<?xml version="1.0" encoding="UTF-8"?><!DOCTYPE article PUBLIC "-//NLM//DTD JATS (Z39.96) Journal Publishing DTD v1.2 20190208//EN" "http://jats.nlm.nih.gov/publishing/1.2/JATS-journalpublishing1.dtd"><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" article-type="systematic-review" dtd-version="1.2" xml:lang="en">
    <front>
        <journal-meta>
            <journal-id journal-id-type="pmc">F1000Research</journal-id>
            <journal-title-group>
                <journal-title>F1000Research</journal-title>
            </journal-title-group>
            <issn pub-type="epub">2046-1402</issn>
            <publisher>
                <publisher-name>F1000 Research Limited</publisher-name>
                <publisher-loc>London, UK</publisher-loc>
            </publisher>
        </journal-meta>
        <article-meta>
            <article-id pub-id-type="doi">10.12688/f1000research.157781.2</article-id>
            <article-categories>
                <subj-group subj-group-type="heading">
                    <subject>Systematic Review</subject>
                </subj-group>
                <subj-group>
                    <subject>Articles</subject>
                </subj-group>
            </article-categories>
            <title-group>
                <article-title>Assessment of heavy metal contamination in fish, fruits, and vegetables in Southwest Nigeria: A systematic review</article-title>
                <fn-group content-type="pub-status">
                    <fn>
                        <p>[version 2; peer review: 2 approved]</p>
                    </fn>
                </fn-group>
            </title-group>
            <contrib-group>
                <contrib contrib-type="author" corresp="yes">
                    <name>
                        <surname>Laoye</surname>
                        <given-names>Babafemi</given-names>
                    </name>
                    <role content-type="http://credit.niso.org/">Conceptualization</role>
                    <role content-type="http://credit.niso.org/">Formal Analysis</role>
                    <role content-type="http://credit.niso.org/">Investigation</role>
                    <role content-type="http://credit.niso.org/">Methodology</role>
                    <role content-type="http://credit.niso.org/">Resources</role>
                    <role content-type="http://credit.niso.org/">Validation</role>
                    <role content-type="http://credit.niso.org/">Visualization</role>
                    <role content-type="http://credit.niso.org/">Writing &#x2013; Original Draft Preparation</role>
                    <role content-type="http://credit.niso.org/">Writing &#x2013; Review &amp; Editing</role>
                    <uri content-type="orcid">https://orcid.org/0000-0003-0903-754X</uri>
                    <xref ref-type="corresp" rid="c1">a</xref>
                    <xref ref-type="aff" rid="a1">1</xref>
                </contrib>
                <contrib contrib-type="author" corresp="no">
                    <name>
                        <surname>Olagbemide</surname>
                        <given-names>Peter</given-names>
                    </name>
                    <role content-type="http://credit.niso.org/">Investigation</role>
                    <role content-type="http://credit.niso.org/">Methodology</role>
                    <role content-type="http://credit.niso.org/">Validation</role>
                    <role content-type="http://credit.niso.org/">Writing &#x2013; Original Draft Preparation</role>
                    <role content-type="http://credit.niso.org/">Writing &#x2013; Review &amp; Editing</role>
                    <uri content-type="orcid">https://orcid.org/0000-0003-4127-8132</uri>
                    <xref ref-type="aff" rid="a1">1</xref>
                </contrib>
                <contrib contrib-type="author" corresp="no">
                    <name>
                        <surname>Ogunnusi</surname>
                        <given-names>Tolulope A.</given-names>
                    </name>
                    <role content-type="http://credit.niso.org/">Methodology</role>
                    <role content-type="http://credit.niso.org/">Supervision</role>
                    <role content-type="http://credit.niso.org/">Writing &#x2013; Original Draft Preparation</role>
                    <role content-type="http://credit.niso.org/">Writing &#x2013; Review &amp; Editing</role>
                    <xref ref-type="aff" rid="a1">1</xref>
                </contrib>
                <contrib contrib-type="author" corresp="no">
                    <name>
                        <surname>Akpor</surname>
                        <given-names>Oghenerobor B.</given-names>
                    </name>
                    <role content-type="http://credit.niso.org/">Conceptualization</role>
                    <role content-type="http://credit.niso.org/">Formal Analysis</role>
                    <role content-type="http://credit.niso.org/">Investigation</role>
                    <role content-type="http://credit.niso.org/">Methodology</role>
                    <role content-type="http://credit.niso.org/">Resources</role>
                    <role content-type="http://credit.niso.org/">Supervision</role>
                    <role content-type="http://credit.niso.org/">Validation</role>
                    <role content-type="http://credit.niso.org/">Visualization</role>
                    <role content-type="http://credit.niso.org/">Writing &#x2013; Original Draft Preparation</role>
                    <role content-type="http://credit.niso.org/">Writing &#x2013; Review &amp; Editing</role>
                    <uri content-type="orcid">https://orcid.org/0000-0002-4256-1549</uri>
                    <xref ref-type="aff" rid="a1">1</xref>
                </contrib>
                <aff id="a1">
                    <label>1</label>Biological Sciences, Afe Babalola University, Ado Ekiti, Ekiti, Nigeria</aff>
            </contrib-group>
            <author-notes>
                <corresp id="c1">
                    <label>a</label>
                    <email xlink:href="mailto:babafemif@abuad.edu.ng">babafemif@abuad.edu.ng</email>
                </corresp>
                <fn fn-type="conflict">
                    <p>No competing interests were disclosed.</p>
                </fn>
            </author-notes>
            <pub-date pub-type="epub">
                <day>23</day>
                <month>1</month>
                <year>2025</year>
            </pub-date>
            <pub-date pub-type="collection">
                <year>2024</year>
            </pub-date>
            <volume>13</volume>
            <elocation-id>1430</elocation-id>
            <history>
                <date date-type="accepted">
                    <day>17</day>
                    <month>1</month>
                    <year>2025</year>
                </date>
            </history>
            <permissions>
                <copyright-statement>Copyright: &#x00a9; 2025 Laoye B et al.</copyright-statement>
                <copyright-year>2025</copyright-year>
                <license xlink:href="https://creativecommons.org/licenses/by/4.0/">
                    <license-p>This is an open access article distributed under the terms of the Creative Commons Attribution Licence, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.</license-p>
                </license>
            </permissions>
            <self-uri content-type="pdf" xlink:href="https://f1000research.com/articles/13-1430/pdf"/>
            <abstract>
                <sec>
                    <title>Background</title>
                    <p>The aim of this systematic review was to investigate the prevalence of heavy metal contamination in fish, fruits, and vegetables in Southwest Nigeria. The review focused on studies published over a ten-year period, between 2014 and 2024.</p>
                </sec>
                <sec>
                    <title>Methods</title>
                    <p>Articles used for the study were obtained by conducting a comprehensive literature search using several databases, including ResearchGate, Scopus, Google Scholar, ScienceDirect, and PubMed using Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA). To identify relevant studies, a plethora of keywords were utilized to search for articles in the selected databases, including. Articles reporting heavy metal contamination in specified food products within the last decade were included.</p>
                </sec>
                <sec>
                    <title>Results</title>
                    <p>Of the 10,212 initially identified articles, 64 met the inclusion criteria after thorough screening. The selected studies were predominantly conducted in Lagos (30), Ondo (8), and Ogun (7) states, with few studies in Oyo, Ekiti, and Osun states. The majority of the research focused on fish (40 studies), followed by vegetables (20) and fruits (4). The commonly studied fish species were observed to be 
                        <italic toggle="yes">Tilapia zilli</italic>, 
                        <italic toggle="yes">Chrysichthys nigrodigitatus</italic>, 
                        <italic toggle="yes">Clarias gariepinus</italic>, and 
                        <italic toggle="yes">Oreochromis niloticus</italic>, with heavy metal concentrations frequently exceeded WHO limits.</p>
                </sec>
                <sec>
                    <title>Conclusions</title>
                    <p>Therefore, this review highlights the significant risks posed by the presence of heavy metals in food products and underscores the importance of stringent environmental monitoring and the adoption of appropriate regulatory mechanisms for health and environmental risk mitigation. This could help in the formulation of appropriate policy implementation strategies geared towards mitigating heavy metal contamination in the region&#x2019;s food supply.</p>
                </sec>
            </abstract>
            <kwd-group kwd-group-type="author">
                <kwd>Toxic metals</kwd>
                <kwd>public health risk</kwd>
                <kwd>food safety</kwd>
                <kwd>PRISMA</kwd>
                <kwd>Health risk assessment</kwd>
            </kwd-group>
            <funding-group>
                <award-group id="fund-1">
                    <funding-source>Not applicable</funding-source>
                </award-group>
                <funding-statement>The author(s) declared that no grants were involved in supporting this work.</funding-statement>
            </funding-group>
        </article-meta>
        <notes>
            <sec sec-type="version-changes">
                <label>Revised</label>
                <title>Amendments from Version 1</title>
                <p>This version contains revisions to the methodological approach, data analysis, and conclusion. The tables have also been revised and numbered sequentially.</p>
            </sec>
        </notes>
    </front>
    <body>
        <sec id="sec5" sec-type="intro">
            <title>1. Introduction</title>
            <p>Heavy metals cause build-ups and biological magnification in plethora food chains because they are sturdy and loiter in the ecosystem for a long period. In the Southwestern part of Nigeria, where industrialization, rapid urbanization, and agricultural activities greatly contribute to environmental pollution (
                <xref ref-type="bibr" rid="ref39">Odafivwotu and Abel, 2015</xref>; 
                <xref ref-type="bibr" rid="ref12">Akinnifesi 

                    <italic toggle="yes">et al.,
</italic> 2021</xref>; 
                <xref ref-type="bibr" rid="ref14">Akinsola 

                    <italic toggle="yes">et al.,
</italic> 2022</xref>) and stringent environmental regulations are seldom implemented, this presents a long-term debilitating health risk. The population is more dependent on locally produced food. Application of fertilizers, use of pesticides possessing heavy metal compounds, and use of unadulterated irrigation water can all contribute to heavy metal contamination in the soil, thereby affecting humans via consumption of agricultural produce. Fish in aquatic systems become contaminated by heavy metals in contaminated water bodies, frequently due to mining operations or industrial effluents. Although lead (Pb), cadmium (Cd), mercury (Hg), arsenic (As), aluminum (Al), and mercury (Hg) are not necessary for normal human functioning (
                <xref ref-type="bibr" rid="ref24">Boyd and Rajakaruna, 2013</xref>), food contamination by heavy metals poses a serious health risk to consumers, especially because these metals bio accumulate in the food chain (
                <xref ref-type="bibr" rid="ref32">Hussain 

                    <italic toggle="yes">et al.,
</italic> 2019</xref>; 
                <xref ref-type="bibr" rid="ref38">Nkwunonwo 

