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Sanders AP, Gennings C, Tamayo-Ortiz M, Mistry S, Pantic I, Martinez M, Estrada-Gutierrez G, Espejel-Nuñez A, Olascoaga LT, Wright RO, Téllez-Rojo MM, Arora M, Austin C. Prenatal and early childhood critical windows for the association of nephrotoxic metal and metalloid mixtures with kidney function. Environ Int 2022; 166:107361. [PMID: 35797845 PMCID: PMC9792626 DOI: 10.1016/j.envint.2022.107361] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 04/07/2022] [Revised: 04/21/2022] [Accepted: 06/15/2022] [Indexed: 05/30/2023]
Abstract
INTRODUCTION As renal development and maturation processes begin in utero and continue through early childhood, sensitive developmental periods arise during which metal exposures can program subclinical nephrotoxicity that manifests later in life. We used novel dentine biomarkers of established nephrotoxicants including arsenic (As), cadmium (Cd), lead (Pb), chromium (Cr), and lithium (Li), and their mixtures, to identify critical windows of exposure-associated kidney function alterations in preadolescents. METHODS Participants included 353 children in the Programming Research in Obesity Growth, Environment and Social Stressors (PROGRESS) longitudinal birth cohort study based in Mexico City. Estimated glomerular filtration rate (eGFR) was assessed in 8-12 year old children using serum cystatin C measures. Pre- and postnatal metal(loid) concentrations were assessed in weekly increments by analyzing deciduous teeth with laser ablation-inductively coupled plasma-mass spectrometry. We used reverse distributed lag models (rDLMs) and lagged Weighted Quantile Sum (L-WQS) regression to examine time-varying associations between weekly perinatal metal(loid) exposure or metal(loid) mixtures and preadolescent eGFR while adjusting for age, sex, BMI z-score, SES and prenatal tobacco smoke exposure. RESULTS We identified a critical window of susceptibility to Pb exposure, in the late 3rd trimester (5 weeks prior to birth) during which higher Pb exposure was associated with children's increased eGFR. When all elements were assessed as a mixture, we identified late 2nd/early 3rd trimester (weeks 8-17 of gestation) as a window of vulnerability associated with decreased eGFR, with Li and Cr contributing the greatest weights to the association. When stratified by sex, we observed stronger effects among boys than girls. CONCLUSIONS Using tooth-matrix biomarkers, we identified discrete developmental exposure windows wherein Pb and metal(loid) mixtures were associated with altered preadolescent kidney function.
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Affiliation(s)
- Alison P Sanders
- Department of Environmental and Occupational Health, Graduate School of Public Health, University of Pittsburgh, Pittsburgh, PA, USA; Department of Pediatrics, Icahn School of Medicine at Mount Sinai, NY, USA
| | - Chris Gennings
- Department of Environmental Medicine and Public Health, Icahn School of Medicine at Mount Sinai, New York, NY, USA
| | - Marcela Tamayo-Ortiz
- Occupational Health Research Unit, Mexican Social Security Institute, Mexico City, Mexico
| | - Shachi Mistry
- Department of Environmental Medicine and Public Health, Icahn School of Medicine at Mount Sinai, New York, NY, USA
| | - Ivan Pantic
- Research Division, National Institute of Perinatology, Mexico City, Mexico
| | - Mauro Martinez
- Department of Environmental Medicine and Public Health, Icahn School of Medicine at Mount Sinai, New York, NY, USA
| | | | | | - Libni Torres Olascoaga
- Center for Nutrition and Health Research, National Institute of Public Health, Cuernavaca, Morelos, Mexico
| | - Robert O Wright
- Department of Pediatrics, Icahn School of Medicine at Mount Sinai, NY, USA; Department of Environmental Medicine and Public Health, Icahn School of Medicine at Mount Sinai, New York, NY, USA
| | - Martha M Téllez-Rojo
- Center for Nutrition and Health Research, National Institute of Public Health, Cuernavaca, Morelos, Mexico
| | - Manish Arora
- Department of Environmental Medicine and Public Health, Icahn School of Medicine at Mount Sinai, New York, NY, USA
| | - Christine Austin
- Department of Environmental Medicine and Public Health, Icahn School of Medicine at Mount Sinai, New York, NY, USA.
