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Liu Y, Lyu K, Liu S, You J, Wang X, Wang M, Zhang D, Bai Y, Yin C, Jiang M, Zheng S. Predictive value of total cholesterol to high-density lipoprotein cholesterol ratio for chronic kidney disease among adult male and female in Northwest China. Chronic Dis Transl Med 2024; 10:216-226. [PMID: 39027193 PMCID: PMC11252436 DOI: 10.1002/cdt3.122] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/03/2024] [Revised: 03/12/2024] [Accepted: 03/27/2024] [Indexed: 07/20/2024] Open
Abstract
Background Studies have found that the ratio of total cholesterol to high-density lipoprotein cholesterol (TC/HDL-C) was associated with the development of chronic kidney disease (CKD). However, the relationship in different genders was rarely discussed. The aim of this study was to explore this relationship and assess its predictive power for both males and females. Methods Based on a prospective cohort platform in northwest China, 32,351 participants without CKD were collected in the baseline and followed up for approximately 5 years. Cox proportional hazard model and restricted cubic spline regression analysis were performed to investigate the association between TC, HDL-C, TC/HDL-C and CKD in adult female and male. The clinical application value of the indicators in predicting CKD was evaluated by the receiver operator characteristic curve. Results During a mean follow-up of 2.2 years, 484 males and 164 females developed CKD. After adjusted for relevant confounders, for every one standard deviation increase in TC, HDL-C and TC/HDL-C, the hazard ratios (HRs) and 95% confidence intervals (95% CIs) for CKD were 1.17 (1.05-1.31), 0.84 (0.71-0.99), and 1.15 (1.06-1.25) for males, 0.94 (0.78-1.13), 0.58 (0.35-0.95), and 1.19 (1.01-1.40) for females, respectively. The results also showed that TC, HDL-C, and TC/HDL-C were associated with CKD in a linear dose-response relationship. The TC/HDL-C had the largest area under the curve (AUC) compared to TC and HDL-C, and the AUC among the females was larger than that among males. Conclusions The TC/HDL-C was significantly associated with CKD in adult males and females and has better clinical value in predicting CKD than TC and HDL-C, especially in females.
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Affiliation(s)
- Yanli Liu
- School of Public Health, Institute of Epidemiology and StatisticsLanzhou UniversityLanzhouGansuChina
| | - Kang Lyu
- School of Public Health, Institute of Epidemiology and StatisticsLanzhou UniversityLanzhouGansuChina
| | - Shaodong Liu
- School of Public Health, Institute of Epidemiology and StatisticsLanzhou UniversityLanzhouGansuChina
| | - Jinlong You
- School of Public Health, Institute of Epidemiology and StatisticsLanzhou UniversityLanzhouGansuChina
| | - Xue Wang
- School of Public Health, Institute of Epidemiology and StatisticsLanzhou UniversityLanzhouGansuChina
| | - Minzhen Wang
- School of Public Health, Institute of Epidemiology and StatisticsLanzhou UniversityLanzhouGansuChina
| | - Desheng Zhang
- Workers' Hospital of Jinchuan Group Co. Ltd.JinchangGansuChina
| | - Yana Bai
- School of Public Health, Institute of Epidemiology and StatisticsLanzhou UniversityLanzhouGansuChina
| | - Chun Yin
- Workers' Hospital of Jinchuan Group Co. Ltd.JinchangGansuChina
| | - Min Jiang
- Wuwei People's HospitalWuweiGansuChina
| | - Shan Zheng
- School of Public Health, Institute of Epidemiology and StatisticsLanzhou UniversityLanzhouGansuChina
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Zheng S, Zhang X, Zhu W, Nie Y, Ke X, Liu S, Wang X, You J, Kang F, Bai Y, Wang M. A study of temperature variability on admissions and deaths for cardiovascular diseases in Northwestern China. BMC Public Health 2023; 23:1751. [PMID: 37684635 PMCID: PMC10486070 DOI: 10.1186/s12889-023-16650-3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/10/2023] [Accepted: 08/29/2023] [Indexed: 09/10/2023] Open
Abstract
OBJECTIVE To explore the effect of temperature variability (TV) on admissions and deaths for cardiovascular diseases (CVDs). METHOD The admissions data of CVDs were collected in 4 general hospitals in Jinchang City, Gansu Province from 2013 to 2016. The monitoring data of death for CVDs from 2013 to 2017 were collected through the Jinchang City Center for Disease Control and Prevention. Distributed lag nonlinear model (DLNM) was combined to analyze the effects of TV (daily temperature variability (DTV) and hourly temperature variability (HTV)) on the admissions and deaths for CVDs after adjusting confounding effects. Stratified analysis was conducted by age and gender. Then the attribution risk of TV was evaluated. RESULTS There was a broadly linear correlation between TV and the admissions and deaths for CVDs, but only the association between TV and outpatient and emergency room (O&ER) visits for CVDs have statistically significant. DTV and HTV have similar lag effect. Every 1 ℃ increase in DTV and HTV was associated with a 3.61% (95% CI: 1.19% ~ 6.08%), 3.03% (95% CI: 0.27% ~ 5.86%) increase in O&ER visits for CVDs, respectively. There were 22.75% and 14.15% O&ER visits for CVDs can attribute to DTV and HTV exposure during 2013-2016. Males and the elderly may be more sensitive to the changes of TV. Greater effect of TV was observed in non-heating season than in heating season. CONCLUSION TV was an independent risk factor for the increase of O&ER visits for CVDs, suggesting effective guidance such as strengthening the timely prevention for vulnerable groups before or after exposure, which has important implications for risk management of CVDs.
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Affiliation(s)
- Shan Zheng
- Institute of Epidemiology and Statistics, School of Public Health, Lanzhou University, Lanzhou, 730000, China.
| | - Xiaofei Zhang
- Institute of Epidemiology and Statistics, School of Public Health, Lanzhou University, Lanzhou, 730000, China
| | - Wenzhi Zhu
- Center for Immunological and Metabolic Diseases (CIMD), MED-X Institute, the First Affiliated Hospital of Xi'an Jiaotong University, Xi'an, China
| | - Yonghong Nie
- Jinchang Center for Disease Control and Prevention, Jinchang, 737100, China
| | - Ximeng Ke
- Institute of Epidemiology and Statistics, School of Public Health, Lanzhou University, Lanzhou, 730000, China
| | - Shaodong Liu
- Institute of Epidemiology and Statistics, School of Public Health, Lanzhou University, Lanzhou, 730000, China
| | - Xue Wang
- Institute of Epidemiology and Statistics, School of Public Health, Lanzhou University, Lanzhou, 730000, China
| | - Jinlong You
- Institute of Epidemiology and Statistics, School of Public Health, Lanzhou University, Lanzhou, 730000, China
| | - Feng Kang
- Workers' Hospital of Jinchuan Group Co., Ltd, Jinchang, 737103, China
| | - Yana Bai
- Institute of Epidemiology and Statistics, School of Public Health, Lanzhou University, Lanzhou, 730000, China
| | - Minzhen Wang
- Institute of Epidemiology and Statistics, School of Public Health, Lanzhou University, Lanzhou, 730000, China.
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Zhu W, Liu Y, Zhang L, Shi G, Zhang X, Wang M, Nie Y, Zhang D, Yin C, Bai Y, Zheng S. Ambient temperature variability and blood pressure in a prospective cohort of 50,000 Chinese adults. J Hum Hypertens 2023; 37:818-827. [PMID: 36257970 DOI: 10.1038/s41371-022-00768-9] [Citation(s) in RCA: 3] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/14/2021] [Revised: 09/19/2022] [Accepted: 10/05/2022] [Indexed: 11/09/2022]
Abstract
Blood pressure has been shown to change by outdoor temperature, but whether intra- and inter-day temperature variability (TV) will bring higher effect on BP is not clear. Based on a prospective cohort study, the mixed effect model was selected to estimate the relationship between TV (daily temperature variability (DTV) and hourly temperature variability (HTV)) and BP (systolic blood pressure (SBP), diastolic blood pressure (DBP), pulse pressure (PP), and mean arterial pressure (MAP)) after adjusting for confounding variables. We found that there was a positive linear correlation between TV and BP. The results of DTV and HTV were basically consistent, but the effect estimates of HTV seemed to be larger. Gender, age, BMI, education level and BP status may modify the relationship between TV and BP. The effect of TV on BP was greater in non-heating season than in heating season. Our work contributes to a further macro mechanism evidence for the TV-CVDs association.
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Affiliation(s)
- Wenzhi Zhu
- Institute of Epidemiology and Statistics, School of Public Health, Lanzhou University, Lanzhou, 73000, China
| | - Yanli Liu
- Institute of Epidemiology and Statistics, School of Public Health, Lanzhou University, Lanzhou, 73000, China
| | - Li Zhang
- Institute of Epidemiology and Statistics, School of Public Health, Lanzhou University, Lanzhou, 73000, China
| | - Guoxiu Shi
- Institute of Epidemiology and Statistics, School of Public Health, Lanzhou University, Lanzhou, 73000, China
| | - Xiaofei Zhang
- Institute of Epidemiology and Statistics, School of Public Health, Lanzhou University, Lanzhou, 73000, China
| | - Minzhen Wang
- Institute of Epidemiology and Statistics, School of Public Health, Lanzhou University, Lanzhou, 73000, China
| | - Yonghong Nie
- Jinchang Center for Disease Prevention and Control, Jinchang, 737100, China
| | - Desheng Zhang
- Workers' Hospital of Jinchuan Group Co., Ltd, Jinchang, 737103, China
| | - Chun Yin
- Workers' Hospital of Jinchuan Group Co., Ltd, Jinchang, 737103, China
| | - Yana Bai
- Institute of Epidemiology and Statistics, School of Public Health, Lanzhou University, Lanzhou, 73000, China
| | - Shan Zheng
- Institute of Epidemiology and Statistics, School of Public Health, Lanzhou University, Lanzhou, 73000, China.
