This study aims to examine the hazards of zearalenone (ZEN) to humans and assess the risk of dietary exposure to ZEN, particularly in relation to precocious puberty in children from the Zhejiang Province. The test results from five types of food from the Zhejiang Province show that corn oil has the highest detection rate of 87.82%. The levels of ZEN do not exceed the existing safety standards in any sample investigated in this study. According to the data from the Food Consumption Survey of Zhejiang Province residents, rice is the primary source of ZEN exposure, accounting for 55.85% of total exposure among all age groups. Based on the 50th exposure percentile, it would take 6.25 years of rice consumption to reach 1 year of safe ZEN exposure. Overall, the majority of the residents in the Zhejiang Province have a low risk of exposure to ZEN. In an extreme case (based on the 95th exposure percentile), the total ZEN exposure from the studied foods with respect to children aged ≤6 years and 7–12 years is 0.38 μg/kg b.w. and 0.26 μg/kg b.w., respectively—both exceeding the safety limit of 0.25 μg/kg b.w. set by the European Food Safety Authority, indicating a potential risk of exposure. Precocious puberty assessments show that ZEN exposure levels in children in the Zhejiang Province are significantly lower than those associated with precocious puberty; thus, precocious puberty is unlikely to occur in this area. Given ZEN’s estrogenic effect, it is necessary to monitor the level of ZEN in different food items, revise the relevant standards as needed, and focus on exposure to ZEN in younger age groups.

This study aimed to assess the prevalence of four Alternaria toxins (alternariol [AOH], alternariol monomethyl ether [AME], tenuazonic acid [TeA], and tentoxin [TEN]) in various foods and assess the risk of Alternaria-toxin exposure in Zhejiang Province, China. A total of 325 samples were collected in this study, and at least one type of Alternaria toxin was detected in 53.85% of the samples. Wheat flour had a high detection rate of 97.41%, and TeA was the most prevalent compound in terms of concentration and detection rate. Assessment of Alternaria toxins using the threshold of toxicological concern (TTC) method showed that the majority of the population had a low exposure risk. Population-wide dietary exposure assessment suggested a potential health risk for some residents with 95th percentile (P95) assessment values 0.0038, 0.0128, and 0.0047 µg/kg b.w. for AOH from wheat flour and AOH and AME from Coix rice, respectively, exceeding the TTC value of 0.0025 µg/kg b.w. Probabilistic assessment showed that the mean exposure of children aged ≤6 years to AOH via wheat flour for P92 and of those aged 7–12 years for P93 were both 0.0025 µg/kg b.w. Exposures to TeA and TEN were within the acceptable limits (below the TTC value of 1.5 µg/kg b.w.). Age-group probabilistic and point assessments indicated that children aged ≤6 and 7–12 years are at higher exposure risk. This study provides a useful reference for developing limiting values and legislation for Alternaria toxins in food.

In this study, we aimed to investigate the occurrence of rare earth elements (REEs) in commonly consumed foods and assess the dietary exposure risks among different age groups in Zhejiang Province. The results showed that tea and shrimp had the highest REE detection rates, reaching 100%. Of all the food categories examined, tea exhibited the highest REE concentrations, significantly exceeding those in other foods. This may be attributed to differences in moisture content, root absorption mechanisms, and processing methods. The concentration pattern of REEs in all samples occurred in the following order: cerium > lanthanum > yttrium > neodymium > neodymium > scandium > praseodymium > gadolinium > dysprosium. The light REEs/heavy REEs (HREEs) ratio was consistently > 2 but remained lower than the ratios observed in the soil and sediments, indicating a potential risk of HREE enrichment. Dietary exposure assessments revealed that the total REE intake among Zhejiang residents was below the established safety threshold (51.3 µg/kg BW/day), with children experiencing the highest exposure (3.71 µg/kg BW/day), primarily due to their lower body weight. In the assessment of individual rare earth elements, Ce exposure in children aged ≤ 6 years exceeded the toxicological reference value. However, this threshold was established based on studies in pregnant and lactating populations and might not be directly applicable to young children. Therefore, overall dietary exposure to individual REEs remains within safe limits. REE exposure from tea consumption did not pose a health risk, even for habitual tea drinkers. These findings underscore the importance of continuous monitoring of REE accumulation in food and additional research on the potential long-term health effects, even though the current exposure levels of REEs are below the established safety limit. This is especially important considering the bioaccumulative nature of REEs and the limited paucity of toxicological data, particularly in vulnerable populations.

The food system of Zhejiang Province, a major coastal province in China, includes a wide variety of products, such as canned foods, aquatic products, vegetables, fruits, and tea, all of which may serve as potential sources of tin (Sn) exposure. However, no systematic study has assessed the distribution and dietary exposure risk of Sn across food categories in the province, and a compound-specific evaluation of organotin compounds is lacking. Therefore, we investigated the occurrence of Sn in commonly consumed foods and assessed dietary exposure risks among different age groups in Zhejiang Province. In total, 2014 samples from five major food categories—fresh vegetables, fresh fruits, tea, fresh aquatic products, and canned foods—were collected using a multistage stratified random sampling strategy. The Sn concentrations were measured using inductively coupled plasma mass spectrometry, with non-detection replaced by half the detection limit. Dietary intake data were derived from the 2015–2017 Nutrition and Health Surveillance using a 3-day, 24 h recall. The estimated daily intake and total hazard quotient (THQ) were calculated for age-specific risk assessments under multiple exposure scenarios. Fresh vegetables, fruits, tea, and most aquatic products had low Sn concentrations, whereas canned foods, particularly fruits, fungi, and meat products, had higher Sn concentrations. THQ values remained well below 1 across all food categories, indicating minimal health risks under typical consumption patterns, although lifetime exposure estimates suggested that canned foods could approach toxicological benchmarks earlier under high-consumption scenarios. A supplementary assessment of organotin compounds, which are highly toxic even at low fractions of total Sn, used a reverse dietary risk approach and probabilistic modeling. Canned foods and fresh aquatic products exhibited the lowest minimum conversion rates (0.16% and 0.37%, respectively), indicating that they are the most susceptible to organotin risk, whereas fresh fruits (7.77%) and tea (18.67%) required much higher proportions. Due to limited literature, further scenario- and probabilistic-based assessments focused on fresh aquatic products, revealing that typical exposure levels are generally safe, but children ≤ 6 years of age are the most vulnerable. Although overall Sn exposure is low, intake of highly processed foods, particularly canned products, should be limited in young children’s diets. These findings highlight that even small shifts in Sn speciation within high-risk food categories can lead to excessive tolerable daily intakes. This study provides a scientific reference for dietary Sn risk assessment and food safety management.