Joint approaches to reduce cadmium exposure risk from rice consumption.

In-situ soil cadmium (Cd) immobilization helps to reduce Cd accumulation in rice grain, while its effects on bioaccessibility of Cd in rice during digestion and the associated health risk from rice consumption remain unclear. Here, we combined in-situ soil Cd immobilization and bioaccessibility-corrected health risk assessment (HRA) to minimize both the risk and uncertainty of Cd exposure from rice consumption. Wollastonite with or without four different phosphates (P) were applied to immobilize soil Cd at paddy fields, and their influences on Cd, essential elements, and amino acids in rice grain were analyzed. Moreover, a bioaccessibility-corrected HRA was conducted to accurately reflect the Cd exposure risk from ingesting these rices. The results showed the co-application of wollastonite and four different P reduced Cd concentrations in rice grain equally, while their impacts on bioaccessibility of Cd in rice during simulated human digestion were inconsistent (53-71%). The HRA based on bioaccessibility of Cd in rice revealed that Cd exposure risk from rice consumption was lowest with the application of wollastonite, followed by the co-application of wollastonite and sodium hexametaphosphate. This work highlights the value of bioaccessibility-corrected HRA for screening the optimal Cd immobilization strategy to achieve safer rice consumption.