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Lv K, Liu Y, Zhang X, Wang M, Kang F, Bai Y, Yin C, Zheng S. Prevalence of chronic kidney disease in a city of Northwestern China: a cross-sectional study. Int Urol Nephrol 2023:10.1007/s11255-023-03515-2. [PMID: 36809640 DOI: 10.1007/s11255-023-03515-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/21/2022] [Accepted: 02/12/2023] [Indexed: 02/23/2023]
Abstract
AIM Chronic kidney disease (CKD) is increasingly recognized as a global health issue. There is a paucity of published data on the prevalence and risk factors of CKD in less-developed regions. This study aims to evaluate and update the prevalence and risk factors of CKD in a city of Northwestern China. METHODS Based on a prospective cohort study, a cross-sectional baseline survey was conducted between 2011 and 2013. The data on the epidemiology interview, physical examination, and clinical laboratory test were all collected. In this study, 41,222 participants were selected from 48,001 workers in the baseline after excluding objects with incomplete information. The crude and standardized prevalence of CKD were calculated. An unconditional logistic regression model was used to analyze the risk factors associated with CKD among male and female. RESULTS One thousand seven hundred eighty-eight people were diagnosed with CKD, including 1180 males and 608 females. The crude prevalence of CKD was 4.34% (4.78% males and 3.68% females). The standardized prevalence was 4.06% (4.51% males and 3.60% females). The prevalence of CKD increased with age and was higher in males than in females. In multivariable logistic regression, CKD was significantly associated with the increasing age, drinking, never or occasionally exercise, overweight or obesity, being unmarried, diabetes, hyperuricemia, dyslipidemia and hypertension. CONCLUSION In this study, the prevalence of CKD was lower than that of the national cross-sectional study. Lifestyle, hypertension, diabetes, hyperuricemia and dyslipidemia were the main risk factors of CKD. The prevalence and risk factors differ between male and female.
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Affiliation(s)
- Kang Lv
- Institute of Epidemiology and Statistics, School of Public Health, Lanzhou University, Lanzhou, Gansu, China
| | - Yanli Liu
- Institute of Epidemiology and Statistics, School of Public Health, Lanzhou University, Lanzhou, Gansu, China
| | - Xiaofei Zhang
- Institute of Epidemiology and Statistics, School of Public Health, Lanzhou University, Lanzhou, Gansu, China
| | - Minzhen Wang
- Institute of Epidemiology and Statistics, School of Public Health, Lanzhou University, Lanzhou, Gansu, China
| | - Feng Kang
- Workers' Hospital of Jinchuan Group, Ltd, Jinchang, Gansu, China
| | - Yana Bai
- Institute of Epidemiology and Statistics, School of Public Health, Lanzhou University, Lanzhou, Gansu, China
| | - Chun Yin
- Workers' Hospital of Jinchuan Group, Ltd, Jinchang, Gansu, China
| | - Shan Zheng
- Institute of Epidemiology and Statistics, School of Public Health, Lanzhou University, Lanzhou, Gansu, China.
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Ma Z, Wang X, Zhang J, Yang C, Du H, Dou F, Li J, Zhao Y, Quan P, Hu X. The Bidirectional Relationship between Chronic Kidney Disease and Hyperuricemia: Evidence from a Population-Based Prospective Cohort Study. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2023; 20:1728. [PMID: 36767097 PMCID: PMC9914133 DOI: 10.3390/ijerph20031728] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 11/29/2022] [Revised: 01/09/2023] [Accepted: 01/15/2023] [Indexed: 06/18/2023]
Abstract
BACKGROUND Although several studies have examined the association between chronic kidney disease (CKD) and hyperuricemia (HUA), the direction of the association remains unclear. We aimed to investigate whether there was a bidirectional association between them. METHODS The present study was conducted in three analyses. Analysis I included 25,433 participants free of HUA at baseline to evaluate the associations between CKD and estimated glomerular filtration rate (eGFR) with incident HUA. Analysis II had 28,422 participants free of CKD at baseline to analyze the relationships between HUA and serum uric acid (sUA) with new-onset CKD. Cox proportional hazards regression models were applied to evaluate the association involved in Analysis I and II. Analysis III included 31,028 participants with complete data and further dissected the bidirectional association between sUA and eGFR using cross-lag models. RESULTS New-onset HUA and CKD were observed in the first round of the follow-up study among 1597 and 1212 participants, respectively. A significantly higher risk of HUA was observed in individuals with CKD compared to individuals without CKD (HR = 1.58, 95% CI: 1.28-1.95). The adjusted HRs (95% CIs) of HUA were 3.56 (2.50-5.05) for the participants in the group of eGFR less than 60 mL·min-1·1.73 m-2, 1.61 (1.42-1.83) for those in the group of eGFR between 60 and 90 mL·min-1·1.73 m-2, and 1.74 (1.42-2.14) for those in the group of eGFR more than 120 mL·min-1·1.73 m-2, compared with the group of eGFR between 90 and 120 mL·min-1·1.73 m-2. A higher risk of CKD was also observed in individuals with HUA compared to individuals without HUA (HR = 1.28, 95% CI: 1.12-1.47). Compared with the first quintile of sUA, the adjusted HR (95% CI) of CKD was 1.24 (1.01-1.51) for the participants in the fourth quantile. There was a bidirectional relationship between sUA and eGFR, with the path coefficients (ρ1 = -0.024, p < 0.001) from baseline eGFR to follow-up sUA and the path coefficients (ρ2 = -0.015, p = 0.002) from baseline sUA to follow-up eGFR. CONCLUSIONS The present study indicated that CKD and HUA were closely associated, and there was a bidirectional relationship between sUA and eGFR.
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Zhang W, Qi T, Yao L, Wang W, Yu F, Yan Y, Salama ES, Su S, Bai M. Influence of Environmental Factors on Salivary Microbiota and Their Metabolic Pathway: Next-Generation Sequencing Approach. MICROBIAL ECOLOGY 2023; 85:317-329. [PMID: 35018483 DOI: 10.1007/s00248-021-01951-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/21/2021] [Accepted: 12/16/2021] [Indexed: 06/14/2023]
Abstract
The current study aimed to investigate the effect of periodontitis and long-term heavy metal (HM) exposure on the salivary microbiome. The patients were divided into four groups as Wu Wei control (WWC) group involved healthy individuals, Wu Wei periodontitis (WWP) patients having periodontitis, Jing Chang with metal pollution periodontally healthy individuals (JCP), and Kuang periodontitis (KP). The most abundant bacteria identified at the phylum level in the WWC group were Bacteroides, Firmicutes, and Fusobacteria. Firmicutes were observed in a significantly higher proportion in the KP group than in the WWC, WWP, and JCP. At the genus level, the WWC has major dominating bacterial genera (such as Leptotrichia, Neisseria, and Fusobacterium) which were similar to WWP and KP group. The significant difference (p < 0.05) was found in alpha diversity while in beta diversity, the significant (p = 0.005) results were found among the four groups. The correlation of oral microbiota revealed that HMs present in the soil (Cr, Ni, and Cu) are associated with the growth of Capnocytophaga, Selenomonas, Aggregatibacter, and Campylobacter. The bacterial functions in the KP group were higher in translation and nucleotide metabolism than in the WWP group. This demonstrated that long-term exposure to HMs can influence the salivary microbiota which can alter the functioning, and diversity of bacteria.
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Affiliation(s)
- Wei Zhang
- Healthy Dental Clinic, Healthy Examination & Management Center of Lanzhou University Second Hospital, Lanzhou, China
| | - Tao Qi
- Department of Stomatology, First Hospital of Lanzhou University, Lanzhou, China
| | - Lihe Yao
- Department of Neurology, First Hospital of Lanzhou University, Lanzhou, China
| | - Wei Wang
- School of Stomatology, Lanzhou University, Lanzhou, China
| | - Fanrong Yu
- School of Stomatology, Lanzhou University, Lanzhou, China
| | - Yuqin Yan
- School of Stomatology, Lanzhou University, Lanzhou, China
| | - El-Sayed Salama
- Department of Occupational and Environmental Health, School of Public Health, Lanzhou University, Lanzhou, 730000, Gansu Province, People's Republic of China
| | - Shaochen Su
- Healthy Examination & Management Center, First Hospital of Lanzhou University, Lanzhou, China.
| | - Ming Bai
- Department of Cardiology, First Hospital of Lanzhou University, LanzhouGansu, 730000, China.
