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
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 | |
|---|---|
| Authenticity of the source | verified |
| Methodological quality | moderate |
| Risk of bias | some concerns |
| Precision of results | moderate |
| Directness | direct |
| Reproducibility | replicated |
| Consistency with the overall evidence | consistent |
| Regional transferability | moderate |
| Adequacy of the interpretation (by the archive) | not applicable |
14. Open questions
Exposure from Egyptian rice.
15. Linked fact checks
- Concerns about arsenic in rice are unfounded and can be dismissed ('we love arsenic'). – Studies contradicting or limiting the claim