Dietary fumonisin exposure in a rural population of South Africa

A validated culturally specific dietary assessment method was used to determine the habitual maize intakes of black Xhosa-speaking Africans living in the Centane region of the Eastern Cape Province to assess their exposure to the carcinogenic fumonisin mycotoxins. The mean total dry weight maize intakes of home-grown, commercial or combined (both maize sources) were 474, 344, 462 g day−1, respectively. When considering the total mean levels of fumonisin in home-grown maize (1142 μg kg−1) and commercial maize (222 μg kg−1), the probable daily intakes (PDI’s), expressed as μg kg−1 body weight day−1 were 12.1 (95%CI: 0.3–4926.5) and 1.3 (95%CI: 1.0–1.8) for men and 6.7 (95%CI: 1.0–457.8) and 1.1 (95%CI: 0.9–1.3) for women, consuming home-grown and commercial maize, respectively. Based on the different maize-based beer drinking frequencies the PDI’s varied between 6.9 and 12.0 μg kg−1/drinking event. Depending on the maize intake patterns an exposure “window” exists where fumonisin exposure is below the recommended group provisional maximum tolerable daily intake (PMTDI) for fumonisins of 2 μg kg−1 bw day−1. The assessment of fumonisin exposure and development of preventative strategies depend, not only the accurate determination of total fumonisin levels in maize, but also on the distinct dietary patterns of a specific population.