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Li C, Gao T, Wang X, Qu S, Yang Y, Zuo M, Wang J, Wang H, Zhou G, Liu Y. Phytoremediation Potential and Physiological Mechanisms Underlying Metallic Extraction of Suaeda glauca, Artemisia desertorum, and Atriplex canescens. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:16035. [PMID: 36498118 PMCID: PMC9736508 DOI: 10.3390/ijerph192316035] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 09/26/2022] [Revised: 11/23/2022] [Accepted: 11/24/2022] [Indexed: 06/17/2023]
Abstract
Mining activities have led to serious environmental (soil erosion, degradation of vegetation, and groundwater contamination) and human health (musculoskeletal problems, diarrheal conditions, and chronic diseases) issues at desert mining areas in northwest China. Native plant species grown naturally in desert regions show a unique tolerance to arid and semiarid conditions and are potential candidates for soil phytoremediation. Here, an ex situ experiment involving pot planting of seedlings of three native plant species (Suaeda glauca, Artemisia desertorum, and Atriplex canescens) was designed to explore their phytoremediation potential and the underlying physiological mechanism. For Zn and Cu, the three plants were all with a biological accumulation coefficient (BAC) greater than 1. For Cd, Ni, and Pb, Atriplex canescens had the highest bioaccumulation concentrations (521.52, 862.23, and 1734.59 mg/kg), with BAC values (1.06, 1.30, 1.25) greater than 1, which indicates that Atriplex canescens could be a broad-spectrum metal extraction plant. Physiological analysis (antioxidation, extracellular secretions, photosynthesis, and hydraulics) showed that the three desert plants exploited their unique strategy to protect against the stress of complex metals in soils. Moreover, the second growing period was the main heavy metal accumulation and extraction stage concomitant with highest water use efficiency (iWUE). Taken together, the three desert plants exhibited the potent heavy metal extraction ability and physiological and ecological adaptability to a harsh polluted environment in arid desert areas, providing potential resources for the bioremediation of metal-contaminated soils in an arid and semiarid desert environment.
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Affiliation(s)
- Changming Li
- College of Chemistry and Chemical Engineering, Qinghai Normal University, Xining 810008, China
- Research Center of Pollution Control and Ecological Restoration Engineering in Mining Area of Gansu Province, Lanzhou 730001, China
| | - Tianpeng Gao
- Research Center of Pollution Control and Ecological Restoration Engineering in Mining Area of Gansu Province, Lanzhou 730001, China
- College of Biological and Environmental Engineering, Xi’an University, Xi’an 710065, China
| | - Xueying Wang
- Xi’an Institute of Environment Sanitation Sciences, Xi’an 710065, China
| | - Shipeng Qu
- Research Center of Pollution Control and Ecological Restoration Engineering in Mining Area of Gansu Province, Lanzhou 730001, China
- Gansu Jinchang Environmental Monitoring Center, Jinchang 737100, China
| | - Yingli Yang
- Research Center of Pollution Control and Ecological Restoration Engineering in Mining Area of Gansu Province, Lanzhou 730001, China
- College of Geography and Environmental Science, Northwest Normal University, Lanzhou 730070, China
| | - Mingbo Zuo
- Research Center of Pollution Control and Ecological Restoration Engineering in Mining Area of Gansu Province, Lanzhou 730001, China
- College of Life Science, Northwest Normal University, Lanzhou 730070, China
| | - Juan Wang
- Research Center of Pollution Control and Ecological Restoration Engineering in Mining Area of Gansu Province, Lanzhou 730001, China
- College of Life Science, Northwest Normal University, Lanzhou 730070, China
| | - Haoming Wang
- Research Center of Pollution Control and Ecological Restoration Engineering in Mining Area of Gansu Province, Lanzhou 730001, China
- College of Biological and Pharmaceutical Engineering, Lanzhou Jiaotong University, Lanzhou 730070, China
| | - Guixiang Zhou
- Research Center of Pollution Control and Ecological Restoration Engineering in Mining Area of Gansu Province, Lanzhou 730001, China
- Nanjing Institute of Soil Science, Chinese Academy of Sciences, Nanjing 210018, China
| | - Yubing Liu
- Research Center of Pollution Control and Ecological Restoration Engineering in Mining Area of Gansu Province, Lanzhou 730001, China
- State Key Laboratory of Grassland Agro-Ecosystems, Lanzhou University, Lanzhou 730020, China
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Ma L, Huo X, Yang A, Yu S, Ke H, Zhang M, Bai Y. Metal Exposure, Smoking, and the Risk of COPD: A Nested Case-Control Study in a Chinese Occupational Population. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:ijerph191710896. [PMID: 36078612 PMCID: PMC9518333 DOI: 10.3390/ijerph191710896] [Citation(s) in RCA: 4] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/14/2022] [Revised: 08/21/2022] [Accepted: 08/30/2022] [Indexed: 05/17/2023]
Abstract
Chronic obstructive pulmonary disease (COPD) was the third leading cause of death worldwide in 2019, with a significant disease burden. We conducted a nested case-control study using data from the China Metal-Exposed Workers Cohort Study (Jinchang Cohort) and assessed the associations of exposure to metals and tobacco smoking with the risk of COPD. We used the logistic regression model and the interaction multiplication model to assess the independent and combined effects of heavy metal and smoke exposure on COPD. The cumulative incidence of COPD was 1.04% in 21,560 participants during a median of two years of follow-up. The risk of COPD was significantly elevated with an increase in the amount of tobacco smoked daily (p < 0.05), the number of years of smoking (ptrend < 0.05), and the number of packs of cigarettes smoked per year (ptrend < 0.01). Compared with the low metal exposure group, the adjusted OR was 1.22 (95% CI: 0.85-1.76) in the medium exposure group (mining/production workers) and 1.50 (95% CI: 1.03-2.18) in the high exposure group; smoking and metal exposure had a combined effect on the incidence of COPD (pinteraction < 0.01), with an OR of 4.60 for those with >40 pack-years of smoking who also had the highest metal exposures. Both exposures to metals and smoking were associated with the risk of COPD, and there was an interaction between the two exposures for the risk of COPD.
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Affiliation(s)
- Li Ma
- School of Public Health, Lanzhou University, Lanzhou 730000, China
- Correspondence: (L.M.); (Y.B.); Tel.: +86-931-8915191 (L.M.); +86-931-8915526 (Y.B.)
| | - Xinxin Huo
- School of Public Health, Lanzhou University, Lanzhou 730000, China
| | - Aimin Yang
- Department of Medicine and Therapeutics, The Chinese University of Hong Kong, Prince of Wales Hospital, Hong Kong SAR, China
| | - Shuxia Yu
- School of Public Health, Lanzhou University, Lanzhou 730000, China
| | - Hongxia Ke
- School of Public Health, Lanzhou University, Lanzhou 730000, China
| | - Mingxia Zhang
- School of Public Health, Lanzhou University, Lanzhou 730000, China
| | - Yana Bai
- School of Public Health, Lanzhou University, Lanzhou 730000, China
- Correspondence: (L.M.); (Y.B.); Tel.: +86-931-8915191 (L.M.); +86-931-8915526 (Y.B.)
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Human supplementation with Pediococcus acidilactici GR-1 decreases heavy metals levels through modifying the gut microbiota and metabolome. NPJ Biofilms Microbiomes 2022; 8:63. [PMID: 35974020 PMCID: PMC9381558 DOI: 10.1038/s41522-022-00326-8] [Citation(s) in RCA: 20] [Impact Index Per Article: 10.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/27/2021] [Accepted: 07/26/2022] [Indexed: 11/09/2022] Open
Abstract
Exposure to heavy metals (HMs) is a threat to human health. Although probiotics can detoxify HMs in animals, their effectiveness and mechanism of action in humans have not been studied well. Therefore, we conducted this randomized, double-blind, controlled trial on 152 occupational workers from the metal industry, an at-risk human population, to explore the effectiveness of probiotic yogurt in reducing HM levels. Participants were randomly assigned to two groups: one consumed probiotic yogurt containing the HM-resistant strain Pediococcus acidilactici GR-1 and the other consumed conventional yogurt for 12 weeks. Analysis of metal contents in the blood revealed that the consumption of probiotic yogurt resulted in a higher and faster decrease in copper (34.45%) and nickel (38.34%) levels in the blood than the consumption of conventional yogurt (16.41% and 27.57%, respectively). Metagenomic and metabolomic studies identified a close correlation between gut microbiota (GM) and host metabolism. Significantly enriched members of Blautia and Bifidobacterium correlated positively with the antioxidant capacities of GM and host. Further murine experiments confirmed the essential role of GM and protective effect of GR-1 on the antioxidative role of the intestine against copper. Thus, the use of probiotic yogurt may be an effective and affordable approach for combating toxic metal exposure through the protection of indigenous GM in humans. ClinicalTrials.gov identifier: ChiCTR2100053222
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Wang M, Xia M, Yang H, Zhang D, Zhao Y, He Y, Liu J, Zhang L, Yin C, Bai Y. Interaction effect of blood glucose and pressure on the risk of chronic kidney disease: a population-based prospective cohort study. Endocrine 2022; 77:252-261. [PMID: 35778587 DOI: 10.1007/s12020-022-03094-9] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/24/2021] [Accepted: 05/23/2022] [Indexed: 11/29/2022]
Abstract
OBJECTIVE To evaluate the interaction effect of blood glucose and blood pressure on the risk of chronic kidney disease (CKD). METHODS 31,165 subjects were selected without CKD at baseline and had completed the first follow-up from "Jinchang cohort". Cox regression model and restricted cubic splines functions were used to evaluate the effects of blood glucose or pressure on the incidence of CKD and dose-response relationship after adjusting for confounding covariates. Synergic effect was assessed by the multiplicative or additive interaction scale. RESULTS Among 31,165 subjects, 1307 new-onset CKD were observed during 68905.78 person-years follow-up, and the incidence density was 18.97 per 1000 person-years. The risk of CKD gradually increased with the increase of blood pressure in diabetes, pre-diabetes and normal groups (Ptrend < 0.05). And, the risk was greatest when SBP/DBP reached ≥150/≥110 mmHg in three groups, and HRs (95% CI) were 1.610 (1.070-2.422), 2.142 (1.396-3.288) and 2.455 (1.941-3.106), respectively. Additionally, among hypertension, pre-hypertension and normal groups, the risk of CKD increased by 16.0%, 14.3% and 25.2% for each 1 mmol/L of FPG. When FPG level was more than 9.0 mmol/L, the risk was greatest and adjusted HRs (95% CI) were 2.856 (2.176-3.748), 2.979 (1.828-4.854) and 7.520 (4.517-12.519). Furthermore, the risk was highest when hypertension was accompanied by diabetes (HR = 4.915, 95% CI: 3.923-6.157). This analysis supported a less than multiplicative effect (HR = 0.634, 95% CI: 0.417-0.964) for the interaction term of diabetes and hypertension, while there was no additive interaction towards CKD in all interaction term. CONCLUSIONS Blood glucose and pressure were independent risk factors in incidence of CKD, but there was only a negative multiplicative interaction between hypertension and diabetes, but no additive interaction effect between them.