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English L, Carmona YR, Peterson KE, Jansen EC, Téllez Rojo MM, Torres Olascoaga L, Cantoral A. Changes in Sugar Sweetened Beverage Intake Are Associated with Changes in Body Composition in Mexican Adolescents: Findings from the ELEMENT Cohort. Nutrients 2022; 14:719. [PMID: 35277078 PMCID: PMC8839416 DOI: 10.3390/nu14030719] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/06/2022] [Revised: 01/31/2022] [Accepted: 02/04/2022] [Indexed: 02/04/2023] Open
Abstract
Changes in consumption of sugar sweetened beverage (SSBs) have been associated with increased body mass index (BMI), but little work has evaluated the effect on waist circumference (WC) and body fat percentage during adolescence, a period characterized by rapid growth and change in dietary behaviors. We examined the relationship of changes in SSB intake and changes in adiposity over two years in 464 Mexican adolescents. Food frequency questionnaires were used to sum intake of regular soda, coffee with sugar, tea with sugar, sweetened water with fruit, chocolate milk, corn atole, and a sweetened probiotic milk beverage. Linear regression models were used to estimate the associations of changes in SSBs with changes in BMI, body fat percentage, and WC, adjusting for sex, socioeconomic status, screen time, physical activity, age, and change in age. Adolescents who increased their daily SSB intake by >2 serving had a −2.72% higher body fat percentage (95% CI: 0.61, 4.82); a 1−2 serving increase was associated with a 2.49 cm increase (95% CI: 0.21, 4.76) in WC compared with those with no change in intake. Within an adolescent sample, changes in SSB intake were related to concomitant changes in body fat percentage and WC, but not BMI.
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Affiliation(s)
- Lindsey English
- Department of Nutrition and Dietetics, University of North Dakota, Grand Forks, ND 58202, USA;
| | - Yanelli R. Carmona
- Department of Nutritional Sciences, University of Michigan School of Public Health, Ann Arbor, MI 48109, USA; (Y.R.C.); (K.E.P.); (E.C.J.)
| | - Karen E. Peterson
- Department of Nutritional Sciences, University of Michigan School of Public Health, Ann Arbor, MI 48109, USA; (Y.R.C.); (K.E.P.); (E.C.J.)
- Department of Environmental Health Sciences, University of Michigan School of Public Health, Ann Arbor, MI 48109, USA
| | - Erica C. Jansen
- Department of Nutritional Sciences, University of Michigan School of Public Health, Ann Arbor, MI 48109, USA; (Y.R.C.); (K.E.P.); (E.C.J.)
| | - Martha María Téllez Rojo
- Center for Health and Nutrition Research, National Institute of Public Health in Mexico, Cuernavaca 62100, Mexico; (M.M.T.R.); (L.T.O.)
| | - Libni Torres Olascoaga
- Center for Health and Nutrition Research, National Institute of Public Health in Mexico, Cuernavaca 62100, Mexico; (M.M.T.R.); (L.T.O.)
| | - Alejandra Cantoral
- Department of Health, Universidad Iberoamericana Ciudad de México, Mexico City 01219, Mexico
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English L, Peterson K, Jansen E, Rodríguez-Carmona Y, Téllez-Rojo MM, Olascoaga LT, Cantoral A. Changes in Sugar Sweetened Beverage Intake Related to Changes in Body Composition in Mexican Adolescents. Curr Dev Nutr 2021. [DOI: 10.1093/cdn/nzab053_022] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Abstract
Abstract
Objectives
To examine the relationship between changes in sugar sweetened beverage (SSB) intake and changes in adiposity over a two-year period during adolescence in a Mexico City cohort.
Methods
The analytic sample comprised 511 Mexican adolescents enrolled in a birth cohort study with complete information on sugar sweetened beverage intake and body composition for two time points. In 2015 and 2017, a food frequency questionnaire (FFQ) from the 2006 Mexican National Health and Nutrition Survey was administered to participants ages 9 to 20. Seven variables from the FFQ were summed to use as daily servings of SSBs as a predictor: regular soda, coffee with sugar, tea with sugar, sweetened fruit water, chocolate milk, corn atole, and Yakult (sweetened probiotic milk beverage). Adiposity measurements included body mass index (BMI), body fat % estimated by bioelectrical impedance, and waist circumference, measured by trained research assistants using standard techniques. We used linear regression models with changes in adiposity measures as the continuous outcome and quartiles of change in sugar sweetened beverage intake as the predictor adjusting for age, sex, household socioeconomic status, screen time, and physical activity.