                    <italic toggle="yes">et al.,
</italic> 2020</xref>; 
                <xref ref-type="bibr" rid="ref22">Bawa-Allah 2023</xref>).</p>
            <p>In Nigeria, fish, fruits, and vegetables contain dangerously high concentrations of heavy metals, often surpassing internationally acceptable limits set by regulatory bodies such as the Food and Agriculture Organization (FAO) and the World Health Organization (WHO). These findings have also been reported in other studies. 
                <xref ref-type="bibr" rid="ref4">Adegbola 
                    <italic toggle="yes">et al</italic>. (2021)</xref> and 
                <xref ref-type="bibr" rid="ref2">Abidemi-Iromini 
                    <italic toggle="yes">et al.</italic> (2022)</xref> conducted studies on fish from rivers in Lagos and Ogun states and revealed high concentrations of heavy metals, which are extremely harmful even in small amounts. Similarly, consuming grains (such as rice) and plants (including lettuce, amaranth, water spinach, and cowpea) cultivated in soil contaminated with mercury over an extended period of time is harmful to human health. Studies conducted in Southwest Nigeria have shown that commonly consumed food items contain elevated concentrations of heavy metals, frequently surpassing the permissible limits set by the Food and Agriculture Organization (FAO) and World Health Organization (WHO) (
                <xref ref-type="bibr" rid="ref5">Adekunle 

                    <italic toggle="yes">et al.,
</italic> 2009</xref>; 
                <xref ref-type="bibr" rid="ref13">Akinola 

                    <italic toggle="yes">et al.,
</italic> 2020</xref>). For example, fish samples from rivers near industrial zones in Lagos were found to contain large amounts of Pb and Cd by 
                <xref ref-type="bibr" rid="ref50">Olayinka and Adedeji (2018)</xref>, whereas vegetables irrigated with contaminated water sources had high levels of arsenic (
                <xref ref-type="bibr" rid="ref43">Ogundele 

                    <italic toggle="yes">et al.,
</italic> 2015</xref>).</p>
            <p>Exposure to heavy metals is associated with numerous health hazards. Lead is a common heavy metal that contaminates the environment and enters the body through absorption, bioavailability, bioconcentration, and biomagnification. It causes problems in the reproductive, neurological, skeletal, hematological, renal, and cardiovascular systems (
                <xref ref-type="bibr" rid="ref26">Collin 

                    <italic toggle="yes">et al.,
</italic> 2022</xref>). Mercury exposure causes neurological damage, including ataxia, muscle weakness, numb limbs, disturbance in speech, chewing, and swallowing, as well as brisk and increased tendon reflexes in patients exposed to massive amounts of Me-Hg (
                <xref ref-type="bibr" rid="ref19">Balali-Mood 

                    <italic toggle="yes">et al.,
</italic> 2021</xref>). Cd exposure can result in a variety of adverse effects, including renal and hepatic dysfunction, pulmonary edema, testicular damage, osteomalacia, and damage to the adrenal and hematopoietic systems (
                <xref ref-type="bibr" rid="ref30">Genchi 

                    <italic toggle="yes">et al.,
</italic> 2020</xref>). Long-term arsenic exposure can cause cancer, developmental problems, and skin damage. Additionally, long-term exposure to arsenic may suppress the immune system by causing keratinocyte apoptosis through the interaction of Fas and Fas-ligand, lowering the percentage of peripheral blood CD4+ T cells, reducing the number of Langerhans cells, and altering their migration (
                <xref ref-type="bibr" rid="ref64">Tang 

                    <italic toggle="yes">et al.,
</italic> 2023</xref>). Understanding the distribution and concentrations of heavy metals in regularly consumed foods is essential for safeguarding public health in Southwest Nigeria, given their possible health consequences.</p>
            <p>Furthermore, it is impossible to ignore how heavy metal poisoning affects society economically. Agriculture and fishing in Southwest Nigeria provide a substantial portion of the population&#x2019;s income. These food supplies are contaminated, which puts the public&#x2019;s health in danger, as well as the local economy, food security, and consumer confidence in the safety of locally made commodities at risk. This might result in more imported food products, which would drive up food prices and worsen poverty in areas that already have serious economic difficulties.</p>
            <p>A rigorous study of the degree of heavy metal contamination is important in Southwest Nigeria because of the growing industrial and agricultural operations there, as well as possible health repercussions. The purpose of this systematic study was to evaluate the level of heavy metal contamination in Southwest Nigerian fish, fruits, and vegetables. This study reviews previous research in an effort to provide readers with a thorough understanding of contamination levels, pinpoint possible heavy metal sources, and assess the health hazards of consuming them. In addition, this study seeks to identify areas of unmet need in the field, indicate future research directions, and offer mitigation measures for heavy metal pollution in the area&#x2019;s food supply. Designing policies and actions to lower public health risks, guarantee food safety, and advance environmental sustainability in Southwest Nigeria also require an understanding of the extent and effects of heavy metal contamination in food supplies.</p>
        </sec>
        <sec id="sec6" sec-type="methods">
            <title>2. Methods</title>
            <sec id="sec7">
                <title>2.1 Article search</title>
                <p>For effective methodological integrity and validity, quality, PRISMA was utilized (
                    <xref ref-type="bibr" rid="ref31">Haddaway 

                        <italic toggle="yes">et al.,
</italic> 2022</xref>). For this review, a digital literature search was conducted to find articles between years 2014-2024 that as reported heavy metal contamination in food products in southwestern Nigeria. In this review, the research gate, scopus-indexed papers, connected papers, Google Scholar, Science Direct, and PubMed were the predominant databases employed. Furthermore, Boolean operators (AND and OR) was combined with &#x201c;heavy metals&#x2019; which is the predominant key word to search for articles more effectively.</p>
                <p>Each database search was carried out independently, and the selected articles were juxtaposed together. For this review, a plethora of keywords were utilized to search for articles on the selected databases, including heavy metal contamination, pollution, toxic metals, lead, cadmium, cobalt, mercury, arsenic, chromium, manganese, nickel, cadmium, fruits, vegetables, fish, Southwest Nigeria, Nigeria, health risks, toxicity, exposure assessment, bioaccumulation, cross-sectional study, case study, environmental monitoring, and survey. The search terms were chosen to capture studies that are relevant to heavy metal contamination of fish, fruits and vegetables. A number of keywords, such as &#x201c;heavy metal contamination,&#x201d; &#x201c;pollution,&#x201d; &#x201c;toxic metals,&#x201d; and specific metals (e.g., lead, cadmium, mercury) were selected to ensure that studies that focused on heavy metal contamination were included. In addition, &#x201c;fish,&#x201d; &#x201c;fruits,&#x201d; and &#x201c;vegetables&#x201d; were included as search items to align with the study focus. &#x201c;Southwest Nigeria&#x201d; was included to capture the context of the study.</p>
            </sec>
            <sec id="sec8">
                <title>2.2 Inclusion and exclusion criteria</title>
                <p>The inclusion criteria were articles published within the last 10 years (2014-2024), that reported heavy metal contamination in fish, fruits, and vegetables in southwest Nigeria. Articles that did not report heavy metal contamination in fish, fruits, or vegetables were excluded from this study.</p>
            </sec>
            <sec id="sec9">
                <title>2.3 Articles selection</title>
                <p>A custom range between the years 2014-2024 was used to select articles that reported contamination of heavy metals in fish, fruits, and vegetables in the last 10 years. The 10 year period used for the study, captures recent trends in industrialization, urbanization, and agricultural practices in Southwest Nigeria, which are known contributors to environmental pollution in Nigeria. This study duration was vital to reflect the current status of heavy metal contamination in the food products and the possible implications for food safety and public health (
                    <xref ref-type="bibr" rid="ref38">Nkwunonwo 
                        <italic toggle="yes">et al</italic>., 2020</xref>). Thorough scrutiny of all articles by reading the titles and abstracts was performed to select the preferred articles for this study.</p>
                <p>To ensure methodological rigor and reduce bias, article selection process employed for this study was a multi-stage process. The process involved initial screening, full-text screening and eligibility assessment. In the initial screening stage, titles and abstracts of 10,212 articles were retrieved from the search databases and reviewed by three independent reviewers. The outcome of the initial review reduced the article pool to 9,362 articles.</p>
                <p>During the full-text screening, articles passed the initial screening stage underwent detailed review of their full texts to determine their compliance with the inclusion criteria and extent of their methodological rigor and data reporting quality. The same independent reviewers were also involved at this stage. This stage excluded 8,538 manuscripts, resulting in 824 eligible papers for retrieval. In the eligibility assessment stage, the 824 manuscripts were assessed against predetermined criteria, which were: reporting heavy metal contamination in fish, fruits, or vegetables, conducted in Southwest Nigeria and published in peer-reviewed journals within the specified timeframe. The assessment gave an outcome of 64 papers for final inclusion for the review.</p>
                <p>For quality assurance and consensus, any conflicts between reviewers were resolved through discussion or consultation through a supervisory expert. This was to maintain objectivity and consistency. With the use of this structured approach, all articles included were relevant, good quality and were in line with the objectives of the study.</p>
            </sec>
        </sec>
        <sec id="sec10" sec-type="results">
            <title>3. Results</title>
            <p>Among the 64 eligible articles selected for this systematic review, 30 were carried out in Lagos, eight in Ondo, and seven in Ogun State of Nigeria. Three, six, and seven studies were conducted in the Oyo, Ekiti, and Osun states, respectively. The majority (40) of the studies included in this review were carried out on fish, while 20 and 4 studies were carried out on vegetables and fruits, respectively.</p>
            <sec id="sec11">
                <title>3.1 Heavy metal contamination in Fish</title>
                <p>In the studies reviewed, a plethora of fish species, particularly 
                    <italic toggle="yes">Tilapia zilli</italic>, 
                    <italic toggle="yes">Chrysichthys nigrodigitatus</italic>, 
                    <italic toggle="yes">Clarias gariepinus</italic>, 
                    <italic toggle="yes">Oreochromis niloticus</italic>, frequently exceeded the World Health Organization (WHO) limits for heavy metals, such as lead (Pb), chromium (Cr), and Nickel (Ni.) Multiple studies have reviewed the constant pollution of water bodies where these fish species are found, which poses health risks to humans via consumption. 
                    <italic toggle="yes">Tilapia zilli</italic> and 
                    <italic toggle="yes">Chrysichthys nigrodigitatus</italic> were found to be highly prone to pollution and contamination by heavy metals, often exceeding the WHO permissible limits for zinc (Zn), Cr, and Pb. In addition, 
                    <italic toggle="yes">Clarias gariepinus</italic> showed significant contamination in some articles, with remarkably elevated levels of cadmium (Cd) and lead (Pb). 
                    <italic toggle="yes">Oreochromis niloticus</italic> (Nile tilapia) typically showed lower contamination levels, except for lead (Pb) in some studies. Heavy metal pollution in staple foods such as fish, fruits, and vegetables is of great concern and cannot be overemphasized. In this review, lead (Pb) was mostly reported to be above safe consumption levels in many fish samples, which was reflected in studies by 
                    <xref ref-type="bibr" rid="ref68">Yahaya 
                        <italic toggle="yes">et al.</italic> (2022)</xref> and 
                    <xref ref-type="bibr" rid="ref53">Olujimi 
                        <italic toggle="yes">et al.</italic> (2017)</xref>, which showed particularly high concentrations. Chromium (Cr) and nickel (Ni) are frequently found above safe limits, particularly in studies by 
                    <xref ref-type="bibr" rid="ref68">Yahaya 
                        <italic toggle="yes">et al.</italic> (2022)</xref> and 
                    <xref ref-type="bibr" rid="ref20">Balogun 
                        <italic toggle="yes">et al.</italic> (2021)</xref>.</p>
                <p>In addition, Zinc (Zn) and Iron (Fe) were found in some fish samples, exceeding the WHO limits in studies by 
                    <xref ref-type="bibr" rid="ref10">Ajibare 
                        <italic toggle="yes">et al.</italic> (2021)</xref>. In the articles reviewed in this study, 
                    <italic toggle="yes">Clarias gariepinus</italic> and 
                    <italic toggle="yes">Sarotherodon melanotheron</italic> were low or within the WHO safe limits of contamination in articles reviewed in this study (
                    <xref ref-type="bibr" rid="ref6">Adetutu 