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Affiliation(s)
- Minzhen Wang
- Department of Epidemiology and Statistics, School of Public Health, Lanzhou University, Lanzhou, 730000, Gansu, China
| | - Miao Xia
- Department of Epidemiology and Statistics, School of Public Health, Lanzhou University, Lanzhou, 730000, Gansu, China
| | - Hongyan Yang
- Department of Epidemiology and Statistics, School of Public Health, Lanzhou University, Lanzhou, 730000, Gansu, China
| | - Desheng Zhang
- Workers' Hospital of Jinchuan Group Co, Ltd, Jinchang, 737100, Gansu, China
| | - Yanan Zhao
- Department of Epidemiology and Statistics, School of Public Health, Lanzhou University, Lanzhou, 730000, Gansu, China
| | - Yingqian He
- Department of Epidemiology and Statistics, School of Public Health, Lanzhou University, Lanzhou, 730000, Gansu, China
| | - Jing Liu
- Department of Epidemiology and Statistics, School of Public Health, Lanzhou University, Lanzhou, 730000, Gansu, China
| | - Lulu Zhang
- Department of Epidemiology and Statistics, School of Public Health, Lanzhou University, Lanzhou, 730000, Gansu, China
| | - Chun Yin
- Workers' Hospital of Jinchuan Group Co, Ltd, Jinchang, 737100, Gansu, China.
| | - Yana Bai
- Department of Epidemiology and Statistics, School of Public Health, Lanzhou University, Lanzhou, 730000, Gansu, China.
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11
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Mediating effects of insulin resistance on the development of hypertension associated with elevated serum uric acid: a prospective cohort study. J Hum Hypertens 2022; 36:760-766. [PMID: 34148058 DOI: 10.1038/s41371-021-00562-z] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/13/2020] [Revised: 05/28/2021] [Accepted: 06/07/2021] [Indexed: 11/08/2022]
Abstract
Many studies have demonstrated that elevated serum uric acid independently increases the risk of developing hypertension. However, the role of insulin resistance in the relationship between serum uric acid and hypertension is still unelucidated. Based on a prospective cohort study, we aimed to examine the longitudinal link between serum uric acid and hypertension and whether this relationship was mediated by insulin resistance. Overall, 21,999 participants without hypertension or gout at baseline with a mean age of 46 ± 13 years in the Jinchang Cohort were included in our study. Adjusted Cox-regression analyses and mediation analyses were performed to assess the risk of hypertension by serum uric acid quartile distribution and whether insulin resistance mediated the association between serum uric acid and hypertension. During the first follow-up period, 3080 participants developed hypertension. After controlling for covariates, compared with the lowest quartile of serum uric acid, the risk of hypertension in the highest quartile was 1.21 (1.06, 1.38) in the overall population. The risks for males and females were 1.14 (1.00-1.29) and 1.30 (1.08-1.56), respectively. The correlation between serum uric acid and hypertension was especially observed in younger people (<30 years). The mediating effects of insulin resistance were 0.058 (0.051, 0.065), 0.030 (0.025, 0.036) and 0.056 (0.047, 0.065), and the proportions mediated were 39.73, 36.59 and 38.62% in the overall, male and female populations, respectively. Elevated serum uric acid levels are associated with an increased risk of incident hypertension, and insulin resistance may play a mediating role in the relationship between serum uric acid and hypertension.
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12
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Bai Y, Yang J, Cheng Z, Zhang D, Wang R, Zhang R, Bai Z, Zheng S, Wang M, Yin C, Hu X, Wang Y, Xu L, Chen Y, Li J, Li S, Hu Y, Li N, Zhang W, Liu Y, Li J, Ren X, Kang F, Wu X, Ding J, Cheng N. Cohort Profile Update: the China Metal-Exposed workers Cohort Study (Jinchang Cohort). Eur J Epidemiol 2022; 37:641-649. [PMID: 35713795 DOI: 10.1007/s10654-022-00875-4] [Citation(s) in RCA: 8] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/13/2021] [Accepted: 04/21/2022] [Indexed: 11/30/2022]
Abstract
The Jinchang Cohort was an ongoing 20-year ambispective cohort with unique metal exposures to an occupational population. From January 2014 to December 2019, the Jinchang Cohort has completed three phases of follow-up. The baseline cohort was completed from June 2011 to December 2013, and a total of 48 001 people were included. Three phases of follow-ups included 46 713, 41 888, and 40 530 participants, respectively. The death data were collected from 2001 to 2020. The epidemiological, physical examination, physiological, and biochemical data of the cohort were collected at baseline and during follow-up. Biological specimens were collected on the baseline to establish a biological specimen bank. The concentrations of metals in urine and serum were detected by inductively coupled plasma mass spectrometry (ICP-MS). The new areas of research aim to study the all-cases mortality, the burden of diseases, heavy metals and diseases, and the course of the chain from disease to high-risk outcomes using a combination of macro and micro means, which provided a scientific basis to explore the pathogenesis of multi-etiology and multi-disease and to evaluate the effects of the intervention measures in the population.
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Affiliation(s)
- Yana Bai
- Institution of Epidemiology and Statistics, School of Public Health, Lanzhou University, 730000, Lanzhou, Gansu, P.R. China.
| | - Jingli Yang
- Institution of Epidemiology and Statistics, School of Public Health, Lanzhou University, 730000, Lanzhou, Gansu, P.R. China
| | - Zhiyuan Cheng
- School of Public Health and Emergency Management, Southern University of Science and Technology, 518055, Shenzhen, Guangdong, P.R. China
| | - Desheng Zhang
- Workers' Hospital of Jinchuan Corporation, Jinchuan Group CO., LTD, 737100, Jinchuan, Gansu, P.R. China
| | - Ruonan Wang
- Institution of Epidemiology and Statistics, School of Public Health, Lanzhou University, 730000, Lanzhou, Gansu, P.R. China
| | - Rui Zhang
- Institution of Epidemiology and Statistics, School of Public Health, Lanzhou University, 730000, Lanzhou, Gansu, P.R. China
| | - Zhao Bai
- Institution of Epidemiology and Statistics, School of Public Health, Lanzhou University, 730000, Lanzhou, Gansu, P.R. China
| | - Shan Zheng
- Institution of Epidemiology and Statistics, School of Public Health, Lanzhou University, 730000, Lanzhou, Gansu, P.R. China
| | - Minzhen Wang
- Institution of Epidemiology and Statistics, School of Public Health, Lanzhou University, 730000, Lanzhou, Gansu, P.R. China
| | - Chun Yin
- Workers' Hospital of Jinchuan Corporation, Jinchuan Group CO., LTD, 737100, Jinchuan, Gansu, P.R. China
| | - Xiaobin Hu
- Institution of Epidemiology and Statistics, School of Public Health, Lanzhou University, 730000, Lanzhou, Gansu, P.R. China
| | - Yufeng Wang
- Workers' Hospital of Jinchuan Corporation, Jinchuan Group CO., LTD, 737100, Jinchuan, Gansu, P.R. China
| | - Lulu Xu
- Institution of Epidemiology and Statistics, School of Public Health, Lanzhou University, 730000, Lanzhou, Gansu, P.R. China
| | - Yarong Chen
- Institution of Epidemiology and Statistics, School of Public Health, Lanzhou University, 730000, Lanzhou, Gansu, P.R. China
| | - Jing Li
- Institution of Epidemiology and Statistics, School of Public Health, Lanzhou University, 730000, Lanzhou, Gansu, P.R. China
| | - Siyu Li
- Institution of Epidemiology and Statistics, School of Public Health, Lanzhou University, 730000, Lanzhou, Gansu, P.R. China
| | - Yujia Hu
- Institution of Epidemiology and Statistics, School of Public Health, Lanzhou University, 730000, Lanzhou, Gansu, P.R. China
| | - Na Li
- Workers' Hospital of Jinchuan Corporation, Jinchuan Group CO., LTD, 737100, Jinchuan, Gansu, P.R. China
| | - Wenling Zhang
- Institution of Epidemiology and Statistics, School of Public Health, Lanzhou University, 730000, Lanzhou, Gansu, P.R. China
| | - Yanyan Liu
- Institution of Epidemiology and Statistics, School of Public Health, Lanzhou University, 730000, Lanzhou, Gansu, P.R. China
| | - Juansheng Li
- Institution of Epidemiology and Statistics, School of Public Health, Lanzhou University, 730000, Lanzhou, Gansu, P.R. China
| | - Xiaowei Ren
- Institution of Epidemiology and Statistics, School of Public Health, Lanzhou University, 730000, Lanzhou, Gansu, P.R. China
| | - Feng Kang
- Workers' Hospital of Jinchuan Corporation, Jinchuan Group CO., LTD, 737100, Jinchuan, Gansu, P.R. China
| | - Xijiang Wu
- Workers' Hospital of Jinchuan Corporation, Jinchuan Group CO., LTD, 737100, Jinchuan, Gansu, P.R. China
| | - Jiao Ding
- Workers' Hospital of Jinchuan Corporation, Jinchuan Group CO., LTD, 737100, Jinchuan, Gansu, P.R. China
| | - Ning Cheng
- School of Basic Medical Science, Lanzhou University, 730000, Lanzhou, Gansu, P.R. China
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Cheng Z, Li Y, Young JL, Cheng N, Yang C, Papandonatos GD, Kelsey KT, Wise JP, Shi K, Zheng T, Liu S, Bai Y. Long-term association of serum selenium levels and the diabetes risk: Findings from a case-control study nested in the prospective Jinchang Cohort. THE SCIENCE OF THE TOTAL ENVIRONMENT 2022; 818:151848. [PMID: 34822883 PMCID: PMC8909917 DOI: 10.1016/j.scitotenv.2021.151848] [Citation(s) in RCA: 4] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/05/2021] [Revised: 11/16/2021] [Accepted: 11/17/2021] [Indexed: 05/07/2023]
Abstract
An increasing body of evidence implicates high levels of selenium intake in the development of diabetes, although prospective studies remain sparse. We conducted a nested case-control study of 622 diabetes incident cases and 622-age, sex, and follow-up time-matched controls in the prospective Jinchang cohort of 48,001 participants with a median of 5.8 years of follow-up. Inductively coupled plasma mass spectrometry (ICP-MS) was used to measure all 622 case-control pairs' baseline serum levels of selenium (Se), which were then categorized into quartiles based on the frequency distribution among the controls. Multivariable adjusted conditional logistic regression and restricted cubic splines (RCS) models were applied to evaluate independent odds ratios (OR) as estimates for relative risks (RR) of diabetes according to quartiles (Q) of selenium levels. Compared to the lowest quartile (Q1 as reference), significantly greater diabetes risks (with 95% confidence interval) were observed in Q3 (OR = 1.62, 1.17-2.35) and Q4 (OR = 1.79, 1.21-2.64). Sub-analyses showed these increased risks of diabetes by serum levels of Se. appeared to differ by sex, age, BMI status, history of hypertension, and dyslipidemia. Further, application of RSC models showed that serum Se levels between 95 and 120 μg/L were significantly and positively associated with diabetes risk whereas no apparent relation exists when Se levels were under 95 μg/L in this cohort population.
