1. Bar-Ilan University

2. The Chaim Sheba Medical

Center at Tel Hashomer

3. Clalit Health Services

2014-