PFAS和金属与心血管疾病风险的关联:探索饮食的调解作用
Augustina Odediran1,2, Kenneth Bollen3,4, Emmanuel Obeng-Gyasi1,2
1Department of Built Environment, North Carolina A&T State University, Greensboro, NC 27411, USA.
概括
暴露于和多基物质 (PFAS) 和有毒金属可能会影响心血管疾病 (CVD) 的风险,可能是通过饮食引起的炎症. 年龄也会影响这些联系.
科学领域:
- 环境健康
- 心血管研究
- 毒理学
背景情况:
- 心血管疾病 (CVD) 是一个重要的全球健康问题.
- 环境因素,包括和多基物质 (PFAS) 和有毒金属,越来越多地与不良心血管结果有关.
- 饮食炎症作为这些关联中介的作用尚不清楚.
研究的目的:
- 调查PFAS和金属暴露与心血管疾病风险之间的关系.
- 通过饮食炎症指数 (DII) 评估饮食炎症的调解作用.
- 探索年龄作为这些环境暴露-心血管疾病关系的潜在影响变量.
主要方法:
- 2017-2018年国家健康和营养检查调查 (NHANES) 的数据分析 (n=660).
- 对环境暴露 (,,,PFOA,PFOS),DII和心血管标志物 (血压,脂质,CRP) 的评估.
- 应用线性回归和贝叶斯核机回归-因果调解分析 (BKMR-CMA).
主要成果:
- 暴露于与压缩性血压 (SBP) 的降低有关.
- 暴露与C反应蛋白 (CRP) 水平的增加有关.
- 调解分析表明饮食炎症的潜在作用,尽管估计不准确.
结论:
- PFAS和有毒金属可能通过炎症途径导致心脏病风险.
- 这些关联的年龄差异需要进一步研究.
- 需要进行纵向研究来澄清复杂的相互作用,并为公共卫生政策提供信息.
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