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Affiliation(s)
- Zhiyuan Cheng
- School of Public Health and Emergency Management, Southern University of Science and Technology, 1088 Xueyuan Street, Shenzhen 518055, China
| | - Yuanyuan Li
- Key Laboratory of Environment and Health, Ministries of Education and Environmental Protection, and State Key Laboratory of Environmental Health (Incubation), School of Public Health, Tongji Medical College, Huazhong University of Science and Technology, 13 Hangkong Street, Wuhan, Hubei, 430030, China
| | - Jamie L Young
- Department of Pharmacology and Toxicology, School of Medicine, University of Louisville, 505 South Hancock Street, Louisville, KY 40202, USA
| | - Ning Cheng
- School of Basic Medical Science, Lanzhou University, 199 Donggang West Street, Lanzhou, Gansu 730000, China
| | - Chenhui Yang
- Key Laboratory of Environment and Health, Ministries of Education and Environmental Protection, and State Key Laboratory of Environmental Health (Incubation), School of Public Health, Tongji Medical College, Huazhong University of Science and Technology, 13 Hangkong Street, Wuhan, Hubei, 430030, China
| | - George D Papandonatos
- Department of Biostatistics, School of Public Health, Brown University, 121 South Main Street, Providence, RI 02901, USA
| | - Karl T Kelsey
- Department of Epidemiology, School of Public Health, Brown University, 121 South Main Street, Providence, RI 02901, USA
| | - John Pierce Wise
- Department of Pharmacology and Toxicology, School of Medicine, University of Louisville, 505 South Hancock Street, Louisville, KY 40202, USA; Wise Laboratory of Environmental and Genetic Toxicology, University of Louisville, 500 S. Preston St., 55A, Room 1422, Louisville, KY 40202, USA
| | - Kunchong Shi
- Department of Epidemiology, School of Public Health, Brown University, 121 South Main Street, Providence, RI 02901, USA
| | - Tongzhang Zheng
- Department of Epidemiology, School of Public Health, Brown University, 121 South Main Street, Providence, RI 02901, USA
| | - Simin Liu
- Department of Epidemiology, School of Public Health, Brown University, 121 South Main Street, Providence, RI 02901, USA
| | - Yana Bai
- Department of Epidemiology and Statistics, School of Public Health, Lanzhou University, 199 Donggang West Street, Lanzhou, Gansu 730000, China.
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Zheng S, Luo Y, Miao Q, Cheng Z, Liu Y, Lv K, Zhang D, Yin C, Wang M, Bai Y. Serum Uric Acid Levels and Their Changes and Risk of Stroke: A 7-Year Prospective Cohort Study in Northwest China. Cerebrovasc Dis 2021; 51:225-234. [PMID: 34644707 DOI: 10.1159/000519142] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/26/2021] [Accepted: 08/18/2021] [Indexed: 11/19/2022] Open
Abstract
INTRODUCTION It is not clear whether serum uric acid (SUA) levels and their changes over time are associated with the risk of stroke. A 7-year prospective cohort study in northwest China was conducted to analyze effects of SUA and their changes on the risk of stroke. METHODS A total of 23,262 individuals without cardiovascular disease in the Jinchang cohort were followed up for an average of 5.26 years. The Cox proportional hazard model was used to estimate the hazard ratios (HRs) and 95% confidence interval (95% CI) of stroke incidence to SUA and relative changes in SUA. Sensitivity analysis was performed after controlling the effect of renal insufficiency. RESULTS Baseline SUA and relative changes in SUA were positively correlated with the incidence of stroke in both males and females (p for overall association <0.0001). Stroke risk increased by 4.6% per 10% increase in the relative change of SUA (HR = 1.046, 95% CI, 1.007-1.086). The fully adjusted regression analysis demonstrated that only the large gain (>30%) in SUA was associated with an increased risk of stroke by 36.5% (95% CI, 1.8-83.0%), compared with the reference group (participants within ±10% changes in SUA). The same trend was observed in people with normal baseline SUA. In the unadjusted model, the risk of stroke associated with elevated SUA was significantly higher in the hyperuricemia group than in the normal SUA group. CONCLUSION High initial SUA concentration and an increase in SUA concentration over time would increase the risk of stroke, and this means that there is no safe increase in SUA.
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Affiliation(s)
- Shan Zheng
- Institute of Epidemiology and Statistics, School of Public Health, Lanzhou University, Lanzhou, China
| | - Yan Luo
- Institute of Epidemiology and Statistics, School of Public Health, Lanzhou University, Lanzhou, China
| | - Qian Miao
- Institute of Epidemiology and Statistics, School of Public Health, Lanzhou University, Lanzhou, China
| | - Zhiyuan Cheng
- School of Public Health, Brown University, Providence, Rhode Island, USA
| | - Yanli Liu
- Institute of Epidemiology and Statistics, School of Public Health, Lanzhou University, Lanzhou, China
| | - Kang Lv
- Institute of Epidemiology and Statistics, School of Public Health, Lanzhou University, Lanzhou, China
| | - Desheng Zhang
- Workers' Hospital of Jinchuan Group Co., Ltd., Jinchang, China
| | - Chun Yin
- Workers' Hospital of Jinchuan Group Co., Ltd., Jinchang, China
| | - Minzhen Wang
- Institute of Epidemiology and Statistics, School of Public Health, Lanzhou University, Lanzhou, China
| | - Yana Bai
- Institute of Epidemiology and Statistics, School of Public Health, Lanzhou University, Lanzhou, China
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Zheng S, Zhu W, Shi Q, Wang M, Nie Y, Zhang D, Cheng Z, Yin C, Miao Q, Luo Y, Bai Y. Effects of cold and hot temperature on metabolic indicators in adults from a prospective cohort study. THE SCIENCE OF THE TOTAL ENVIRONMENT 2021; 772:145046. [PMID: 33581536 DOI: 10.1016/j.scitotenv.2021.145046] [Citation(s) in RCA: 10] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/26/2020] [Revised: 12/23/2020] [Accepted: 01/03/2021] [Indexed: 06/12/2023]
Abstract
BACKGROUND Previous studies have found that exposed to low and high outdoor temperature was associated with cardiovascular diseases morbidity and mortality. The risk factors for cardiovascular disease include high blood lipid, high uric acid (UA) and high fasting plasma glucose (FPG). However, few studies have explored the effects of low and high temperature on these metabolic indicators. OBJECTIVE To explore the effect of low and high temperature on metabolic indicators in adults from northwest of China. METHODS Based on a prospective cohort study, a total of 30,759 individuals who participated in both baseline and first follow-up from 2011 to 2015 were selected in this study. The meteorological observation data and environmental monitoring data were collected in the same period. Associations between cold and hot temperature and blood lipid (total cholesterol (TC), triglycerides (TG), low density lipoprotein-cholesterol (LDL-C), and high density lipoprotein-cholesterol (HDL-C)), UA and FPG were conducted with mixed effect models after adjusting for confounding factors. RESULTS A nonlinear relationship between outdoor temperature and metabolic indicators was found. For the cold effects, each 5 °C decrease of mean temperature was associated with an increase of 5.07% (95% CI: 3.52%, 6.63%) in TG and 2.85% (95% CI: 2.18%, 3.53%) in UA, While a decrease of 3.38% (95% CI: 2.67%, 4.09%) in HDL-C and 1.26% (95% CI: 0.48%, 2.04%) in LDL-C. For the heat effects, each 5 °C increase in mean temperature was associated with 1.82% (95% CI: 0.89%, 2.76%), 0.56% (95% CI: 0.11%, 1.00%), 5.82% (95% CI: 4.58%, 7.06%), 9.02% (95% CI: 7.17%, 10.87%), 0.20% (95% CI: 0.01%, 0.40%), and 1.22% (95% CI: 0.19%, 2.24%) decrease in TC, TG, HDL-C, LDL-C, UA and FPG. Age, smoking, drinking, high-oil diet and hyperlipidemia might modify the association between mean temperature and metabolic indicators. CONCLUSION There was a significant effect of cold and hot temperature on metabolic indicators in a high altitude area of northwestern China. These results provide a basis for understanding the underlying mechanism of the influence of temperature on metabolic diseases.