Results
At baseline (2015), mean age was 14.5 ± 2.1 years with 48% male. The median intake of SSBs was 341 mL/day (IQR = 463 mL) for males and 257 mL/day (IQR = 391 mL) for females. The median SSB intake change over the 2-year period was a 51 mL decrease (IQR = 441 mL) for males and no change (IQR = 360 mL) for females. In adjusted analyses, adolescents with the highest change in SSB intake (Quartile 4,274.3 mL median (IQR = 297.1) increase in SSB intake) had a 0.30 increase kg/m2 in BMI (95% CI −0.15, 0.75), a 1.14% increase in body fat (95% CI −0.02, 2.31), and a 1.64 cm increase in waist circumference (95% CI 0.27, 3.00), compared to those with decreases or no change in SSB intake.
Conclusions
Increased intake of sugar sweetened beverages was associated with higher changes in body fat percentage, waist circumference, and BMI over a two-year period among Mexican adolescents.
Funding Sources
This project was supported by a P01 research grant through the NIH/NIEHS.
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Jansen EC, Hector EC, Goodrich JM, Cantoral A, Téllez Rojo MM, Basu N, Song PXK, Olascoaga LT, Peterson KE. Mercury exposure in relation to sleep duration, timing, and fragmentation among adolescents in Mexico City. Environ Res 2020; 191:110216. [PMID: 32956656 PMCID: PMC7750915 DOI: 10.1016/j.envres.2020.110216] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/26/2020] [Revised: 09/09/2020] [Accepted: 09/10/2020] [Indexed: 05/15/2023]
Abstract
INTRODUCTION Mercury intoxication is known to be associated with adverse symptoms of fatigue and sleep disturbances, but whether low-level mercury exposure could affect sleep remains unclear. In particular, children may be especially vulnerable to both mercury exposures and to poor sleep. We sought to examine associations between mercury levels and sleep disturbances in Mexican youth. METHODS The study sample comprised 372 youth from the Early Life Exposures to Environmental Toxicants (ELEMENT) cohort, a birth cohort from Mexico City. Sleep (via 7-day actigraphy) and concurrent urine mercury were assessed during a 2015 follow-up visit. Mercury was also assessed in mid-childhood hair, blood, and urine during an earlier study visit, and was considered a secondary analysis. We used linear regression and varying coefficient models to examine non-linear associations between Hg exposure biomarkers and sleep duration, timing, and fragmentation. Unstratified and sex-stratified analyses were adjusted for age and maternal education. RESULTS During the 2015 visit, participants were 13.3 ± 1.9 years, and 48% were male. There was not a cross-sectional association between urine Hg and sleep characteristics. In secondary analysis using earlier biomarkers of Hg, lower and higher blood Hg exposure was associated with longer sleep duration among girls only. In both boys and girls, Hg biomarker levels in 2008 were associated with later adolescent sleep midpoint (for Hg urine in girls, and for blood Hg in boys). For girls, each unit log Hg was associated with 0.2 h later midpoint (95% CI 0 to 0.4), and for boys each unit log Hg was associated with a 0.4 h later sleep midpoint (95% CI 0.1 to 0.8). CONCLUSIONS There were mostly null associations between Hg exposure and sleep characteristics among Mexican children. Yet, in both boys and girls, higher Hg exposure in mid-childhood (measured in urine and blood, respectively) was related to later sleep timing in adolescence.