                        <italic toggle="yes">et al.,
</italic> 2023</xref>; 
                    <xref ref-type="bibr" rid="ref11">Akinjogunla 

                        <italic toggle="yes">et al.,
</italic> 2023</xref>). Shell fish species, such as 
                    <italic toggle="yes">Callinectes danae</italic> and 
                    <italic toggle="yes">Cardisoma armatum</italic> showed copper contamination, exceeding the WHO limits, as reported by 
                    <xref ref-type="bibr" rid="ref49">Oladunjoye 
                        <italic toggle="yes">et al.</italic> (2021)</xref>.</p>
                <p>From 2014 to 2024, heavy metal contamination patterns reflect persistence, revealing continuous environmental pollution issues. Consumption of fish contaminated with heavy metals poses a significant risk to human health, which may result in kidney diseases and neurological damage
                    <italic toggle="yes">. Clarias gariepinus</italic> was reflected in a plethora of articles used for this systematic review, possibly because of its commercial importance. The less frequently detected metals in fish samples in this systematic review were mercury (Hg) and arsenic (As), as they were not tested using an Atomic Absorption Spectrophotometer (AAS), their levels were below detection limits (BDL), or were generally not detected (ND), indicating either minimal contamination [Table 1 Extended data. 
                    <xref ref-type="bibr" rid="ref16">Akpor 
                        <italic toggle="yes">et al.</italic> (2024)</xref>].</p>
            </sec>
            <sec id="sec12">
                <title>3.2 Heavy metal contamination in vegetables</title>
                <p>The results of this systematic review revealed that a plethora of vegetables contained heavy metals that exceeded the WHO permissible limits, connoting potential health risks to humans via consumption. High levels of cadmium (3.52 mg/kg) chromium (49.13 mg/kg) and lead (9.97 mg/kg) were detected in 
                    <italic toggle="yes">Talinum triangulare</italic> in studies conducted by 
                    <xref ref-type="bibr" rid="ref17">Atikpo 

                        <italic toggle="yes">et al.,
</italic> 2021</xref>, indicating the vegetable accumulate multiple heavy metals which is very much dangerous to the health of humans. Green peas (
                    <italic toggle="yes">Pisum sativum</italic>) have elevated levels of Pb and Al (
                    <xref ref-type="bibr" rid="ref47">Ojezele 

                        <italic toggle="yes">et al.,
</italic> 2021</xref>). These heavy metal levels in 
                    <italic toggle="yes">Pisum sativum</italic> in this study transcend the WHO safe limits, indicating that consumption of peas is potentially dangerous for consumption (
                    <xref ref-type="bibr" rid="ref47">Ojezele 

                        <italic toggle="yes">et al.,
</italic> 2021</xref>). 
                    <italic toggle="yes">Celosia argentea</italic>, commonly known as plumed cockscomb red spinach, efo shoko, and spinach, repeatedly showed high levels of heavy metals in different studies. For example, 
                    <xref ref-type="bibr" rid="ref55">Omoboyowa 
                        <italic toggle="yes">et al.</italic> (2019)</xref> recorded a high zinc (Zn) concentration of 52.00 mg/kg, well above WHO limits. In another study, 
                    <xref ref-type="bibr" rid="ref9">Agboola 
                        <italic toggle="yes">et al.</italic> (2023)</xref> found Cr at 3.90 mg/kg and Zn 7.30 mg/kg, both exceeding the threshold, indicating remarkable contamination. 
                    <italic toggle="yes">Jatropha podagrica</italic> commonly called botuje in southwest Nigeria, has heavy metals such as copper (0.210 mg/kg) and zinc (0.220 mg/kg), which are above the WHO limits, also suggesting a hazardous effect on human health (
                    <xref ref-type="bibr" rid="ref46">Ogunwale 

                        <italic toggle="yes">et al.,
</italic> 2021</xref>). In addition to elevated concentrations of heavy metals, this systematic review of vegetables also revealed heavy metal contamination within safety limits in a number of vegetables such as tomato, red pepper, bell pepper, chilli pepper, and red pepper. Similarly, all vegetables assayed by 
                    <xref ref-type="bibr" rid="ref71">Farombi 
                        <italic toggle="yes">et al.</italic> (2020)</xref> were within the WHO safety levels (Cd, Cr, Co, Pb, Zn, and Ni) [Table 2 Extended data. 
                    <xref ref-type="bibr" rid="ref16">Akpor 
                        <italic toggle="yes">et al.</italic> (2024)</xref>].</p>
                <p>Moreso, an article by 
                    <xref ref-type="bibr" rid="ref41">Ofudje 
                        <italic toggle="yes">et al.</italic> (2017)</xref>, revealed acceptable levels of Zn and Mn in 
                    <italic toggle="yes">Telfairia occidentalis,
</italic> suggesting regional differences in contamination. Among all vegetables in this review, cadmium and lead were revealed to be the prominent elevated metals in terms of concentration that appeared in this study. 
                    <italic toggle="yes">Amaranthus hybridus, Corchorus olitorius, and Celosia argentea</italic> revealed lead contamination in this study, and a build-up of lead in the body via consumption may lead to neurological disorders. Furthermore, heavy metals, such as Zn and Cu, were often found among vegetables in this review, exceeding the WHO limits, which was reflected precisely in 
                    <italic toggle="yes">Celosia argentea</italic> and 
                    <italic toggle="yes">Jatropha podagrica.</italic> 
                    <xref ref-type="bibr" rid="ref47">Ojezele 
                        <italic toggle="yes">et al.</italic> (2021)</xref> reported elevated aluminum concentrations in green peas and mushrooms. (Table 2).</p>
            </sec>
            <sec id="sec13">
                <title>3.3 Heavy metal contamination in fruits</title>
                <p>The results of this systematic review revealed only four articles that reported heavy metal contamination in southwest Nigeria; cadmium levels were reported in 
                    <italic toggle="yes">Carica papya</italic> at a concentration of 0.077 mg/kg, while Pb levels reached 0.074 mg/kg, with both heavy metals exceeding the WHO safety limits (
                    <xref ref-type="bibr" rid="ref45">Ogunkunle 

                        <italic toggle="yes">et al.,
</italic> 2014</xref>). Similarly, cobalt, manganese, and copper were also detected, but within permissible limits. Prolonged consumption of papaya from this area may pose a potential health risk. For 
                    <italic toggle="yes">Citrullus lanatus</italic> (watermelon), lead contamination was elevated at 1.760 mg/kg, which is well above the permissible limit, making it a cause for concern. Similarly, an article by 
                    <xref ref-type="bibr" rid="ref48">Oladele and Aladesanmi (2020)</xref> also reported heavy metal contamination, but precisely in chromium and nickel, slightly exceeding the WHO safe limits. Results from this systematic review revealed lead contamination in 
                    <italic toggle="yes">Mangifera indica</italic> (Mango), which was recorded at 1.620 mg/kg, significantly exceeding the safety limit. Cadmium (0.091 mg/kg) and cobalt (0.029 mg/kg) were also detected, with Cd levels advancing towards the permissible limit, which raises concern over potential long-term health impacts from consuming contaminated mangoes (
                    <xref ref-type="bibr" rid="ref45">Ogunkunle 

                        <italic toggle="yes">et al.,
</italic> 2014</xref>). 
                    <italic toggle="yes">Malus domestica</italic> (apple) also revealed heavy metal contamination exceeding safe limits: chromium (0.300 mg/kg) and nickel (0.475 mg/kg), both of which are significantly above the WHO limits. (
                    <xref ref-type="bibr" rid="ref56">Omoyajowo 

                        <italic toggle="yes">et al.,
</italic> 2017</xref>). Furthermore, mixed Fruits were also reported to be contaminated in heavy metals: Lead, nickel and aluminum were found at 1.40 mg/kg, 0.625 mg/kg, and 7.00 mg/kg, respectively, with all exceeding permissible limits. In addition, orange (
                    <italic toggle="yes">Citrus sinensis)</italic> in an article by 
                    <xref ref-type="bibr" rid="ref56">Omoyajowo 
                        <italic toggle="yes">et al.</italic> (2017)</xref> showed safe levels of heavy metal contamination, chromium (0.080 mg/kg) and lead (0.120 mg/kg), both within the WHO guidelines [Table 3 Extended data. 
                    <xref ref-type="bibr" rid="ref16">Akpor 
                        <italic toggle="yes">et al.</italic> (2024)</xref>].</p>
            </sec>
        </sec>
        <sec id="sec14" sec-type="discussion">
            <title>4. Discussion</title>
            <p>The results of this review revealed widespread contamination of fruits, vegetables, and fish by heavy metals across southwestern Nigeria, with no significant public health concerns. Heavy metals, such as lead (Pb), cadmium (Cd), chromium (Cr), nickel (Ni), and zinc (Zn), were found to exceed the WHO safety limits for fish, fruits, and vegetables. These findings raise global concerns regarding the persistence of heavy metals in the environment due to pollution, industrial activities, and agricultural practices. In addition, widespread heavy metal contamination across different types of fruits in this systematic review study was highly reflected in this study, posing debilitating health risks, for example, from consuming fruits (
                <xref ref-type="bibr" rid="ref47">Ojezele 

                    <italic toggle="yes">et al.,
</italic> 2021</xref>). Nonetheless, some articles have revealed fruits with heavy metal contamination within the WHO safe limits. 
                <italic toggle="yes">Citrullus lanatus</italic> (Watermelon) displays safe levels of heavy metals, including cadmium (0.004 mg/kg) and lead (
                <xref ref-type="bibr" rid="ref17">Atikpo 