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Affiliation(s)
- Shan Zheng
- Institute of Epidemiology and Statistics, School of Public Health, Lanzhou University, Lanzhou 73000, China.
| | - Wenzhi Zhu
- Institute of Epidemiology and Statistics, School of Public Health, Lanzhou University, Lanzhou 73000, China
| | - Qin Shi
- Institute of Epidemiology and Statistics, School of Public Health, Lanzhou University, Lanzhou 73000, China
| | - Minzhen Wang
- Institute of Epidemiology and Statistics, School of Public Health, Lanzhou University, Lanzhou 73000, China
| | - Yonghong Nie
- Jinchang Center for Disease Prevention and Control, Jinchang 737100, China
| | - Desheng Zhang
- Workers' Hospital of Jinchuan Group Co., Ltd., Jinchang 737103, China
| | - Zhiyuan Cheng
- School of Public Health, Brown University, Providence, RI 02903, USA
| | - Chun Yin
- Workers' Hospital of Jinchuan Group Co., Ltd., Jinchang 737103, China
| | - Qian Miao
- Institute of Epidemiology and Statistics, School of Public Health, Lanzhou University, Lanzhou 73000, China
| | - Yan Luo
- Institute of Epidemiology and Statistics, School of Public Health, Lanzhou University, Lanzhou 73000, China
| | - Yana Bai
- Institute of Epidemiology and Statistics, School of Public Health, Lanzhou University, Lanzhou 73000, China.
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The association between gallstone disease (GSD) and the incidence of prediabetes and type 2 diabetes mellitus (type 2 DM): a prospective cohort study. Int J Diabetes Dev Ctries 2019. [DOI: 10.1007/s13410-019-00748-9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/26/2022] Open
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17
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Yang AM, Hu XB, Liu S, Cheng N, Zhang DS, Li JS, Li HY, Ren XW, Li N, Sheng XP, Ding J, Zheng S, Wang MZ, Zheng TZ, Bai YN. Occupational exposure to heavy metals, alcohol intake, and risk of type 2 diabetes and prediabetes among Chinese male workers. Chronic Dis Transl Med 2019; 5:97-104. [PMID: 31367698 PMCID: PMC6656874 DOI: 10.1016/j.cdtm.2019.05.002] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/28/2019] [Indexed: 12/17/2022] Open
Abstract
OBJECTIVE Both exposure to heavy metals and alcohol intake have been related to the risk of type 2 diabetes (T2D). In this study, we aimed to assess the potential interactions between metal exposure and alcohol intake on the risk of T2D and prediabetes in a cohort of Chinese male workers. METHODS We conducted a cross-sectional analysis of 26,008 Chinese male workers in an occupational cohort study from 2011 to 2013. We assessed metal exposure and alcohol consumption at baseline in these workers who were aged ≥20 years. Based on occupations which were categorized according to measured urine metal levels, multiple logistic regression analyses were used to evaluate the independent and joint effects of metal and alcohol exposure on the risk of T2D and prediabetes. RESULTS Risks of T2D (P trend = 0.001) and prediabetes (P trend = 0.001) were significantly elevated with increasing number of standard drinks per week, years of drinking, and lifetime alcohol consumption. An adjusted odds ratio (OR) of 6.1 (95% confidence interval [CI]: 4.8-7.8) was observed for the smelting/refining workers (highest metal exposure levels) who had the highest lifetime alcohol consumption (>873 kg) (P interaction = 0.018), whereas no statistically significant joint effect was found for prediabetes (P interaction = 0.515). CONCLUSIONS Both exposures to metal and heavy alcohol intake were associated with the risk of diabetes in this large cohort of male workers. There was a strong interaction between these two exposures in affecting diabetes risk that needs to be confirmed in future studies.
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Affiliation(s)
- Ai-Min Yang
- Institute of Epidemiology and Statistics, School of Public Health, Lanzhou University, Lanzhou, Gansu 730000, China
- Department of Epidemiology, School of Public Health, Brown University, Providence, RI 02912, USA
| | - Xiao-Bin Hu
- Institute of Epidemiology and Statistics, School of Public Health, Lanzhou University, Lanzhou, Gansu 730000, China
| | - Simin Liu
- Department of Epidemiology, School of Public Health, Brown University, Providence, RI 02912, USA
| | - Ning Cheng
- Center of Medical Laboratory, Lanzhou University, Lanzhou, Gansu 730000, China
| | - De-Sheng Zhang
- Workers' Hospital of Jinchuan Group Co., Ltd., Jinchang, Gansu 737100, China
| | - Juan-Sheng Li
- Institute of Epidemiology and Statistics, School of Public Health, Lanzhou University, Lanzhou, Gansu 730000, China
| | - Hai-Yan Li
- Workers' Hospital of Jinchuan Group Co., Ltd., Jinchang, Gansu 737100, China
| | - Xiao-Wei Ren
- Institute of Epidemiology and Statistics, School of Public Health, Lanzhou University, Lanzhou, Gansu 730000, China
| | - Na Li
- Workers' Hospital of Jinchuan Group Co., Ltd., Jinchang, Gansu 737100, China
| | - Xi-Pin Sheng
- Institute of Epidemiology and Statistics, School of Public Health, Lanzhou University, Lanzhou, Gansu 730000, China
| | - Jiao Ding
- Workers' Hospital of Jinchuan Group Co., Ltd., Jinchang, Gansu 737100, China
| | - Shan Zheng
- Institute of Epidemiology and Statistics, School of Public Health, Lanzhou University, Lanzhou, Gansu 730000, China
| | - Min-Zheng Wang
- Institute of Epidemiology and Statistics, School of Public Health, Lanzhou University, Lanzhou, Gansu 730000, China
| | - Tong-Zhang Zheng
- Department of Epidemiology, School of Public Health, Brown University, Providence, RI 02912, USA
| | - Ya-Na Bai
- Institute of Epidemiology and Statistics, School of Public Health, Lanzhou University, Lanzhou, Gansu 730000, China
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Ren XY, Shi D, Ding J, Cheng ZY, Li HY, Li JS, Pu HQ, Yang AM, He CL, Zhang JP, Ma YB, Zhang YW, Zheng TZ, Bai YN, Cheng N. Total cholesterol to high-density lipoprotein cholesterol ratio is a significant predictor of nonalcoholic fatty liver: Jinchang cohort study. Lipids Health Dis 2019; 18:47. [PMID: 30744645 PMCID: PMC6371543 DOI: 10.1186/s12944-019-0984-9] [Citation(s) in RCA: 35] [Impact Index Per Article: 7.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/20/2018] [Accepted: 01/23/2019] [Indexed: 12/17/2022] Open
Abstract
BACKGROUND Some studies found out that TC/HDL-C ratio is a predictor of Cardiovascular disease (CVD) and Nonalcoholic fatty liver (NAFLD) is related to CVD. And some researches have already studied that Apolipoprotein B to Apolipoprotein A1 ratio (ApoB/ApoA1) and Triglyceride to High-density lipoprotein cholesterol ratio (TG/HDL-C) were both related with CVD and NAFLD, but few studied the association between TC/HDL-C ratio and NAFLD. So, we suspected the ratio was also related to NAFLD. The research aims to study the predictive value of TC/HDL-C to NAFLD and to help the early detection of NAFLD. METHODS Based on the Jinchang Cohort, the study contained 32,121 participants. We assessed the incidence of NAFLD by the quartiles of TC, HDL-C and TC/HDL-C. Then, the does-response relationship between these indicators and the risk of NAFLD was obtained. Finally, the receiver operator characteristic curve (ROC) was applied to decide the predictive value of TC/HDL-C. RESULTS Among the study participants, the cumulative incidence of NAFLD was 6.30% and the rate of dyslipidemia was 40.37%. The biochemical indicators of NAFLD had a difference with general population. The incidence of NAFLD raised with the quartiles of TC, TG and LDL-C raising, while decreased with the HDL-C' quartiles raising. After controlling confounding factors, TC and TC/HD-C had a positive relationship with NAFLD, while HDL-C had the opposite. Finally, the ROC analysis showed the area under the curve (AUC) of TC/HDL-C (0.645) was greater than TC (0.554), HDL-C (0.627) and Apolipoprotein B to Apolipoprotein A1 (ApoB/ApoA1) (0.613). CONCLUSIONS The TC/HDL-C ratio has significant predictive value to NAFLD.
