{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,30]],"date-time":"2026-07-30T16:17:10Z","timestamp":1785428230658,"version":"3.56.0"},"reference-count":53,"publisher":"MDPI AG","issue":"4","license":[{"start":{"date-parts":[[2026,7,16]],"date-time":"2026-07-16T00:00:00Z","timestamp":1784160000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"Mozambique\u2019s Fundo Nacional de Investiga\u00e7\u00e3o","award":["ID-069-CSH"],"award-info":[{"award-number":["ID-069-CSH"]}]},{"award":["ID-069-CSH"],"award-info":[{"award-number":["ID-069-CSH"]}],"id":[{"id":"https:\/\/ror.org\/03yh1tp98","id-type":"ROR","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Epidemiologia"],"abstract":"<jats:p>Background: The global nutrition crisis continues to disproportionately affect vulnerable populations\u2019 health in regions where artisanal mining is high. Objective: This study assessed the nutritional status of children, adolescents, and women living in the Revu\u00e8 sub-basin, who are potentially exposed to heavy metal contaminants. Methods: An observational and cross-sectional design was used to combine anthropometric and sociodemographic data with laboratory analysis for the assessment of heavy metal contaminants in drinking water sources. Results: Results indicated a high prevalence of stunting among children under five (28.4% of boys and 19.9% of girls) while female adolescents were underweight (25.7%), particularly during the rainy season. In contrast, 19% of women were overweight and 3.1% were obese. A modified Poisson regression analysis revealed a significant negative association between mercury exposure (RR = 0.77, p = 0.02) and stunting in children, whereas higher educational attainment among husbands was protective for women (RR = 0.76, p = 0.03). The assessment of mercury exposure through water consumption showed statistically significant variations across regions and seasons (p &lt; 0.001). Water analyses identified high concentrations of arsenic (0.03 mg\/L, 95% CI: 0.02\u20130.10) and mercury (0.09 mg\/L (95% CI: 0.003\u20130.009), exceeding safety standards. Conclusion: Overall, these findings highlight the nutritional and health risks potentially linked to artisanal mining.<\/jats:p>","DOI":"10.3390\/epidemiologia7040103","type":"journal-article","created":{"date-parts":[[2026,7,16]],"date-time":"2026-07-16T08:08:34Z","timestamp":1784189314000},"page":"103","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Nutritional Profile of Children, Adolescents, and Women Living in Areas Potentially Affected by Heavy Metal Pollutants from the Revu\u00e8 River in the Manica Province, Mozambique"],"prefix":"10.3390","volume":"7","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3903-1368","authenticated-orcid":false,"given":"Tatiana J.","family":"Marrufo","sequence":"first","affiliation":[{"name":"Faculty of Science and Technology, University Fernando Pessoa, 4249-004 Porto, Portugal"},{"name":"National Health Institute of Mozambique, Marracuene 020502, Maputo, Mozambique"},{"name":"RISE-Health, Faculty of Health Sciences, Fernando Pessoa University, Fernando Pessoa Teaching and Culture Foundation, 4249-004 Porto, Portugal"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Osvaldo F.","family":"Inlamea","sequence":"additional","affiliation":[{"name":"National Health Institute of Mozambique, Marracuene 020502, Maputo, Mozambique"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M\u00e1rcia I.","family":"Xavier","sequence":"additional","affiliation":[{"name":"National Health Institute of Mozambique, Marracuene 020502, Maputo, Mozambique"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Celso M.","family":"Cumbula","sequence":"additional","affiliation":[{"name":"National Health Institute of Mozambique, Marracuene 020502, Maputo, Mozambique"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0004-8159-8194","authenticated-orcid":false,"given":"Filipe","family":"Murgorgo","sequence":"additional","affiliation":[{"name":"Research Centre of the Health Directorate, Chimoio 060601, Manica, Mozambique"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cristov\u00e3o","family":"Pereira","sequence":"additional","affiliation":[{"name":"Faculty of Environmental Engineering and Natural Resources, Zambeze University, Chimoio 060603, Manica, Mozambique"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ivalda","family":"Macicame","sequence":"additional","affiliation":[{"name":"National Health Institute of Mozambique, Marracuene 020502, Maputo, Mozambique"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3138-2860","authenticated-orcid":false,"given":"Bettencourt P. S.","family":"Capece","sequence":"additional","affiliation":[{"name":"Faculty of Veterinary, Eduardo Mondlane University, Km 1.5, Maputo 010506, Mozambique"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8170-3119","authenticated-orcid":false,"given":"Maria-Raquel G.","family":"Silva","sequence":"additional","affiliation":[{"name":"RISE-Health, Faculty of Health Sciences, Fernando Pessoa University, Fernando Pessoa Teaching and Culture Foundation, 4249-004 Porto, Portugal"},{"name":"FP-I3ID, FP-BHS, Fernando Pessoa, Research, Innovation and Development Institute, Fernando Pessoa, Biomedical and Health Sciences Research Unit, Faculty of Health Sciences, University Fernando Pessoa, 4200-150 Porto, Portugal"},{"name":"Molecular Oncology and Viral Pathology Group, Research Center of IPO-Porto (CI-IPOP) & RISE@CI-IPOP (Health Research Network), Portuguese Oncology Institute of Porto (IPO-Porto)\/Porto Comprehensive Cancer Center Raquel Seruca (Porto. CCC), 4200-072 Porto, Portugal"},{"name":"CHRC, Comprehensive Health Research Centre\u2014Group of Sleep, Chronobiology and Sleep Disorders, Nova Medical School, Nova University of Lisbon, 1150-090 Lisbon, Portugal"},{"name":"CIAS, Research Centre for Anthropology and Health\u2014Group of Human Biology, Health and Society, University of Coimbra, 3000-456 Coimbra, Portugal"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2026,7,16]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"175","DOI":"10.1017\/S1368980018002434","article-title":"Prevalence thresholds for wasting, overweight and stunting in children under 5 years","volume":"22","author":"Borghi","year":"2019","journal-title":"Public Health Nutr."},{"key":"ref_2","unstructured":"United Nations Children\u2019s Fund (UNICEF) (2026, February 10). Undernourished and Overlooked\u2014A Global Nutrition Crisis in Adolescent Girls and Women. 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