                    <italic toggle="yes">et al.,
</italic> 2021</xref>).</p>
            <p>Additionally, fish species, distinctly 
                <italic toggle="yes">Tilapia zilli, Chrysichthys nigrodigitatus,
</italic> and 
                <italic toggle="yes">Clarias gariepinus</italic>, frequently exceeded the WHO limits for heavy metals, particularly Pb, Cr, and Ni. Results from this study in terms fish contamination in an article by 
                <xref ref-type="bibr" rid="ref69">Yahaya 
                    <italic toggle="yes">et al.</italic> (2020)</xref> revealed lead, and chromium contamination at levels exceeding WHO linits in 
                <italic toggle="yes">Tilapia zilli</italic> with 4.36 mg/kg and 5.40 mg/kg respectively. This was similar to the results from a study by 
                <xref ref-type="bibr" rid="ref58">Putshaka 
                    <italic toggle="yes">et al.</italic> (2015)</xref>, who reported contamination levels in lead and chromium at 1.132 mg/kg and 1.845, respectively, exceeding. The Pb level in the study by 
                <xref ref-type="bibr" rid="ref69">Yahaya 
                    <italic toggle="yes">et al.</italic> (2020)</xref> was much higher than that reported by 
                <xref ref-type="bibr" rid="ref58">Putshaka 
                    <italic toggle="yes">et al.</italic> (2015)</xref>. The results of this study by 
                <xref ref-type="bibr" rid="ref69">Yahaya 
                    <italic toggle="yes">et al.</italic> (2020)</xref> were dissimilar to results from a study by 
                <xref ref-type="bibr" rid="ref33">Inalegwu 
                    <italic toggle="yes">et al.</italic> (2019)</xref>, who reported lower levels of Pb (0.347 mg/kg) and Cr (0.848 mg/kg) contamination in 
                <italic toggle="yes">Tilapia zilli</italic> when compared to the study by 
                <xref ref-type="bibr" rid="ref69">Yahaya 
                    <italic toggle="yes">et al.</italic> (2020)</xref>. This suggests that the aquatic environments in which these fish are harvested are heavily contaminated, most likely from industrial runoff, mining activities, and illegitimate waste disposal. This raises public health concerns, as fish are a primary source of dietary protein globally, and long-term consumption of polluted or contaminated fish may lead to bioaccumulation of toxic metals in humans, resulting in kidney damage, congenital defects, and an increased risk of cancer.</p>
            <p>
                <xref ref-type="bibr" rid="ref69">Yahaya 
                    <italic toggle="yes">et al.</italic> (2020)</xref> reported Pb, Cu, and Ni contamination in 
                <italic toggle="yes">Chrysichthys nigrodigitatus</italic> exceeding the WHO limits of 3.63 mg/kg, 1.28 mg/kg and 4.16 mg/kg respectively. The results from 
                <xref ref-type="bibr" rid="ref69">Yahaya 
                    <italic toggle="yes">et al.</italic> (2020)</xref> were similar to the results from 
                <xref ref-type="bibr" rid="ref65">Unaeze 
                    <italic toggle="yes">et al</italic>. (2023)</xref>. Although, the level of Pb contamination was lower (2.00 mg/kg) in the study by 
                <xref ref-type="bibr" rid="ref65">Unaeze 
                    <italic toggle="yes">et al.</italic> (2023)</xref> when compared to the study by 
                <xref ref-type="bibr" rid="ref69">Yahaya 
                    <italic toggle="yes">et al.</italic> (2020)</xref> but exceeding WHO limit, also the concentration for Zinc in 
                <italic toggle="yes">Chrysichthys nigrodigitatus</italic> was extremely high (240.00 mg/kg) in the study by 
                <xref ref-type="bibr" rid="ref65">Unaeze 
                    <italic toggle="yes">et al.</italic> (2023)</xref> unlike results from 
                <xref ref-type="bibr" rid="ref69">Yahaya 
                    <italic toggle="yes">et al.</italic> (2020)</xref> having Zinc level in the same fish as 1.28 mg/kg. Also Cu levels in 
                <xref ref-type="bibr" rid="ref65">Unaeze 
                    <italic toggle="yes">et al.</italic> (2023)</xref> (2.32 mg/kg) was higher than the level reported by 
                <xref ref-type="bibr" rid="ref69">Yahaya 
                    <italic toggle="yes">et al.</italic> 2020</xref> (1.28 mg/kg) with both exceeding WHO limits.</p>
            <p>

                <italic toggle="yes">Clarias gariepinus</italic> is a commercially liked fish species, which was reflected several times in the reviewed articles selected for this study, probably because of its significance in the local markets in Nigeria. The high levels of Cd and Pb found in this species underscore the need for stringent monitoring of fish harvested from polluted water bodies. In this review article, seven articles revealed heavy metal contamination in 
                <italic toggle="yes">Clarias gariepinus</italic> (
                <xref ref-type="bibr" rid="ref54">Olurin, 2024</xref>; 
                <xref ref-type="bibr" rid="ref44">Ogungbemi 

                    <italic toggle="yes">et al.,
</italic> 2022</xref>; 
                <xref ref-type="bibr" rid="ref66">Utete and Fregene, 2020</xref>; 
                <xref ref-type="bibr" rid="ref68">Yahaya 

                    <italic toggle="yes">et al.,
</italic> 2022</xref>; 
                <xref ref-type="bibr" rid="ref18">Ayanda 

                    <italic toggle="yes">et al.,
</italic> 2020</xref>; 
                <xref ref-type="bibr" rid="ref8">Adubiaro and Animashaun, 2021</xref>, 
                <xref ref-type="bibr" rid="ref7">Adewunmi 

                    <italic toggle="yes">et al.,
</italic> 2017</xref>), while, four articles (
                <xref ref-type="bibr" rid="ref54">Olurin, 2024</xref>; 
                <xref ref-type="bibr" rid="ref66">Utete and Fregene, 2020</xref>; 
                <xref ref-type="bibr" rid="ref68">Yahaya 

                    <italic toggle="yes">et al.,
</italic> 2022</xref>; 
                <xref ref-type="bibr" rid="ref18">Ayanda 

                    <italic toggle="yes">et al.,
</italic> 2020</xref>) reported heavy metal contamination exceeding WHO limits, and three articles (
                <xref ref-type="bibr" rid="ref44">Ogungbemi 

                    <italic toggle="yes">et al.,
</italic> 2022</xref>; 
                <xref ref-type="bibr" rid="ref8">Adubiaro and Animashaun, 2021</xref>; 
                <xref ref-type="bibr" rid="ref7">Adewunmi 

                    <italic toggle="yes">et al.,
</italic> 2017</xref>) reported heavy metal contamination within the WHO permissible limits. In this study, heavy metal contamination in 
                <italic toggle="yes">Clarias gariepinus</italic> exceeding WHO limits is similar to the study by 
                <xref ref-type="bibr" rid="ref40">Odey 
                    <italic toggle="yes">et al.</italic> (2020)</xref>, with Lead (Pb) being at the forefront, frequently appearing in these articles. Articles from this review reporting Pb contamination revealed Pb levels at levels of 9.14 mg/kg, 0.20 mg/kg, 3.23 mg/kg, 9.43 mg/kg, 11.10 mg/kg, 92.08 mg/kg, and 1.10 mg/kg in studies by 
                <xref ref-type="bibr" rid="ref68">Yahaya 

                    <italic toggle="yes">et al.
</italic> (2022)</xref>, 
                <xref ref-type="bibr" rid="ref44">Ogungbemi 

                    <italic toggle="yes">et al.
</italic> (2022)</xref>, 
                <xref ref-type="bibr" rid="ref54">Olurin (2024)</xref>, 
                <xref ref-type="bibr" rid="ref7">Adewunmi 

                    <italic toggle="yes">et al.
</italic> (2017)</xref>, 
                <xref ref-type="bibr" rid="ref66">Utete and Fregene (2020)</xref>, 
                <xref ref-type="bibr" rid="ref18">Ayanda 

                    <italic toggle="yes">et al.
</italic> (2020)</xref> and 
                <xref ref-type="bibr" rid="ref8">Adubiaro and Animashaun (2021)</xref> respectively. Pb level (92.08 mg/kg) reported in 
                <italic toggle="yes">Clarias gariepinus</italic> reported by 
                <xref ref-type="bibr" rid="ref18">Ayanda 
                    <italic toggle="yes">et al.</italic> (2020)</xref> was higher than that reported by 
                <xref ref-type="bibr" rid="ref40">Odey 
                    <italic toggle="yes">et al.(</italic>2020)</xref>, although they all exceeded WHO permissible limits. However the Pb level reported by 
                <xref ref-type="bibr" rid="ref54">Olurin (2024)</xref> was lower than what was reported by 
                <xref ref-type="bibr" rid="ref40">Odey 
                    <italic toggle="yes">et al.</italic> (2020)</xref> More so, articles by 
                <xref ref-type="bibr" rid="ref8">Adubiaro and Animashaun (2021)</xref>, 
                <xref ref-type="bibr" rid="ref44">Ogungbemi 

                    <italic toggle="yes">et al.
</italic> (2022)</xref>, 
                <xref ref-type="bibr" rid="ref7">Adewunmi 

                    <italic toggle="yes">et al.</italic> (2017)</xref> reported heavy metal contamination within WHO permissible limits in all selected metals that was assayed for, results in these studies were similar to results reported by 
                <xref ref-type="bibr" rid="ref3">Abubakar and Adesh&#x0131;na (2019)</xref>. The presence of Pb in the main culprits of this fish implies that ingestion of 
                <italic toggle="yes">Clarias gariepinus</italic> may be poisonous to individuals in the southwest region of Nigeria, as long-term ingestion of Pb via this fish leads to the accumulation of Pb, which may result in coma, convulsions, and even death (
                <xref ref-type="bibr" rid="ref59">Ray &amp; Vashishth, 2024</xref>).</p>
            <p>Furthermore, some articles reviewed in this study found metals such as zinc and iron exceeding WHO safety limits (
                <xref ref-type="bibr" rid="ref10">Ajibare 

                    <italic toggle="yes">et al.,
</italic> 2021</xref>; 
                <xref ref-type="bibr" rid="ref42">Oghenechuko 

                    <italic toggle="yes">et al.,
</italic> 2022</xref>; 
                <xref ref-type="bibr" rid="ref63">Taiwo 

                    <italic toggle="yes">et al.,
</italic> 2019</xref>; 
                <xref ref-type="bibr" rid="ref67">Wangboje &amp; Miller 2018</xref>; 
                <xref ref-type="bibr" rid="ref62">Taiwo 

                    <italic toggle="yes">et al.,
</italic> 2017</xref>; 
                <xref ref-type="bibr" rid="ref63">Taiwo 

                    <italic toggle="yes">et al.,
</italic> 2019</xref>; 
                <xref ref-type="bibr" rid="ref52">Olowu 

                    <italic toggle="yes">et al.,
</italic> 2015</xref>) Articles that reported heavy Zn conatamination in fish were similar to results reported by 
                <xref ref-type="bibr" rid="ref36">Mahidi and Albashr (2023)</xref>; 
                <xref ref-type="bibr" rid="ref70">Yalwa 