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Affiliation(s)
- Xiao Yu Ren
- Key Laboratory of Preclinical Study for New Drugs of Gansu Province, Basic Medical College, Lanzhou University, Lanzhou, Gansu, 730000, People's Republic of China.,Institute of Epidemiology and Statistics, School of Public Health, Lanzhou University, Lanzhou, 730000, Gansu, People's Republic of China
| | - Dian Shi
- Key Laboratory of Preclinical Study for New Drugs of Gansu Province, Basic Medical College, Lanzhou University, Lanzhou, Gansu, 730000, People's Republic of China.,Institute of Epidemiology and Statistics, School of Public Health, Lanzhou University, Lanzhou, 730000, Gansu, People's Republic of China
| | - Jiao Ding
- Workers' Hospital of Jinchuan Group Co., Ltd., Jinchang, Gansu, China
| | - Zhi Yuan Cheng
- Institute of Epidemiology and Statistics, School of Public Health, Lanzhou University, Lanzhou, 730000, Gansu, People's Republic of China.,Department of Surgery, School of Medicine, Yale Cancer Center, Yale University, City of New haven, CT, USA
| | - Hai Yan Li
- Workers' Hospital of Jinchuan Group Co., Ltd., Jinchang, Gansu, China
| | - Juan Sheng Li
- Institute of Epidemiology and Statistics, School of Public Health, Lanzhou University, Lanzhou, 730000, Gansu, People's Republic of China
| | - Hong Quan Pu
- Workers' Hospital of Jinchuan Group Co., Ltd., Jinchang, Gansu, China
| | - Ai Min Yang
- Institute of Epidemiology and Statistics, School of Public Health, Lanzhou University, Lanzhou, 730000, Gansu, People's Republic of China.,Department of Epidemiology, School of Public Health, Brown University, City of Providence, RI, USA
| | - Cai Li He
- Institute of Epidemiology and Statistics, School of Public Health, Lanzhou University, Lanzhou, 730000, Gansu, People's Republic of China
| | - Jian Ping Zhang
- Institute of Epidemiology and Statistics, School of Public Health, Lanzhou University, Lanzhou, 730000, Gansu, People's Republic of China
| | - Yu Bao Ma
- Institute of Epidemiology and Statistics, School of Public Health, Lanzhou University, Lanzhou, 730000, Gansu, People's Republic of China
| | - Ya Wei Zhang
- Department of Surgery, School of Medicine, Yale Cancer Center, Yale University, City of New haven, CT, USA
| | - Tong Zhang Zheng
- Department of Epidemiology, School of Public Health, Brown University, City of Providence, RI, USA
| | - Ya Na Bai
- Institute of Epidemiology and Statistics, School of Public Health, Lanzhou University, Lanzhou, 730000, Gansu, People's Republic of China.
| | - Ning Cheng
- Key Laboratory of Preclinical Study for New Drugs of Gansu Province, Basic Medical College, Lanzhou University, Lanzhou, Gansu, 730000, People's Republic of China.
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Cheng Z, Cheng N, Shi D, Ren X, Gan T, Bai Y, Yang K. The Relationship between Nkx2.1 and DNA Oxidative Damage Repair in Nickel Smelting Workers: Jinchang Cohort Study. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2019; 16:ijerph16010120. [PMID: 30621196 PMCID: PMC6339211 DOI: 10.3390/ijerph16010120] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 11/17/2018] [Revised: 12/28/2018] [Accepted: 12/30/2018] [Indexed: 01/24/2023]
Abstract
Background: Occupational nickel exposure can cause DNA oxidative damage and influence DNA repair. However, the underlying mechanism of nickel-induced high-risk of lung cancer has not been fully understood. Our study aims to evaluate whether the nickel-induced oxidative damage and DNA repair were correlated with the alterations in Smad2 phosphorylation status and Nkx2.1 expression levels, which has been considered as the lung cancer initiation gene. Methods: 140 nickel smelters and 140 age-matched administrative officers were randomly stratified by service length from Jinchang Cohort. Canonical regression, χ2 test, Spearman correlation etc. were used to evaluate the association among service length, MDA, 8-OHdG, hOGG1, PARP, pSmad2, and Nkx2.1. Results: The concentrations of MDA, PARP, pSmad2, and Nkx2.1 significantly increased. Nkx2.1 (rs = 0.312, p < 0.001) and Smad2 phosphorylation levels (rs = 0.232, p = 0.006) were positively correlated with the employment length in nickel smelters, which was not observed in the administrative officer group. Also, elevation of Nkx2.1 expression was positively correlated with service length, 8-OHdG, PARP, hOGG1 and pSmad2 levels in nickel smelters. Conclusions: Occupational nickel exposure could increase the expression of Nkx2.1 and pSmad2, which correlated with the nickel-induced oxidative damage and DNA repair change.
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Affiliation(s)
- Zhiyuan Cheng
- Evidence-Based Medicine Centre, School of Basic Medical Sciences, Lanzhou University, Lanzhou 730000, China.
- School of Public Health, Department of Epidemiology and Statistics, Lanzhou University, Lanzhou 730000, China.
| | - Ning Cheng
- Centre of Medical Laboratory, School of Basic Medical Science, Lanzhou University, Lanzhou 730000, China.
| | - Dian Shi
- School of Public Health, Department of Epidemiology and Statistics, Lanzhou University, Lanzhou 730000, China.
| | - Xiaoyu Ren
- School of Public Health, Department of Epidemiology and Statistics, Lanzhou University, Lanzhou 730000, China.
| | - Ting Gan
- School of Public Health, Department of Epidemiology and Statistics, Lanzhou University, Lanzhou 730000, China.
| | - Yana Bai
- School of Public Health, Department of Epidemiology and Statistics, Lanzhou University, Lanzhou 730000, China.
| | - Kehu Yang
- Evidence-Based Medicine Centre, School of Basic Medical Sciences, Lanzhou University, Lanzhou 730000, China.
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Reproductive Factors and Risk of Spontaneous Abortion in the Jinchang Cohort. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2018; 15:ijerph15112444. [PMID: 30400160 PMCID: PMC6266092 DOI: 10.3390/ijerph15112444] [Citation(s) in RCA: 14] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 10/03/2018] [Revised: 10/28/2018] [Accepted: 10/29/2018] [Indexed: 11/18/2022]
Abstract
The aim of this study was to investigate the association between female reproductive status and risk of spontaneous abortion among female workers in the Jinchang Cohort. This study used data obtained from a baseline survey of the Jinchang Cohort Study of female workers in Jinchang Industry, the largest nickel production company in China. A standardized, structured questionnaire was used to collect the health status of 18,834 female workers employed by the company from 2011 to 2013. Spearman grade correlation analysis and logistic regression models were used to evaluate the association between female reproductive status and risk of spontaneous abortion. The incidence rate of spontaneous abortion was 6.89%, and fatigue was associated with the risk of spontaneous abortion. The number of pregnancies, age at primary birth and age at the last pregnancy were associated with an increased risk of spontaneous abortion (rs = 0.190, p = 0.000; rs = 0.092, p = 0.000; rs = 0.061, p = 0.000; respectively). In addition, there was a negative correlation between the number of artificial abortions and spontaneous abortions (rs = −0.129, p = 0.000). Female reproductive status was associated with an increased risk of spontaneous abortion in this cohort. More studies are needed to confirm this observed association.
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Association between Short-Term Exposure to Air Pollution and Dyslipidemias among Type 2 Diabetic Patients in Northwest China: A Population-Based Study. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2018; 15:ijerph15040631. [PMID: 29601472 PMCID: PMC5923673 DOI: 10.3390/ijerph15040631] [Citation(s) in RCA: 33] [Impact Index Per Article: 5.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 02/25/2018] [Revised: 03/15/2018] [Accepted: 03/26/2018] [Indexed: 01/19/2023]
Abstract
Air pollution exposure may play an adverse role in diabetes. However, little data are available directly evaluating the effects of air pollution exposure in blood lipids of which dysfunction has been linked to diabetes or its complications. We aimed to evaluate the association between air pollution and lipids level among type 2 diabetic patients in Northwest China. We performed a population-based study of 3912 type 2 diabetes patients in an ongoing cohort study in China. Both spline and multiple linear regressions analysis were used to examine the association between short-term exposure to PM10, SO2, NO2 and total cholesterol (TC), triglycerides (TG), low-density lipoprotein cholesterol (LDL-C), and high-density lipoprotein cholesterol (HDL-C). By spline analyses, we observed that the relationship between SO2 and HDL-C and LDL-C was shown to be non-linear (p_non-lin-association = 0.0162 and 0.000). An inverted U-shaped non-linear relationship between NO2 and LDL-C was found (p_non-lin-association < 0.0001). A J-shaped non-linear relationship between PM10 and TC, HDL-C (p_non-lin-association = 0.0173, 0.0367) was also revealed. In linear regression analyses, a 10 μg/m3 increment in SO2 was associated with 1.31% (95% CI: 0.40–2.12%), 3.52% (95% CI: 1.07–6.03%) and 7.53% (95% CI: 5.98–9.09%) increase in TC, TG and LDL-C, respectively. A 10 μg/m3 increment in PM10 was associated with 0.45% (95% CI: 0.08–0.82%), 0.29% (95% CI: 0.10–0.49%) and 0.83% (95% CI: 0.21–1.45%) increase in TC, HDL-C and LDL-C, respectively. For NO2, an increment of 10 μg/m3 was statistically associated with −3.55% (95% CI: −6.40–0.61%) and 39.01% (95% CI: 31.43–47.03%) increase in HDL-C and LDL-C. The adverse effects of air pollutants on lipid levels were greater in female and elder people. Further, we found SO2 and NO2 played a more evident role in lipid levels in warm season, while PM10 appeared stronger in cold season. The findings suggest that exposure to air pollution has adverse effects on lipid levels among type 2 diabetes patients, and vulnerable people may pay more attention on severe air pollution days.
