Measurement / residue studyindependent cross-checkabstract checked★ key study I-GRN-116 in-depth review

Half a cup of rice a day adds arsenic like drinking water at the legal limit

Rice consumption contributes to arsenic exposure in US women.

Overview

Gilbert-Diamond D et al.. Proc Natl Acad Sci U S A 2011 · PMID 22143778 · DOI 10.1073/pnas.1109127108

In 229 pregnant women, rice intake raised urinary arsenic; 0.56 cup of cooked rice per day matched 1 L of water at 10 ug/L.

Does the study support the specific claim? No · Methodological quality: moderate

Original publication

Plain-language summary

Study explained simply
What did the researchers want to find out?

Measure rice as arsenic source.

How was the study done?

Urine tests and diet records.

How many people, animals or samples were studied?

229 pregnant women.

What was actually found?

Rice raised arsenic levels.

How large was the observed effect?

Equivalent to 1 L/day of water at the limit.

What do the results mean in everyday life?

Rice is a real arsenic source.

What are the study's limitations?

No health outcomes.

What does it say about Elawady's specific claim?

Contradicts dismissing arsenic concerns.

Do the results apply to Germany and Europe?

Moderate.

What can explicitly not be concluded from this study?

Does not show disease from rice.

Scientific in-depth review

1. Full reference

Authors
Gilbert-Diamond D et al.
Journal
Proc Natl Acad Sci U S A
Year
2011
Identifier
PMID 22143778 DOI 10.1073/pnas.1109127108 · PMC3251121
Verification
verified – PubMed efetch 2026-10-26; Crossref works API 2026-10-26
Retracted
no
Corrections
none
Extent checked
abstract only
Conflicts of interest and funding

No conflicts declared; NIH grants

2. Research question

Does rice consumption contribute to arsenic exposure in pregnant women?

3. Study design and population

Study design
Measurement / residue study – Cross-sectional biomarker study within a pregnancy cohort
Population

Pregnant women in a US cohort

Country

USA

Period

not stated in abstract

Sample size

229

Inclusion and exclusion criteria

Urine sample and 3-day diet record at 6-month prenatal visit

4. Methods and endpoints

Exposure / intervention

Rice intake (g/day) and water arsenic

Comparator

Non-consumers/lower intake

Endpoints

Urinary total and speciated arsenic

Statistical methods

General linear models on log urinary arsenic

5. Actual results

Results

Rice and water arsenic both associated with ln total urinary arsenic (beta rice 0.009 per g/day, beta water 0.028 per ug/day; both P<0.0001) and with inorganic, MMA and DMA. 0.56 cup/day cooked rice was comparable to drinking 1 L/day of water at the US limit of 10 ug/L.

Absolute risks

not reported

Authors' conclusion

Rice consumption should be considered when designing arsenic reduction strategies.

6. Strengths

  • Biomarker of exposure
  • Vulnerable population

7. Weaknesses

  • Small
  • Exposure only, no health outcomes
  • US rice has higher arsenic than Egyptian rice (I-GRN-117)

8. Risk of bias

Orienting tool
none applicable
Type of assessment
simplified assessment (abstract only)
Full formal assessment
no
Overall risk of bias
some concerns
Rationale

Single biomarker sample.

9. Assessment of the statistical interpretation

Recalculated equivalence: about 31 g dry rice/day equals 1 L/day of 10 ug/L water (stats/C-GRN-06).

10. Relevance to the specific claim

Shows rice measurably increases arsenic exposure, contradicting the claim that concerns are unfounded.

11. Independent contrary findings

Exposure is not harm; I-GRN-115/I-GRN-118 found no CVD or clear cancer link at US intakes.

12. Transferability to Germany and Europe

Moderate.

13. Overall methodological judgement

Solid exposure evidence.

Multidimensional assessment
Multidimensional assessment
Authenticity of the sourceverified
Methodological qualitymoderate
Risk of biassome concerns
Precision of resultsmoderate
Directnessdirect
Reproducibilityreplicated
Consistency with the overall evidenceconsistent
Regional transferabilitymoderate
Adequacy of the interpretation (by the archive)not applicable

14. Open questions

Exposure from Egyptian rice.

15. Linked fact checks