在美国成年人中,尿道金属暴露,全身炎症和晚期心血管--代谢综合征风险
Zhaoqi Yan1, Yifeng Xu1, Xiufan Du2
1Graduate School, China Academy of Chinese Medical Sciences, Beijing, China.
概括
高水平的和等尿金属与美国成年人心血管--代谢综合征 (CKM) 风险增加有关. 炎症生物标志物在这种关联中发挥着关键作用,突出了公共卫生问题.
科学领域:
- 环境健康 环境健康
- 心血管流行病学心血管流行病学
- 代谢综合征研究 代谢综合征研究
背景情况:
- 心血管--代谢综合征 (CKM) 构成了重大的公共卫生挑战.
- 尿道金属暴露是各种慢性疾病的潜在危险因素.
- 炎症生物标志物在金属暴露和CKM风险中介作用尚未完全理解.
研究的目的:
- 调查尿道金属暴露与美国成年人中晚期CKM风险之间的关联.
- 确定有助于CKM风险的特定金属.
- 检查炎症生物标志物在这种关系中的调解作用.
主要方法:
- 分析了来自国家健康和营养检查调查 (NHANES) 的6249名参与者.
- 利用受限制立方线 (RCS),多变量和分片逻辑回归,以及ROC曲线分析.
- 使用调解分析,通用加权量子总和 (gWQS) 回归和机器学习 (ML) 模型.
主要成果:
- 增加的多金属炎症指数 (MMII), (Cd) 和 (Co) 水平与增加的晚期CKM风险显著相关.
- 关联在更高的暴露水平上最明显,观察到线性剂量-反应关系.
- 炎症生物标志物 (WBC,NENO,SIRI,AISI,MHR,NHR) 调解了MMII/Cd/Co和高级CKM风险之间的联系.
结论:
- 在美国成年人中,尿液中较高的MMII,Cd和Co水平是晚期CKM的重要危险因素.
- 炎症生物标志物是从金属暴露到CKM风险的途径中的关键调解者.
- 这些发现强调了对金属暴露和炎症的监测对于预防CKM的重要性.
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