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Zhang J, Cheng N, Ma Y, Li H, Cheng Z, Yang Y, He C, Li J, Pu H, Shen X, Ren X, Shi D, Pu R, Gan T, Ding J, Zheng T, Bai Y. Liver Enzymes, Fatty Liver and Type 2 Diabetes Mellitus in a Jinchang Cohort: A Prospective Study in Adults. Can J Diabetes 2018; 42:652-658. [PMID: 29936075 DOI: 10.1016/j.jcjd.2018.02.002] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/14/2017] [Accepted: 02/05/2018] [Indexed: 12/14/2022]
Abstract
OBJECTIVES It is unclear whether liver enzymes or the interactions of various liver enzymes is a predictor of type 2 diabetes mellitus (T2DM), which is independent of fatty liver. METHODS A total of 48,001 subjects participated in baseline examinations. Among the subjects, 33,355 were followed for an average of 2.2 years. Cox proportional hazard models were used to examine the adjusted associations of AST, GGT and ALT with T2DM. RESULTS The cumulative incidence of T2DM was 8.05% to 9.02% for fatty liver and 2.25% to 4.10% for non-fatty liver, both showing statistically significant differences. Compared with the normal liver enzyme levels in the group with fatty liver, the adjusted incident hazard ratios in T2DM were: ALT 1.23 (95% CI 1.10 to 1.50); AST 1.30 (95% CI 1.07-1.59); and GGT 1.34 (95% CI 1.08 to 1.65). In addition, compared with the normal liver enzyme levels in the group with non-fatty liver, the adjusted incident hazard ratios in type 2 diabetes were: ALT 1.27 (95% CI 1.02 to 1.59); AST 1.33 (95% CI 1.02 to 1.59); and GGT 1.53 (95% CI 1.19 to 1.98). There are significant interactions of T2DM hazard ratios between GGT and ALT and between GGT and AST in addition to ALT and AST. CONCLUSIONS Our results suggest that the incidence of T2DM in the group with fatty liver is significantly higher than that in the normal population, and the rise of serum AST, GGT and ALT levels are risk factors independent of fatty liver for the development of T2DM after adjusting for confounding factors.
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Affiliation(s)
- Jianping Zhang
- Key Laboratory of Preclinical Study for New Drugs of Gansu Province, Basic Medical College, Lanzhou University, Lanzhou, Gansu, People's Republic of China; Institute of Epidemiology and Statistics, School of Public Health, Lanzhou University, Lanzhou, Gansu, People's Republic of China
| | - Ning Cheng
- Key Laboratory of Preclinical Study for New Drugs of Gansu Province, Basic Medical College, Lanzhou University, Lanzhou, Gansu, People's Republic of China.
| | - Yubao Ma
- Institute of Epidemiology and Statistics, School of Public Health, Lanzhou University, Lanzhou, Gansu, People's Republic of China
| | - Haiyan Li
- Workers' Hospital of Jinchuan Group Co., Ltd., Jinchang, Gansu, People's Republic of China
| | - Zhiyuan Cheng
- Institute of Epidemiology and Statistics, School of Public Health, Lanzhou University, Lanzhou, Gansu, People's Republic of China
| | - Yanxu Yang
- Institute of Epidemiology and Statistics, School of Public Health, Lanzhou University, Lanzhou, Gansu, People's Republic of China
| | - Caili He
- Institute of Epidemiology and Statistics, School of Public Health, Lanzhou University, Lanzhou, Gansu, People's Republic of China
| | - Juansheng Li
- Institute of Epidemiology and Statistics, School of Public Health, Lanzhou University, Lanzhou, Gansu, People's Republic of China
| | - Hongquan Pu
- Workers' Hospital of Jinchuan Group Co., Ltd., Jinchang, Gansu, People's Republic of China
| | - Xiping Shen
- Institute of Epidemiology and Statistics, School of Public Health, Lanzhou University, Lanzhou, Gansu, People's Republic of China
| | - Xiaoyu Ren
- Key Laboratory of Preclinical Study for New Drugs of Gansu Province, Basic Medical College, Lanzhou University, Lanzhou, Gansu, People's Republic of China; Institute of Epidemiology and Statistics, School of Public Health, Lanzhou University, Lanzhou, Gansu, People's Republic of China
| | - Dian Shi
- Key Laboratory of Preclinical Study for New Drugs of Gansu Province, Basic Medical College, Lanzhou University, Lanzhou, Gansu, People's Republic of China
| | - Ruiyang Pu
- Key Laboratory of Preclinical Study for New Drugs of Gansu Province, Basic Medical College, Lanzhou University, Lanzhou, Gansu, People's Republic of China
| | - Ting Gan
- Key Laboratory of Preclinical Study for New Drugs of Gansu Province, Basic Medical College, Lanzhou University, Lanzhou, Gansu, People's Republic of China; Institute of Epidemiology and Statistics, School of Public Health, Lanzhou University, Lanzhou, Gansu, People's Republic of China
| | - Jiao Ding
- Workers' Hospital of Jinchuan Group Co., Ltd., Jinchang, Gansu, People's Republic of China
| | - Tongzhang Zheng
- Department of Epidemiology, School of Public Health, Brown University, Providence, Rhode Island, United States
| | - Yana Bai
- Institute of Epidemiology and Statistics, School of Public Health, Lanzhou University, Lanzhou, Gansu, People's Republic of China
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Yang A, Liu S, Cheng Z, Pu H, Cheng N, Ding J, Li J, Li H, Hu X, Ren X, Yang K, Zheng T, Bai Y. Dose-response analysis of environmental exposure to multiple metals and their joint effects with fasting plasma glucose among occupational workers. CHEMOSPHERE 2017; 186:314-321. [PMID: 28787687 DOI: 10.1016/j.chemosphere.2017.08.002] [Citation(s) in RCA: 26] [Impact Index Per Article: 3.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/30/2017] [Revised: 07/12/2017] [Accepted: 08/01/2017] [Indexed: 06/07/2023]
Abstract
OBJECTIVES Environmental exposure to metals may adversely affect cardiometabolic health. However, little data are available directly evaluating the roles of metal exposure in blood glucose of which dysfunction has been linked to diabetes. We aimed to evaluate the dose-response associations between fasting plasma glucose (FPG) and multiple urinary metals including nickel, cobalt, copper, zinc, and arsenic, as well as to examine their joint effects among occupational workers. METHODS We performed a population-based study of 464 workers in an ongoing occupational cohort study in China. Both spline and categorical analyses were used to evaluate the dose-response relationship between urinary metals levels and FPG. RESULTS We observed the J-shaped non-linear relationships between urinary nickel (P non-linearity = 0.03) and zinc (P non-linearity < 0.01) with FPG by spline analyses. A negative linear relationship between urinary cobalt and FPG (P for nonlinearity = 0.06) was found, but no statistically significant associations between urinary copper and arsenic with FPG. In linear regression analyses, the regression coefficient for log-transferred FPG was 0.017 (95% confidence intervals [CI]: -0.003, 0.038) in the 4th quartile concentration of urinary nickel, compared with 1st quartile. The joint effects between urinary nickel and cobalt with FPG were also detected (P for interaction = 0.04). CONCLUSIONS Multiple urinary metals, particularly nickel, zinc and cobalt, were associated with blood glucose among Chinese metal exposed workers, supporting the notion that metal exposure may play a critical role in diabetes development.
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Affiliation(s)
- Aimin Yang
- Institute of Epidemiology and Statistics, School of Public Health, Lanzhou University, Lanzhou, Gansu, 730000, China; Department of Epidemiology, School of Public Health, Brown University, Providence, RI, 02912, USA
| | - Simin Liu
- Department of Epidemiology, School of Public Health, Brown University, Providence, RI, 02912, USA; Department of Medicine (Endocrinology), Rhode Island Hospital and the Alpert Medical School, Brown University, Providence, RI, 02908, USA
| | - Zhiyuan Cheng
- Evidence-Based Medicine Center and Key Laboratory of Evidence Based Medicine and Knowledge Translation of Gansu Province, College of Basic Medicine, Lanzhou University, Lanzhou, Gansu, 73000, China
| | - Hongquan Pu
- Workers' Hospital of Jinchuan Group Co., Ltd., Jinchang, Gansu, 737103, China
| | - Ning Cheng
- Center of Medical Laboratory, Lanzhou University, Lanzhou, Gansu, 730000, China
| | - Jiao Ding
- Workers' Hospital of Jinchuan Group Co., Ltd., Jinchang, Gansu, 737103, China
| | - Juansheng Li
- Institute of Epidemiology and Statistics, School of Public Health, Lanzhou University, Lanzhou, Gansu, 730000, China
| | - Haiyan Li
- Workers' Hospital of Jinchuan Group Co., Ltd., Jinchang, Gansu, 737103, China
| | - Xiaobin Hu
- Institute of Epidemiology and Statistics, School of Public Health, Lanzhou University, Lanzhou, Gansu, 730000, China
| | - Xiaowei Ren
- Institute of Epidemiology and Statistics, School of Public Health, Lanzhou University, Lanzhou, Gansu, 730000, China
| | - Kehu Yang
- Evidence-Based Medicine Center and Key Laboratory of Evidence Based Medicine and Knowledge Translation of Gansu Province, College of Basic Medicine, Lanzhou University, Lanzhou, Gansu, 73000, China
| | - Tongzhang Zheng
- Department of Epidemiology, School of Public Health, Brown University, Providence, RI, 02912, USA.
| | - Yana Bai
- Institute of Epidemiology and Statistics, School of Public Health, Lanzhou University, Lanzhou, Gansu, 730000, China.
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