                    <italic toggle="yes">et al.
</italic> (2024)</xref> and 
                <xref ref-type="bibr" rid="ref21">Balooch 

                    <italic toggle="yes">et al.
</italic> (2021)</xref> in terms of exceeding WHO limits Furthermore, 
                <xref ref-type="bibr" rid="ref10">Ajibare 
                    <italic toggle="yes">et al.</italic> (2021)</xref> reported Znc (112.19 mg/kg) contamination in 
                <italic toggle="yes">Oreochromis</italic> which was higher than Znc level reported 
                <xref ref-type="bibr" rid="ref36">Mahidi and Albashr (2023)</xref>; 
                <xref ref-type="bibr" rid="ref70">Yalwa 

                    <italic toggle="yes">et al.
</italic> (2024)</xref> and 
                <xref ref-type="bibr" rid="ref21">Balooch 

                    <italic toggle="yes">et al.
</italic> (2021)</xref> in fish at a level of 37.17 mg/kg, 50.84 mg/kg and 13.36 mh/kg respectively. Bioaccumulation of Zn may cause debilitating effects in the human body, resulting in reproductive disorders and Alzheimer&#x2019;s disease (
                <xref ref-type="bibr" rid="ref34">Kiouri 

                    <italic toggle="yes">et al.,
</italic> 2023</xref>) Although, Fe is an essential element for humans as it participates in a wide variety of metabolic processes, including oxygen transport, deoxyribonucleic acid (DNA) synthesis, and electron transport (
                <xref ref-type="bibr" rid="ref1">Abbaspour 

                    <italic toggle="yes">et al.,
</italic> 2014</xref>). For Fe contamination of fish, reports from studies by 
                <xref ref-type="bibr" rid="ref62">Taiwo 
                    <italic toggle="yes">et al.</italic> (2017)</xref>; 
                <xref ref-type="bibr" rid="ref52">Olowu 

                    <italic toggle="yes">et al.
</italic> (2015)</xref>; 
                <xref ref-type="bibr" rid="ref63">Taiwo 

                    <italic toggle="yes">et al.
</italic> (2019)</xref> and 
                <xref ref-type="bibr" rid="ref42">Oghenechuko 

                    <italic toggle="yes">et al.
</italic> (2022)</xref> revealed higher level of Fe concentration in fish at level of 8.05 mg/kg/, 8.02 mg/kg, 8.68 mg/kg and 5.51 mg/kg respectively when compared to Fe levels that was reported in studies by 
                <xref ref-type="bibr" rid="ref23">Bobar 
                    <italic toggle="yes">et al.</italic> (2022)</xref> and 
                <xref ref-type="bibr" rid="ref61">Salam 
                    <italic toggle="yes">et al.</italic> (2019)</xref> having with 0.23 mg/kg and 4.30 mg/kg respectively; suggesting a great concern in the southwestern region in Nigeria, as bioaccumulation of Fe. The ingestion of fish by humans may lead to the formation of free radicals and excessive tissue damage in the body (
                <xref ref-type="bibr" rid="ref1">Abbaspour 

                    <italic toggle="yes">et al.,
</italic> 2014</xref>). Shellfish species 
                <italic toggle="yes">like Callinectes danae</italic> and 
                <italic toggle="yes">Cardisoma armatum</italic> also revealed levels of copper contamination, indicating that both fish and crustaceans from these regions may pose a health risk if consumed in large quantities (
                <xref ref-type="bibr" rid="ref49">Oladunjoye 

                    <italic toggle="yes">et al.,
</italic> 2021</xref>). Because of the continual nature of heavy metals in aquatic habitats, the continuous consumption of contaminated fish could have long-term health implications for the southwestern people of Nigeria.</p>
            <p>Vegetables and fruits are very much essential components of human diets (
                <xref ref-type="bibr" rid="ref60">Rodriguez-Casado, 2016</xref>) Results from this review showed substantial contamination with heavy metals, particularly lead and cadmium. 
                <italic toggle="yes">Carica papaya</italic> (pawpaw) and 
                <italic toggle="yes">Mangifera indica</italic> (mango), the two frequently reported fruits captured in this systematic review, were found to contain elevated levels of lead, significantly exceeding the WHO limits. Imperatively, Pb levels in mangoes reach 1.620 mg/kg, posing a serious health risk, as chronic exposure to Pb can lead to neurological disorders, developmental delays in children, and cardiovascular diseases in adults (
                <xref ref-type="bibr" rid="ref17">Atikpo 

                    <italic toggle="yes">et al.,
</italic> 2021</xref>). In the same fashion, levels in pawpaw (0.077 mg/kg) approached the safety threshold, raising concerns over kidney damage and bone demineralization with long-term consumption leading to bioaccumulation. Watermelon (
                <italic toggle="yes">Citrullus lanatus</italic>) also exhibited notable heavy metal contamination, with Pb levels reaching 1.760 mg/kg, which is significantly higher than the permissible limits. This finding is concerning given the popularity of watermelon in Southwestern Nigeria, suggesting that regular consumption could lead to bioaccumulation of heavy metals in humans, who are invariably consumers. While some fruits such as apples (
                <italic toggle="yes">Malus domestica</italic>) and mixed fruit samples showed contamination with metals such as chromium and nickel, other fruits such as oranges (
                <italic toggle="yes">Citrus sinensis</italic>) revealed metal levels exceeding WHO safe limits (
                <xref ref-type="bibr" rid="ref56">Omoyajowo 

                    <italic toggle="yes">et al.,
</italic> 2017</xref>).</p>
            <p>Similarly, vegetables, a very important food in the diets of individuals in southwestern Nigeria, revealed alarming levels of contamination. 
                <italic toggle="yes">Talinum triangulare</italic>, green peas (
                <italic toggle="yes">Pisum sativum</italic>), and 
                <italic toggle="yes">Celosia argentea were</italic> reported to contain high concentrations of Cd, Cr, Zn, and Pb. The presence of a plethora of heavy metals in these vegetables, most importantly lead and cadmium, is also of great concern, as these metals can cause cumulative dangerous effects over time, leading to severe health issues, including neurotoxicity, reproductive issues, and carcinogenic effects (
                <xref ref-type="bibr" rid="ref60">Rodriguez-Casado, 2016</xref>).</p>
            <p>The high levels of aluminum in green peas and mushrooms in this systematic review (
                <xref ref-type="bibr" rid="ref47">Ojezele 

                    <italic toggle="yes">et al.,
</italic> 2021</xref>) further suggest the potential for widespread heavy metal contamination, as aluminum has been implicated in anemia and neurological disorders (
                <xref ref-type="bibr" rid="ref25">Cirovic 

                    <italic toggle="yes">et al.,
</italic> 2023</xref>). In addition to aluminum, lead was also reported in a study by 
                <xref ref-type="bibr" rid="ref47">Ojezele 
                    <italic toggle="yes">et al</italic>. (2021)</xref>, which contaminates green peas and mushrooms at high levels. Precisely, for green peas Al (14.0 mg/kg), Pb (1.68 mg/kg), and for mushroom Al (11.0 mg/kg) Pb (1.38 mg/kg). The results from the study by 
                <xref ref-type="bibr" rid="ref47">Ojezele 
                    <italic toggle="yes">et al.</italic> (2021)</xref> were dissimilar to those of Pb levels reported by 
                <xref ref-type="bibr" rid="ref51">Oloruntoba 
                    <italic toggle="yes">et al.</italic> (2017)</xref>, which were below detectable limits. For mushroom, the Pb level(1.15 mg/kg) reported by 
                <xref ref-type="bibr" rid="ref57">Orywal 
                    <italic toggle="yes">et al.</italic> (2021)</xref> was slightly lower than the Pb (1.38 mg/kg) level in mushroom reported by 
                <xref ref-type="bibr" rid="ref47">Ojezele 
                    <italic toggle="yes">et al.</italic> (2021)</xref>, with mushrooms being of great concern in the southwest region of Nigeria. The accumulation of aluminum in vegetables may lead to anemia and neurological disorders, making it a metal of great concern. Overall, 
                <italic toggle="yes">Amaranthus hybridus</italic> (Pb and Cd), 
                <italic toggle="yes">Telfairia occidentalis</italic> (Cu and Pb), and 
                <italic toggle="yes">Celosia argentea</italic> (Cr, Zn, and Cu) had heavy metal concentrations exceeding the WHO limits, having a robust tendency to cause debilitating effects on human health. Furthermore, some vegetables, such as red peppers, chilli peppers, and tomatoes, were found to have heavy metal levels according to the WHO safety guidelines, suggesting possible regional variations in contamination. The remarkable levels of contamination among various food groups indicate that stringent measures by the government, private organizations, and environmental management strategies must be strengthened to reduce these risks. This review highlights the persistent contamination of essential food items in Southwest Nigeria, which may have profound long-term health consequences. Chronic exposure to elevated levels of lead, cadmium, and other heavy metals is linked to a range of adverse health effects, including neurotoxicity (
                <xref ref-type="bibr" rid="ref37">Mitra 

                    <italic toggle="yes">et al.,
</italic> 2022</xref>) cardiovascular diseases, and increased cancer risks (
                <xref ref-type="bibr" rid="ref27">Ebrahimi, 

                    <italic toggle="yes">et al.,
</italic> 2020</xref>) Lead exposure, particularly in children, can cause irreversible cognitive impairments, whereas cadmium accumulation in the body is associated with kidney dysfunction and osteoporosis (
                <xref ref-type="bibr" rid="ref35">Ma 

