Do I need a Cadmium test?

Do I need a cadmium test? If you're concerned about your exposure to heavy metals — whether through workplace contact, diet, or smoking — understanding your cadmium levels may help you make informed choices about your health and lifestyle.

This biomarker measures the amount of cadmium accumulated in your body, which reflects your exposure over time. Since cadmium can remain in your system for decades, testing can reveal whether your body burden is building up.

Knowing your cadmium status can help you take meaningful steps to reduce future exposure and better understand your toxic load. This awareness supports proactive health decisions and may guide conversations with your healthcare provider about lifestyle modifications. Cadmium testing is included in Listen Health's comprehensive heavy metals panel, giving you a clearer picture of your overall metal exposure.

Cadmium — Key Facts
MeasuresA toxic heavy metal that accumulates in the kidneys and bones over decades.
CategoryHeavy Metals
Unitnmol/L
Tested inListen Health Standard & Premium membership (100+ biomarkers)
Reviewed byDr Jamie Deans, MBChB

What is it?

Cadmium is a naturally occurring metal found in the earth's crust, primarily used in industrial processes such as battery manufacturing, pigments, and metal coatings. It is not essential for human health and is considered highly toxic. Cadmium enters the human body mainly through ingestion of contaminated food and water, and inhalation of cigarette smoke or industrial emissions. Once absorbed, cadmium accumulates in the liver and kidneys, where it can remain for decades due to its long biological half-life of 25-30 years. The body has limited ability to excrete cadmium, leading to its accumulation and potential toxicity over time.

Reference Ranges for Cadmium in nmol/L:

Non-smokers <30.0 nmol/L

Smokers <54.0 nmol/L

Book Your Test Now

Test Cadmium as part of 100+ biomarkers with Listen Health's annual membership.

Start Testing Today
Developed by leading doctorsNo waiting, no referrals2,000+ locations Australia-wide

Why does it matter?

Cadmium exposure is a significant health concern due to its association with various diseases and physiological disruptions. Chronic exposure to cadmium can lead to kidney damage, as the metal accumulates in the renal cortex, impairing kidney function and increasing the risk of chronic kidney disease. Cadmium is also linked to bone demineralization, leading to conditions such as osteoporosis and osteomalacia. Additionally, cadmium exposure is associated with an increased risk of several cancers, including lung, prostate, and breast cancer, due to its ability to induce oxidative stress, DNA damage, and epigenetic changes. The metal can also interfere with the body's endocrine system, affecting hormone regulation and reproductive health. Furthermore, cadmium exposure has been linked to cardiovascular diseases, as it can promote atherosclerosis and hypertension. The toxic effects of cadmium are exacerbated by its ability to replace essential metals in biological systems, disrupting normal cellular functions and metabolic processes.

What causes fluctuations?

Cadmium levels in the body can fluctuate due to various factors:

  • Dietary factors: Consumption of foods grown in contaminated soil, such as leafy vegetables, grains, and shellfish, can increase cadmium intake. Offal, such as liver and kidneys, also contains higher levels of cadmium.

  • Lifestyle factors: Smoking is a major source of cadmium exposure, as tobacco plants readily absorb cadmium from the soil. Occupational exposure in industries such as battery manufacturing, metal smelting, and welding can also contribute to higher cadmium levels.

  • Related biomarkers: Blood and urine cadmium levels are commonly used to assess exposure. Elevated levels of β2-microglobulin in urine can indicate kidney damage due to cadmium toxicity.

  • Micronutrient impacts: Deficiencies in essential minerals such as iron, calcium, and zinc can increase cadmium absorption in the intestines.

  • Environmental influences: Living in areas with high industrial pollution, contaminated water sources, or using phosphate fertilizers can increase cadmium exposure.

Recommendations

If your results are high:

  • Diet: Reduce consumption of foods known to contain high levels of cadmium, such as shellfish, offal, and leafy vegetables from contaminated areas.

  • Lifestyle:

    • Quit smoking and avoid secondhand smoke.

    • Use protective equipment if working in industries with cadmium exposure.

  • Supplements: Consider taking supplements of essential minerals like iron, calcium, and zinc to reduce cadmium absorption.

References

  1. Genchi, G., Sinicropi, M. S., Lauria, G., Carocci, A., & Catalano, A. (2020). The effects of cadmium toxicity. International Journal of Environmental Research and Public Health, 17(11), 3782. https://doi.org/10.3390/ijerph17113782

  2. Peana, M., Pelucelli, A., Chasapis, C. T., et al. (2022). Biological effects of human exposure to environmental cadmium. Biomolecules, 12(7), 976. https://doi.org/10.3390/biom12070976

  3. Moon, S., Lee, J., Yu, J. M., et al. (2023). Association between environmental cadmium exposure and increased mortality in the U.S. National Health and Nutrition Examination Survey (1999–2018). Journal of Exposure Science & Environmental Epidemiology, 33, 615–623. https://doi.org/10.1038/s41370-022-00467-6

  4. Castañeda, C. R., García-Martínez, B., Zamudio-Cuevas, Y., Fernández-Torres, J., & Martínez-Flores, K. (2025). Cadmium exposure and its role in joint disease: A brief review of experimental and population-based evidence. Journal of Trace Elements in Medicine and Biology, 77, 127139. https://doi.org/10.1016/j.jtemb.2024.127139

  5. Snoj Tratnik, J., Kocman, D., Horvat, M., et al. (2022). Cadmium exposure in adults across Europe: Results from the HBM4EU aligned studies survey 2014–2020. International Journal of Hygiene and Environmental Health, 244, 114021. https://doi.org/10.1016/j.ijheh.2022.114021

  6. Cirovic, A., & Cirovic, A. (2024). Factors moderating cadmium bioavailability: Key considerations for comparing blood cadmium levels between groups. Food and Chemical Toxicology, 184, 114412. https://doi.org/10.1016/j.fct.2023.114412

Frequently Asked Questions

AHPRA Disclaimer: This information is general in nature and should not replace individual medical advice. Always discuss your test results and health concerns with a registered healthcare practitioner.