在广泛的人群中解开尿道金属暴露和骨质疏松风险之间的关系:全面的监督和无监督分析
1Medical Faculty, Ulm University, 89075 Ulm, Germany.
Toxics
|January 8, 2025
概括
尿路金属暴露,包括和,与骨质疏松症和死亡率的更高风险有关. 这项研究分析了15923名参与者,以了解这些关联.
科学领域:
- 环境健康 环境健康
- 毒理学 毒理学 毒理学
- 骨的新陈代谢 骨的新陈代谢
背景情况:
- 在不同人群中,尿路金属暴露与骨质疏松症之间的关联存在有限的证据.
- 本研究使用先进的统计方法解决了这一知识差距.
研究的目的:
- 研究尿液金属度与骨质疏松症风险和预后之间的关系.
- 确定导致骨质疏松症的特定金属,并探索特定人群的风险.
主要方法:
- 从国家健康和营养检查调查 (NHANES) (1999-2020) 中对15923名参与者的分析.
- 使用ICP-MS测量了9种尿中的金属 (Ba,Cd,Co,Cs,Mo,Pb,Sb,Tl,Tu).
- 通过双能X射线吸收计对骨质疏松症的评估,使用加权量子素和 (WQS) 回归和围绕 medoids (PAM) 集群进行分区.
主要成果:
- (Cd) 被确定为显著的骨质疏松症风险因素 (OR=1.19).
- (Pb) 暴露影响了30-49岁和墨西哥裔美国人; (Sb) 影响了黑人.
- 高尿金属暴露组显著增加了骨质疏松症风险 (OR=1.74) 和死亡率.
结论:
- 尿道金属暴露与骨质疏松症的风险和预后显著相关.
- 特定金属在人口群体之间存在差异性风险,突出了针对性公共卫生干预的必要性.
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