TY - CHAP M1 - Book, Section TI - Health Significance of Metal Exposures A1 - Grandjean, Philippe A2 - Wallace, Robert B. PY - 2017 T2 - Maxcy-Rosenau-Last Public Health and Preventive Medicine, 15e AB - The term metal has important meanings in physics and chemistry. In environmental medicine, arsenic and selenium are often considered part of the metals group. Nutritionists often refer to trace metals as those constituting less than 1 g of the human body, an arbitrary limit which would exclude iron. Although “toxic metals” is a common term, all metals may actually exert toxic effects, and the dose and time of exposure determines whether or not toxicity ensues. Frequently, heavy metals (with a gravity of 4 g/cm3 and above) are considered most important with regard to adverse health effects. This belief stems from the observation that the toxicity of the metals tends to increase toward the right and bottom of the periodic table, where the molecular weight of elements increases. However, increased atomic number and increased gravity are of little medical significance and would not account for the toxic potential of beryllium. Instead, the relative toxicity on a molar basis would seem to be related to the affinity to various ligands and the resulting biochemical activity. On the basis of such considerations, metals may be separated into hard metals (class A), with a lower affinity toward sulfur and nitrogen than toward oxygen, and the soft metals (class B), where the opposite is the case.1 Among the metals considered in this chapter, aluminum and beryllium belong to the generally less toxic class A, while the other metals are either borderline or class B metals. SN - PB - McGraw-Hill Medical CY - New York, NY Y2 - 2024/04/19 UR - accessbiomedicalscience.mhmedical.com/content.aspx?aid=1141969253 ER -