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Affiliation(s)
- Erica C Jansen
- Department of Nutritional Sciences, University of Michigan School of Public Health, Ann Arbor, MI, USA; Division of Sleep Medicine, Department of Neurology, University of Michigan, Ann Arbor, MI, USA.
| | - Emily C Hector
- Department of Biostatistics, University of Michigan School of Public Health, Ann Arbor, MI, USA
| | - Jaclyn M Goodrich
- Department of Environmental Health Sciences, University of Michigan School of Public Health, Ann Arbor, MI, USA
| | | | - Martha María Téllez Rojo
- Center for Research on Nutrition and Health, National Institute of Public Health, Cuernavaca, Mexico
| | - Niladri Basu
- Faculty of Agricultural and Environmental Sciences, McGill University, Montreal, Quebec, Canada
| | - Peter X K Song
- Department of Biostatistics, University of Michigan School of Public Health, Ann Arbor, MI, USA
| | - Libni Torres Olascoaga
- Center for Research on Nutrition and Health, National Institute of Public Health, Cuernavaca, Mexico
| | - Karen E Peterson
- Department of Nutritional Sciences, University of Michigan School of Public Health, Ann Arbor, MI, USA
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Jansen EC, Baylin A, Cantoral A, Téllez Rojo MM, Burgess HJ, O’Brien LM, Torres Olascoaga L, Peterson KE. Dietary Patterns in Relation to Prospective Sleep Duration and Timing among Mexico City Adolescents. Nutrients 2020; 12:nu12082305. [PMID: 32751924 PMCID: PMC7468850 DOI: 10.3390/nu12082305] [Citation(s) in RCA: 22] [Impact Index Per Article: 5.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/01/2020] [Revised: 07/28/2020] [Accepted: 07/29/2020] [Indexed: 12/15/2022] Open
Abstract
Adult studies show that healthy diet patterns relate to better sleep. However, evidence during adolescence, when sleep may change dramatically, is lacking. Within a cohort of 458 Mexican adolescents, we examined whether consumption of three dietary patterns was associated with sleep duration and timing measured 2 years later, as well as changes in sleep timing and duration. Dietary patterns (identified a posteriori in a prior analysis) were assessed with a baseline food frequency questionnaire, and sleep was measured with wrist actigraphy at baseline and follow-up. Linear regression analyses adjusting for sex, age, screen time, and smoking were conducted. Adolescents with higher consumption of a Plant-Based and Lean Proteins pattern had earlier sleep timing (−0.45 h with 95% Confidence Interval (CI) −0.81, −0.08 in the highest compared to lowest quartiles), less of a phase delay in sleep timing over follow-up (−0.39 h with 95% CI −0.80, 0.02), and shorter weekend sleep duration (0.5 h with 95% CI −0.88, −0.1). Higher consumption of an Eggs, Milk and Refined Grain pattern was associated with earlier sleep timing (−0.40 h with 95% CI −0.77, −0.04), while consumption of a Meat and Starchy pattern was related to higher social jetlag (weekend–weekday sleep timing difference). Healthier diet patterns may promote better sleep in adolescents.
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Affiliation(s)
- Erica C. Jansen
- Department of Nutritional Sciences, School of Public Health, University of Michigan, Ann Arbor, MI 48109, USA; (A.B.); (K.E.P.)
- Division of Sleep Medicine, University of Michigan, Ann Arbor, MI 48109, USA;
- Correspondence:
| | - Ana Baylin
- Department of Nutritional Sciences, School of Public Health, University of Michigan, Ann Arbor, MI 48109, USA; (A.B.); (K.E.P.)
- Department of Epidemiology, School of Public Health, University of Michigan, Ann Arbor, MI 48109, USA
| | | | - Martha María Téllez Rojo
- Center for Research on Nutrition and Health, National Institute of Public Health, Cuernavaca 62000, Mexico; (M.M.T.R.); (L.T.O.)
| | - Helen J. Burgess
- Department of Psychiatry, University of Michigan, Ann Arbor, MI 48109, USA;
| | - Louise M. O’Brien
- Division of Sleep Medicine, University of Michigan, Ann Arbor, MI 48109, USA;
- Department of Obstetrics and Gynecology, University of Michigan, Ann Arbor, MI 48109, USA
| | - Libni Torres Olascoaga
- Center for Research on Nutrition and Health, National Institute of Public Health, Cuernavaca 62000, Mexico; (M.M.T.R.); (L.T.O.)
| | - Karen E. Peterson
- Department of Nutritional Sciences, School of Public Health, University of Michigan, Ann Arbor, MI 48109, USA; (A.B.); (K.E.P.)
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