                    <italic toggle="yes">et al.,
</italic> 2022</xref>).</p>
        </sec>
        <sec id="sec15" sec-type="conclusion">
            <title>5. Conclusion</title>
            <p>This systematic review highlights the prevalence and persistence of heavy metal contamination in fish, fruits, and vegetables in Southwest Nigeria between 2014 and 2024. Most of the reviewed studies revealed significant contamination in fish, fruits, and vegetables. The reviewed studies revealed that the concentrations of chromium and nickel frequently exceeded the permissible limits of the World Health Organization (WHO), which could pose significant health risks to consumers. A number of fish species (
                <italic toggle="yes">Tilapia zilli</italic>, 
                <italic toggle="yes">Chrysichthys nigrodigitatus</italic>, and 
                <italic toggle="yes">Clarias gariepinus</italic>) in the reviewed studies, showed high levels of contamination, thus making them critical indicators of environmental pollution in the region. Although vegetables and fruits have been less frequently studied in the region, the reviewed studies showed that they still exhibited significant levels of heavy metal contamination in some instances. Therefore, this review highlights the significant risks posed by the presence of heavy metals in food products and underscores the importance of stringent environmental monitoring and the adoption of appropriate regulatory mechanisms for health and environmental risk mitigation. This could help in the formulation of appropriate policy implementation strategies geared towards mitigating heavy metal contamination in the region&#x2019;s food supply.</p>
            <p>Although the results constantly showed heavy metal contamination among food samples (fish, fruits and vegetables), a plethora of variations in detection methods and research methodology may contribute to deviations in reported contamination levels. Peer-reviewed studies generally stuck to higher methodological standards, fortifying the reliability of their findings. In addition, the included articles were observed to have uneven geographic representation and there was inconsistent use of advanced detection techniques, which may have affected the generalization of the findings. In addition, the study relied on English-language publications and grey literatures were excluded, which may have omitted relevant data, thence giving room to potential selection bias.</p>
        </sec>
        <sec id="sec17">
            <title>Ethics and consent</title>
            <p>Ethical approval and consent were not required.</p>
        </sec>
    </body>
    <back>
        <sec id="sec20" sec-type="data-availability">
            <title>Data availability</title>
            <p>No data are associated with this article.</p>
            <sec id="sec21">
                <title>Extended data</title>
                <p>Figshare repository - &#x201c;Manuscript Tables, PRISMA flowchart and PRISMA Checklist for Systematic Review on Heavy Metal Contamination of Fish, Fruits and Vegetables in Southwest, Nigeria&#x201d;. 
                    <ext-link ext-link-type="uri" xlink:href="https://doi.org/10.6084/m9.figshare.27453258.v4">https://doi.org/10.6084/m9.figshare.27453258.v4</ext-link> (
                    <xref ref-type="bibr" rid="ref16">Akpor 
                        <italic toggle="yes">et al.</italic>, 2024</xref>).</p>
                <p>This project contains following datasets:
                    <list list-type="order">
                        <list-item>
                            <label>1.</label>
                            <p>
Table 1_Levels of Heavy Metal Contamination in Various Fish in Southwest Nigeria.docx</p>
                        </list-item>
                        <list-item>
                            <label>2.</label>
                            <p>
Table 2_Levels of Heavy Metal Contamination in Various Vegetables in Southwest Nigeria.docx</p>
                        </list-item>
                        <list-item>
                            <label>3.</label>
                            <p>
Table 3_Levels of Heavy Metal Contamination in Various Fruits in Southwest Nigeria.docx</p>
                        </list-item>
                        <list-item>
                            <label>4.</label>
                            <p>PRISMA flow chart systematic review.docx</p>
                        </list-item>
                        <list-item>
                            <label>5.</label>
                            <p>PRISMA abstract Checklist.docx</p>
                        </list-item>
                        <list-item>
                            <label>6.</label>
                            <p>PRISMA Main text checklist</p>
                        </list-item>
                        <list-item>
                            <label>7.</label>
                            <p>Systematic review Table references</p>
                        </list-item>
                    </list>
                </p>
                <p>Data are available under the terms of the 
                    <ext-link ext-link-type="uri" xlink:href="http://creativecommons.org/publicdomain/zero/1.0/">Creative Commons Zero &#x201c;No rights reserved&#x201d; data waiver</ext-link> (CC0 1.0 Public domain dedication).</p>
            </sec>
            <sec id="sec16">
                <title>Reporting guidelines</title>
                <p>Figshare repository - PRISMA checklist for &#x2018;Assessment of Heavy Metal Contamination in Fish, Fruits and Vegetables in Southwest Nigeria: A Systematic Review&#x2019;. 
                    <ext-link ext-link-type="uri" xlink:href="https://doi.org/10.6084/m9.figshare.27453258.v3">https://doi.org/10.6084/m9.figshare.27453258.v3</ext-link> (
                    <xref ref-type="bibr" rid="ref16">Akpor 
                        <italic toggle="yes">et al.</italic>, 2024</xref>).</p>
                <p>Data are available under the terms of the 
                    <ext-link ext-link-type="uri" xlink:href="http://creativecommons.org/publicdomain/zero/1.0/">Creative Commons Zero &#x201c;No rights reserved&#x201d; data waiver</ext-link> (CC0 1.0 Public domain dedication).</p>
            </sec>
        </sec>
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    <sub-article article-type="reviewer-report" id="report406133">
        <front-stub>
            <article-id pub-id-type="doi">10.5256/f1000research.177164.r406133</article-id>
            <title-group>
                <article-title>Reviewer response for version 2</article-title>
            </title-group>
            <contrib-group>
                <contrib contrib-type="author">
                    <name>
                        <surname>Bwala</surname>
                        <given-names>Mathias Nzitiri</given-names>
                    </name>
                    <xref ref-type="aff" rid="r406133a1">1</xref>
                    <role>Referee</role>
                </contrib>
                <aff id="r406133a1">
                    <label>1</label>National Environmental Standards and Regulations Enforcement Agency, Maiduguri, Nigeria</aff>
            </contrib-group>
            <author-notes>
                <fn fn-type="conflict">
                    <p>
                        <bold>Competing interests: </bold>No competing interests were disclosed.</p>
                </fn>
            </author-notes>
            <pub-date pub-type="epub">
                <day>23</day>
                <month>8</month>
                <year>2025</year>
            </pub-date>
            <permissions>
                <copyright-statement>Copyright: &#x00a9; 2025 Bwala MN</copyright-statement>
                <copyright-year>2025</copyright-year>
                <license xlink:href="https://creativecommons.org/licenses/by/4.0/">
                    <license-p>This is an open access peer review report distributed under the terms of the Creative Commons Attribution Licence, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.</license-p>
                </license>
            </permissions>
            <related-article ext-link-type="doi" id="relatedArticleReport406133" related-article-type="peer-reviewed-article" xlink:href="10.12688/f1000research.157781.2"/>
            <custom-meta-group>
                <custom-meta>
                    <meta-name>recommendation</meta-name>
                    <meta-value>approve</meta-value>
                </custom-meta>
            </custom-meta-group>
        </front-stub>
        <body>
            <p>The manuscript is okay in its present form as most of the recommendations by the previous reviewers were adequately taken care of.</p>
            <p> </p>
            <p> In the abstract (under the methods sub-section), the second sentence "To identify relevant studies, a plethora of keywords were utilized to search for articles in the selected databases, 
                <bold>
                    <italic>including</italic>
                </bold>". the word "including" there should be removed.</p>
            <p> </p>
            <p> Overall, the review is okay.</p>
            <p> </p>
            <p> Thank you,</p>
            <p> </p>
            <p> Bwala M.N</p>
            <p>Are the rationale for, and objectives of, the Systematic Review clearly stated?</p>
            <p>Yes</p>
            <p>Is the statistical analysis and its interpretation appropriate?</p>
            <p>Yes</p>
            <p>If this is a Living Systematic Review, is the &#x2018;living&#x2019; method appropriate and is the search schedule clearly defined and justified? (&#x2018;Living Systematic Review&#x2019; or a variation of this term should be included in the title.)</p>
            <p>Not applicable</p>
            <p>Are sufficient details of the methods and analysis provided to allow replication by others?</p>
            <p>Yes</p>
            <p>Are the conclusions drawn adequately supported by the results presented in the review?</p>
            <p>Yes</p>
            <p>Reviewer Expertise:</p>
            <p>Environmental Biology; Ecotoxicology; Ecology</p>
            <p>I confirm that I have read this submission and believe that I have an appropriate level of expertise to confirm that it is of an acceptable scientific standard.</p>
        </body>
    </sub-article>
    <sub-article article-type="reviewer-report" id="report362052">
        <front-stub>
            <article-id pub-id-type="doi">10.5256/f1000research.177164.r362052</article-id>
            <title-group>
                <article-title>Reviewer response for version 2</article-title>
            </title-group>
            <contrib-group>
                <contrib contrib-type="author">
                    <name>
                        <surname>Yucra-Condori</surname>
                        <given-names>Harry R.</given-names>
                    </name>
                    <xref ref-type="aff" rid="r362052a1">1</xref>
                    <role>Referee</role>
                    <uri content-type="orcid">https://orcid.org/0000-0003-3407-4940</uri>
                </contrib>
                <contrib contrib-type="author">
                    <name>
                        <surname>Angulo Vargas</surname>
                        <given-names>Sheyla J</given-names>
                    </name>
                    <xref ref-type="aff" rid="r362052a2">2</xref>
                    <role>Co-referee</role>
                    <uri content-type="orcid">https://orcid.org/0000-0003-3703-1962</uri>
                </contrib>
                <aff id="r362052a1">
                    <label>1</label>Academic Department of Food Industries Engineering, National University of Saint Augustin of Arequipa, Arequipa, Arequipa, Peru</aff>
                <aff id="r362052a2">
                    <label>2</label>National University of San Agustin, Arequipa, Arequipa, Peru</aff>
            </contrib-group>
            <author-notes>
                <fn fn-type="conflict">
                    <p>
                        <bold>Competing interests: </bold>No competing interests were disclosed.</p>
                </fn>
            </author-notes>
            <pub-date pub-type="epub">
                <day>14</day>
                <month>2</month>
                <year>2025</year>
            </pub-date>
            <permissions>
                <copyright-statement>Copyright: &#x00a9; 2025 Yucra-Condori HR and Angulo Vargas SJ</copyright-statement>
                <copyright-year>2025</copyright-year>
                <license xlink:href="https://creativecommons.org/licenses/by/4.0/">
                    <license-p>This is an open access peer review report distributed under the terms of the Creative Commons Attribution Licence, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.</license-p>
                </license>
            </permissions>
            <related-article ext-link-type="doi" id="relatedArticleReport362052" related-article-type="peer-reviewed-article" xlink:href="10.12688/f1000research.157781.2"/>
            <custom-meta-group>
                <custom-meta>
                    <meta-name>recommendation</meta-name>
                    <meta-value>approve</meta-value>
                </custom-meta>
            </custom-meta-group>
        </front-stub>
        <body>
            <p>After a comprehensive analysis of the attached document, various improvements implemented by the authors in response to the reviewers' observations have been identified, as well as some deficiencies that still require attention. A detailed summary of these findings is presented below:</p>
            <p> Significant Improvements 
                <list list-type="order">
                    <list-item>
                        <p>Expanded justification for the 2014-2024 study period (page 3).</p>
                    </list-item>
                    <list-item>
                        <p>Improved description of the article selection process, including details on the number of reviewers and the stages of the process (pages 4-5).</p>
                    </list-item>
                    <list-item>
                        <p>Inclusion of study limitations in the conclusion (page 10).</p>
                    </list-item>
                    <list-item>
                        <p>Clearer and more structured presentation of results (pages 5-10).</p>
                    </list-item>
                    <list-item>
                        <p>Partial standardization of data presented in the tables (pages 19-34).</p>
                    </list-item>
                </list> Persistent Deficiencies 
                <list list-type="order">
                    <list-item>
