Association between exposure to plasma mixture of essential and toxic elements and the lipid profile in institutionalized older adults

IF 3.6 3区 医学 Q2 BIOCHEMISTRY & MOLECULAR BIOLOGY
Daniela Antunes Pacheco , Angélica Lopes de Sousa Campêlo , Sara Estéfani Soares de Sousa , Márcia Cristina Sales , Karine Cavalcanti Maurício Sena-Evangelista , Fernando Barbosa Jr. , Kenio Costa Lima , Marcelo Rodrigo Portela Ferreira , Bruna Zavarize Reis , Lucia Fatima Campos Pedrosa
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引用次数: 0

Abstract

Background

Older adults have a progressive deficiency in the ability to detoxify chemical elements and are susceptible to dyslipidemia and changes in glycemic control. The objective was to evaluate the association of the mixture of essential and toxic elements in the plasma of institutionalized older adults and test the associations with lipid profile variables and glycemic control.

Methods

Data were obtained from 149 Brazilian older adults aged ≥60 living in nursing homes (NH) in Natal, Brazil. The concentrations of sixteen chemical elements in plasma and lipid profile parameters and glycemic control of 149 institutionalized older adults were measured. Bayesian kernel machine regression was used to estimate the associations of the mixture of chemical elements with total cholesterol (TC), high-density lipoprotein (HDL-c), low-density lipoprotein (LDL-c), triglycerides (TG), fasting glucose, and glycated hemoglobin.

Results

Non-linear responses to exposure were observed for iron (Fe) about TC, LDL-c, and TG, and for barium (Ba) and copper (Cu) about TG. The concentration of the mixture of chemical elements below the 35th percentile was associated with a decrease in TC. Fe was the main element in the effect of the mixture associated with TC.

Conclusions

The lower concentrations of the mixture of chemical elements in plasma had a protective effect on the increase in TC, with Fe being the main element. Considering the results, the levels of essential and toxic elements in the plasma of older adults require extensive screening, mainly to prevent dyslipidemia and monitor clinical interventions.

养老院老年人暴露于血浆必需元素和有毒元素混合物与血脂状况之间的关系
背景老年人对化学元素的解毒能力逐渐减弱,容易出现血脂异常和血糖控制的变化。研究目的是评估养老院老年人血浆中必需元素和有毒元素混合物的关联,并检验其与血脂特征变量和血糖控制的关联。测量了血浆中 16 种化学元素的浓度、149 位入住养老院的老年人的血脂特征参数和血糖控制情况。采用贝叶斯核机器回归法估算了化学元素混合物与总胆固醇(TC)、高密度脂蛋白(HDL-c)、低密度脂蛋白(LDL-c)、甘油三酯(TG)、空腹血糖和糖化血红蛋白之间的关系。结果发现,铁(Fe)与总胆固醇、低密度脂蛋白(LDL-c)和糖化血红蛋白之间,以及钡(Ba)和铜(Cu)与糖化血红蛋白之间,存在非线性反应。化学元素混合物的浓度低于第 35 百分位数与 TC 下降有关。结论 血浆中较低浓度的化学元素混合物对总胆固醇的升高有保护作用,其中铁是主要元素。考虑到上述结果,需要对老年人血浆中的必需元素和有毒元素水平进行广泛筛查,主要用于预防血脂异常和监测临床干预措施。
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来源期刊
CiteScore
6.60
自引率
2.90%
发文量
202
审稿时长
85 days
期刊介绍: The journal provides the reader with a thorough description of theoretical and applied aspects of trace elements in medicine and biology and is devoted to the advancement of scientific knowledge about trace elements and trace element species. Trace elements play essential roles in the maintenance of physiological processes. During the last decades there has been a great deal of scientific investigation about the function and binding of trace elements. The Journal of Trace Elements in Medicine and Biology focuses on the description and dissemination of scientific results concerning the role of trace elements with respect to their mode of action in health and disease and nutritional importance. Progress in the knowledge of the biological role of trace elements depends, however, on advances in trace elements chemistry. Thus the Journal of Trace Elements in Medicine and Biology will include only those papers that base their results on proven analytical methods. Also, we only publish those articles in which the quality assurance regarding the execution of experiments and achievement of results is guaranteed.
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