                        <p>Inconsistency in the presentation of results on heavy metal contamination in fish, limited to indicating whether WHO limits are exceeded or not, in contrast to other sections that offer numerical values.</p>
                    </list-item>
                    <list-item>
                        <p>Lack of uniformity in the presentation of data in the tables, specifically: 
                            <list list-type="bullet">
                                <list-item>
                                    <p>Absence of units in Tables 1 and 2.</p>
                                </list-item>
                                <list-item>
                                    <p>Use of inconsistent and potentially confusing terms (e.g., "Yes", "No", "exceeded limit", "All within WHO limits except...", etc.).</p>
                                </list-item>
                            </list> </p>
                    </list-item>
                    <list-item>
                        <p>Inconsistency in the use of the abbreviation "ND", which in some tables means "not determined" and in others "not detected".</p>
                    </list-item>
                </list> Conclusion</p>
            <p> The authors have made notable improvements in response to the initial observations. However, aspects that require additional revision persist to ensure the coherence, clarity, and rigor of the study. It is recommended to address the mentioned deficiencies to elevate the overall quality of the document and facilitate its understanding by readers.</p>
            <p>Are the rationale for, and objectives of, the Systematic Review clearly stated?</p>
            <p>Partly</p>
            <p>Is the statistical analysis and its interpretation appropriate?</p>
            <p>Not applicable</p>
            <p>If this is a Living Systematic Review, is the &#x2018;living&#x2019; method appropriate and is the search schedule clearly defined and justified? (&#x2018;Living Systematic Review&#x2019; or a variation of this term should be included in the title.)</p>
            <p>Not applicable</p>
            <p>Are sufficient details of the methods and analysis provided to allow replication by others?</p>
            <p>Partly</p>
            <p>Are the conclusions drawn adequately supported by the results presented in the review?</p>
            <p>Partly</p>
            <p>Reviewer Expertise:</p>
            <p>Environmental remediation, environmental contamination and health risk, food design.</p>
            <p>We confirm that we have read this submission and believe that we have an appropriate level of expertise to confirm that it is of an acceptable scientific standard.</p>
        </body>
    </sub-article>
    <sub-article article-type="reviewer-report" id="report354120">
        <front-stub>
            <article-id pub-id-type="doi">10.5256/f1000research.173282.r354120</article-id>
            <title-group>
                <article-title>Reviewer response for version 1</article-title>
            </title-group>
            <contrib-group>
                <contrib contrib-type="author">
                    <name>
                        <surname>Yucra-Condori</surname>
                        <given-names>Harry R.</given-names>
                    </name>
                    <xref ref-type="aff" rid="r354120a1">1</xref>
                    <role>Referee</role>
                    <uri content-type="orcid">https://orcid.org/0000-0003-3407-4940</uri>
                </contrib>
                <contrib contrib-type="author">
                    <name>
                        <surname>Angulo Vargas</surname>
                        <given-names>Sheyla J</given-names>
                    </name>
                    <xref ref-type="aff" rid="r354120a2">2</xref>
                    <role>Co-referee</role>
                    <uri content-type="orcid">https://orcid.org/0000-0003-3703-1962</uri>
                </contrib>
                <aff id="r354120a1">
                    <label>1</label>Academic Department of Food Industries Engineering, National University of Saint Augustin of Arequipa, Arequipa, Arequipa, Peru</aff>
                <aff id="r354120a2">
                    <label>2</label>National University of San Agustin, Arequipa, Arequipa, Peru</aff>
            </contrib-group>
            <author-notes>
                <fn fn-type="conflict">
                    <p>
                        <bold>Competing interests: </bold>No competing interests were disclosed.</p>
                </fn>
            </author-notes>
            <pub-date pub-type="epub">
                <day>13</day>
                <month>1</month>
                <year>2025</year>
            </pub-date>
            <permissions>
                <copyright-statement>Copyright: &#x00a9; 2025 Yucra-Condori HR and Angulo Vargas SJ</copyright-statement>
                <copyright-year>2025</copyright-year>
                <license xlink:href="https://creativecommons.org/licenses/by/4.0/">
                    <license-p>This is an open access peer review report distributed under the terms of the Creative Commons Attribution Licence, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.</license-p>
                </license>
            </permissions>
            <related-article ext-link-type="doi" id="relatedArticleReport354120" related-article-type="peer-reviewed-article" xlink:href="10.12688/f1000research.157781.1"/>
            <custom-meta-group>
                <custom-meta>
                    <meta-name>recommendation</meta-name>
                    <meta-value>approve-with-reservations</meta-value>
                </custom-meta>
            </custom-meta-group>
        </front-stub>
        <body>
            <p>
                <bold>Report</bold>
            </p>
            <p> Systematic Review of Heavy Metal Contamination in Fish, Fruits, and Vegetables in Southwestern Nigeria (2014-2024)</p>
            <p> 
                <bold>Abstract</bold>
            </p>
            <p> This comprehensive systematic review meticulously examines heavy metal contamination in fish, fruits, and vegetables in southwestern Nigeria over the decade spanning 2014-2024. The researchers conducted an exhaustive search across multiple scientific databases, rigorously selecting 64 studies that met specific inclusion criteria.</p>
            <p> </p>
            <p> Key Findings</p>
            <p> The analysis reveals alarming levels of contamination, particularly by lead, cadmium, chromium, and zinc, in various fish species and some vegetables, frequently exceeding the limits established by the World Health Organization (WHO). Although less extensively studied, fruits also exhibited a degree of contamination.</p>
            <p> Methodology Enhancement Recommendations</p>
            <p> Research Foundation and Objectives 
                <list list-type="bullet">
                    <list-item>
                        <p>Formulate specific objectives and clear research questions.</p>
                    </list-item>
                    <list-item>
                        <p>Provide a detailed justification for the selection of the 2014-2024 study period.</p>
                    </list-item>
                </list> Methodological Approach and Data Analysis 
                <list list-type="bullet">
                    <list-item>
                        <p>Delineate the complete search strategy for at least one database.</p>
                    </list-item>
                    <list-item>
                        <p>Specify the study selection process, including the number of reviewers at each stage.</p>
                    </list-item>
                    <list-item>
                        <p>Describe data extraction and synthesis methodologies.</p>
                    </list-item>
                    <list-item>
                        <p>Incorporate a quality assessment or risk of bias evaluation for included studies.</p>
                    </list-item>
                </list> Conclusion Formulation 
                <list list-type="bullet">
                    <list-item>
                        <p>Explicitly link conclusions to the presented data.</p>
                    </list-item>
                    <list-item>
                        <p>Discuss the quality and consistency of the evidence.</p>
                    </list-item>
                    <list-item>
                        <p>Address limitations of both included studies and the review itself.</p>
                    </list-item>
                </list> Additional Considerations 
                <list list-type="order">
                    <list-item>
                        <p>
                            <bold>Health Risk Assessment</bold>: Conduct a more rigorous analysis considering exposure levels and consumption patterns, utilizing guidance from articles such as: 
                            <list list-type="bullet">
                                <list-item>
                                    <p>Rom&#x00e1;n-Ochoa Y, et al., 2021 (Ref 1)</p>
                                </list-item>
                                <list-item>
                                    <p>Choquenaira-Quispe C, et al., 2022 (Ref 2)</p>
                                </list-item>
                            </list> </p>
                    </list-item>
                    <list-item>
                        <p>
                            <bold>Inter-Study Variability</bold>: Discuss potential reasons for observed discrepancies.</p>
                    </list-item>
                    <list-item>
                        <p>
                            <bold>Practical Implications</bold>: Address consequences for consumers and public health authorities.</p>
                    </list-item>
                    <list-item>
                        <p>
                            <bold>Sensitivity Analysis</bold>: Consider including an assessment of evidence certainty (e.g., using GRADE methodology).</p>
                    </list-item>
                    <list-item>
                        <p>
                            <bold>Keywords</bold>: Review relevance to facilitate web-based identification of the review.</p>
                    </list-item>
                    <list-item>
                        <p>
                            <bold>Figure 1</bold>: Include a brief justification for selection criteria and the number of participating reviewers.</p>
                    </list-item>
                    <list-item>
                        <p>
                            <bold>Cereal Inclusion</bold>: Justify the exclusion of cereals, considering their importance in local diets as evidenced by studies such as: 
                            <list list-type="bullet">
                                <list-item>
                                    <p>Sowunmi F, et al., 2020 (Ref 3)</p>
                                </list-item>
                                <list-item>
                                    <p>Ikudayisi A, 2020 (Ref 4)</p>
                                </list-item>
                                <list-item>
                                    <p>Otemuyiwa IO, et al., 2012 (Ref 5)</p>
                                </list-item>
                            </list> </p>
                    </list-item>
                    <list-item>
                        <p>
                            <bold>Results Presentation Uniformity</bold>: Standardize the presentation of concentration data across all sections (fish, vegetables, and fruits).</p>
                    </list-item>
                    <list-item>
                        <p>
                            <bold>Table Structure</bold>: Uniformize format, including units, complete row numbering, WHO maximum values, and justify the absence of references in some rows.</p>
                    </list-item>
                    <list-item>
                        <p>
                            <bold>Legends and Abbreviations</bold>: Include explanations for BDL, ND, and clarify terms such as "Si" and "exceeds limit" in the WHO limits column.</p>
                    </list-item>
                    <list-item>
                        <p>
                            <bold>Geographic Information</bold>: Add a column in tables identifying the specific study region.</p>
                    </list-item>
                    <list-item>
                        <p>
                            <bold>Data Format</bold>: Standardize the number of decimal places and metal nomenclature (acronyms or full names).</p>
                    </list-item>
                    <list-item>
                        <p>
                            <bold>Article Accessibility</bold>: Identify the quantity of open access and subscription articles utilized.</p>
                    </list-item>
                    <list-item>
                        <p>It is suggested to provide quantitative summaries of contamination levels by food type and metal (ranges, medians).</p>
                    </list-item>
                </list>
            </p>
            <p>Are the rationale for, and objectives of, the Systematic Review clearly stated?</p>
            <p>Partly</p>
            <p>Is the statistical analysis and its interpretation appropriate?</p>
            <p>Not applicable</p>
            <p>If this is a Living Systematic Review, is the &#x2018;living&#x2019; method appropriate and is the search schedule clearly defined and justified? (&#x2018;Living Systematic Review&#x2019; or a variation of this term should be included in the title.)</p>
            <p>Not applicable</p>
            <p>Are sufficient details of the methods and analysis provided to allow replication by others?</p>
            <p>Partly</p>
            <p>Are the conclusions drawn adequately supported by the results presented in the review?</p>
            <p>Partly</p>
            <p>Reviewer Expertise:</p>
            <p>Environmental remediation, environmental contamination and health risk, food design.</p>
            <p>We confirm that we have read this submission and believe that we have an appropriate level of expertise to confirm that it is of an acceptable scientific standard, however we have significant reservations, as outlined above.</p>
        </body>
        <back>
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                <title>References</title>
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                        <person-group person-group-type="author"/>:
                        <article-title>Heavy metal contamination and health risk assessment in grains and grain-based processed food in Arequipa region of Peru.</article-title>
                        <source>
                            <italic>Chemosphere</italic>
                        </source>.<year>2021</year>;<volume>274</volume>:
                        <elocation-id>10.1016/j.chemosphere.2021.129792</elocation-id>
                        <fpage>129792</fpage>
                        <pub-id pub-id-type="pmid">33556663</pub-id>
                        <pub-id pub-id-type="doi">10.1016/j.chemosphere.2021.129792</pub-id>
                    </mixed-citation>
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                    <mixed-citation publication-type="journal">
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                        <article-title>Quantification and health risk assessment of lead and cadmium in wheat, rice, and their processed products from Peru.</article-title>
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                            <italic>J Environ Sci Health B</italic>
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                        <elocation-id>10.1080/03601234.2022.2049152</elocation-id>
                        <fpage>297</fpage>-<lpage>304</lpage>
                        <pub-id pub-id-type="pmid">35277121</pub-id>
                        <pub-id pub-id-type="doi">10.1080/03601234.2022.2049152</pub-id>
                    </mixed-citation>
                </ref>
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                        <article-title>Household demand for basic foodstuffs in a recessed economy: a case study of Southwest Nigeria</article-title>.
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                        </source>.<year>2020</year>;<volume>17</volume>(<issue>1</issue>) :
                        <elocation-id>10.1108/WJSTSD-06-2019-0029</elocation-id>
                        <fpage>1</fpage>-<lpage>19</lpage>
                        <pub-id pub-id-type="doi">10.1108/WJSTSD-06-2019-0029</pub-id>
                    </mixed-citation>
                </ref>
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                    <label>4</label>
                    <mixed-citation publication-type="journal">
                        <person-group person-group-type="author"/>:
                        <article-title>Exploring Urban Dietary Pattern in Nigerian Households: A Case for Nutrient Adequacy</article-title>.
                        <source>
                            <italic>Asian Journal of Advanced Research and Reports</italic>
                        </source>.<year>2020</year>;
                        <elocation-id>10.9734/ajarr/2020/v13i430315</elocation-id>
                        <fpage>24</fpage>-<lpage>34</lpage>
                        <pub-id pub-id-type="doi">10.9734/ajarr/2020/v13i430315</pub-id>
                    </mixed-citation>
                </ref>
                <ref id="rep-ref-354120-5">
                    <label>5</label>
                    <mixed-citation publication-type="journal">
                        <person-group person-group-type="author"/>:
                        <article-title>Food choice and meal consumption pattern among undergraduate students in two universities in Southwestern Nigeria.</article-title>
                        <source>
                            <italic>Nutr Health</italic>
                        </source>.<year>2012</year>;<volume>21</volume>(<issue>4</issue>) :
                        <elocation-id>10.1177/0260106013510994</elocation-id>
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                        <pub-id pub-id-type="pmid">24620005</pub-id>
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                    </mixed-citation>
                </ref>
            </ref-list>
        </back>
        <sub-article article-type="response" id="comment13163-354120">
            <front-stub>
                <contrib-group>
                    <contrib contrib-type="author">
                        <name>
                            <surname>Laoye</surname>
                            <given-names>Babafemi</given-names>
                        </name>
                        <aff>Biological Sciences, Afe Babalola University, Ado Ekiti, Ekiti, Nigeria</aff>
                    </contrib>
                </contrib-group>
                <author-notes>
                    <fn fn-type="conflict">
                        <p>
                            <bold>Competing interests: </bold>No competing interests were disclosed.</p>
                    </fn>
                </author-notes>
                <pub-date pub-type="epub">
                    <day>17</day>
                    <month>1</month>
                    <year>2025</year>
                </pub-date>
            </front-stub>
            <body>
                <p>Dear Reviewer,</p>
                <p> </p>
                <p> Thank you so much for the review comments. The authors are grateful for the comments. Below are responses to the review:</p>
                <p> </p>
                <p> 
                    <bold>Reviewer&#x2019;s comment:</bold> Methodology Enhancement Recommendations</p>
                <p> Research Foundation and Objectives 
                    <list list-type="bullet">
                        <list-item>
                            <p>Formulate specific objectives and clear research questions.</p>
                        </list-item>
                        <list-item>
                            <p>Provide a detailed justification for the selection of the 2014-2024 study period.</p>
                        </list-item>
                    </list> Methodological Approach and Data Analysis 
                    <list list-type="bullet">
                        <list-item>
                            <p>Delineate the complete search strategy for at least one database.</p>
                        </list-item>
                        <list-item>
                            <p>Specify the study selection process, including the number of reviewers at each stage.</p>
                        </list-item>
                        <list-item>
                            <p>Describe data extraction and synthesis methodologies.</p>
                        </list-item>
                    </list> Incorporate a quality assessment or risk of bias evaluation for included studies.</p>
                <p> 
                    <bold>Authors&#x2019; response: </bold>This has been attended to as revised according. Justification for selection of study period included</p>
                <p> </p>
                <p> 
                    <bold>Reviewer&#x2019;s comment: </bold>Conclusion Formulation 
                    <list list-type="bullet">
                        <list-item>
                            <p>Explicitly link conclusions to the presented data.</p>
                        </list-item>
                        <list-item>
                            <p>Discuss the quality and consistency of the evidence.</p>
                        </list-item>
                        <list-item>
                            <p>Address limitations of both included studies and the review itself.</p>
                        </list-item>
                    </list> 
                    <bold>Authors&#x2019; response: </bold>The conclusion has been revised and limitation included</p>
                <p> </p>
                <p> 
                    <bold>Reviewer&#x2019;s comment: </bold>Additional Considerations 
                    <list list-type="order">
                        <list-item>
                            <p>
                                <bold>Health Risk Assessment</bold>: Conduct a more rigorous analysis considering exposure levels and consumption patterns, utilizing guidance from articles such as: 
                                <list list-type="bullet">
                                    <list-item>
                                        <p>Rom&#x00e1;n-Ochoa Y, et al., 2021 (Ref 1)</p>
                                    </list-item>
                                </list> </p>
                        </list-item>
                    </list> Choquenaira-Quispe C, et al., 2022 (Ref 2)</p>
                <p> 
                    <bold>Authors&#x2019; response: </bold>Health risk assessment was not part of the study objectives. The study was a systematic review, so the authors had no access to data on exposure and consumption levels of the food items. If it was an original research article, the authors would have considered that.</p>
                <p> </p>
                <p> 
                    <bold>Reviewer&#x2019;s comment: Inter-study variability</bold>: Discuss potential reasons for observed discrepancies.</p>
                <p> 
                    <bold>Authors&#x2019; response: </bold>This has been indicated in the limitation.</p>
                <p> </p>
                <p> 
                    <bold>Reviewer&#x2019;s comment: Practical Implications</bold>: Address consequences for consumers and public health authorities.</p>
                <p> 
                    <bold>Authors&#x2019; response: </bold>This is reflected in the discussion</p>
                <p> </p>
                <p> 
                    <bold>Reviewer&#x2019;s comment: Sensitivity Analysis</bold>: Consider including an assessment of evidence certainty (e.g., using GRADE methodology).</p>
                <p> 
                    <bold>Authors&#x2019; response: </bold>The PRIMA protocol was holistically followed during the course of the study</p>
                <p> </p>
                <p> 
                    <bold>Reviewer&#x2019;s comment: Keywords</bold>: Review relevance to facilitate web-based identification of the review.</p>
                <p> 
                    <bold>Authors&#x2019; response: </bold>Keywords have been added</p>
                <p> </p>
                <p> 
                    <bold>Reviewer&#x2019;s comment: Figure 1</bold>: Include a brief justification for selection criteria and the number of participating reviewers.</p>
                <p> 
                    <bold>Authors&#x2019; response: </bold>This is already reflected in the article selection section</p>
                <p> </p>
                <p> 
                    <bold>Reviewer&#x2019;s comment: Cereal Inclusion</bold>: Justify the exclusion of cereals, considering their importance in local diets as evidenced by studies such as: 
                    <list list-type="bullet">
                        <list-item>
                            <p> 
                                <list list-type="bullet">
                                    <list-item>
                                        <p>Sowunmi F, et al., 2020 (Ref 3)</p>
                                    </list-item>
                                    <list-item>
                                        <p>Ikudayisi A, 2020 (Ref 4)</p>
                                    </list-item>
                                </list> </p>
                        </list-item>
                    </list> Otemuyiwa IO, et al., 2012 (Ref 5)</p>
                <p> 
                    <bold>Authors&#x2019; response: The inclusion</bold>&#x00a0;of cereal was outside the objectives of the study. The study was solely focused on fish, fruits, and vegetables. There is no way all food products can be included in a single study. The authors may consider that in subsequent studies.</p>
                <p> </p>
                <p> 
                    <bold>Reviewer&#x2019;s comment: Results Presentation Uniformity</bold>: Standardize the presentation of concentration data across all sections (fish, vegetables, and fruits).</p>
                <p> 
                    <bold>Authors&#x2019; response: </bold>Although that would have been the ideal thing to do, data were extracted from the information provided by the authors of the manuscript. We have no option but to report exactly what they provided and make our interpretation based on that.</p>
                <p> </p>
                <p> 
                    <bold>Reviewer&#x2019;s comment: Table Structure</bold>: Uniformize format, including units, complete row numbering, WHO maximum values, and justify the absence of references in some rows.</p>
                <p> 
                    <bold>Authors&#x2019; response: </bold>The authors are of the view that it will be clumsy to insert WHO limits for all the metals. Different articles investigated different metals; hence, the use of the word&#x2026;exceeded or within the WHO limit as currently reported could suffice. On the aspect of units, the authors can confirm that units are indicated</p>
                <p> </p>
                <p> 
                    <bold>Reviewer&#x2019;s comment: Legends and Abbreviations</bold>: Include explanations for BDL, ND, and clarify terms such as "Si" and "exceeds limit" in the WHO limits column.</p>
                <p> 
                    <bold>Authors&#x2019; response: </bold>That has been attended to</p>
                <p> </p>
                <p> 
                    <bold>Reviewer&#x2019;s comment: Geographic Information</bold>: Add a column in tables identifying the specific study region.</p>
                <p> 
                    <bold>Authors&#x2019; response: </bold>The inclusion criteria for the study already indicated the region. The systematic review setting was the southwest region of Nigeria.</p>
                <p> </p>
                <p> 
                    <bold>Reviewer&#x2019;s comment: Data Format</bold>: Standardize the number of decimal places and metal nomenclature (acronyms or full names).</p>
                <p> 
                    <bold>Authors&#x2019; response: </bold>That has been attended to</p>
                <p> </p>
                <p> 
                    <bold>Reviewer&#x2019;s comment: Article Accessibility</bold>: Identify the quantity of open access and subscription articles utilized.</p>
                <p> 
                    <bold>Authors&#x2019; response: </bold>The authors had full access to all the included articles that were used.</p>
                <p> </p>
                <p> 
                    <bold>Reviewer&#x2019;s comment: </bold>It is suggested to provide quantitative summaries of contamination levels by food type and metal (ranges, medians).</p>
                <p> 
                    <bold>Authors&#x2019; response: </bold>We can only report based on data provided by the authors. The different articles used different reporting formats. Since this was not an original research article, it will be difficult to harmonize and add that information consistently</p>
            </body>
        </sub-article>
    </sub-article>
</article>
