尿草甘膦、硒状态及其对死亡率的影响:来自NHANES 2013-2018的证据

IF 6.1 2区 环境科学与生态学 Q1 ENVIRONMENTAL SCIENCES
Pei-Lun Chu , Ching-Chung Hsiao , Ta-Chen Su , Chikang Wang , Chien-Yu Lin
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引用次数: 0

摘要

目的:在世界范围内广泛使用的草甘膦和草甘膦基除草剂(GBHs)与各种健康问题有关,包括死亡风险升高。实验研究表明,这些除草剂可能通过阻碍硒的吸收或促进氧化应激来破坏硒的稳态。然而,在流行病学研究中,对草甘膦暴露与硒状态之间的相互作用仍然知之甚少,特别是在全国代表性人群中,硒在调节草甘膦暴露相关的死亡风险中的作用。方法与结果在本研究中,我们分析了2013-2018年国家健康与营养检查调查(NHANES)的数据,其中包括6410名3岁及以上的参与者。该数据集与国家卫生统计中心(NCHS)提供的18岁及以上人群的死亡率信息相关联,并随访至2019年。主要目的是调查尿中草甘膦水平、全血硒、硒摄入量之间的关系,以及硒状态对草甘膦相关全因死亡风险的影响。在复多元线性回归模型中,尿草甘膦水平自然对数(ln)与全血硒ln呈显著负相关,ß系数为- 0.010 (SE = 0.003, P = 0.003)。然而,没有发现尿中草甘膦水平与硒摄入量之间的联系。此外,这种关联在女性、非西班牙裔白人和硒摄入量较低的个体中尤为突出。当检查草甘膦暴露、全血硒水平和全因死亡率之间的关系时,较高的尿中草甘膦水平与死亡风险增加显著相关(危险比[HR] = 1.43;95 % ci: 1.00-2.09)。这种升高的风险在全血硒浓度等于或高于50百分位数的个体中尤为明显。此外,全血硒对全因死亡率有保护作用(HR = 0.01;95 % CI: 0.00-0.18),在硒水平低于第50百分位的个体中观察到最强的保护作用。结论:通过对NHANES数据的综合分析,我们的研究确定了草甘膦暴露与全血硒水平之间存在潜在的有害关系。值得注意的是,过高的全血硒水平不仅可能降低对全因死亡率的保护作用,还可能增加草甘膦相关死亡率的风险,这表明硒水平与死亡风险之间存在u型关系。这些发现强调需要进一步研究草甘膦暴露对健康的影响及其与硒状态的相互作用,强调潜在的公共卫生影响。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Urinary glyphosate, selenium status, and their impact on mortality: Evidence from NHANES 2013–2018

Purpose

Glyphosate and glyphosate-based herbicides (GBHs), extensively used worldwide, have been associated with various health concerns, including an elevated risk of mortality. Experimental studies suggest that these herbicides may disrupt selenium homeostasis by hindering its uptake or promoting oxidative stress. However, the interplay between glyphosate exposure and selenium status remains poorly understood in epidemiological studies, particularly regarding selenium's role in modulating the mortality risk associated with glyphosate exposure in nationally representative populations.

Approach and results

In this study, we analyzed data from the 2013–2018 National Health and Nutrition Examination Survey (NHANES), which included 6410 participants aged 3 years and older. This dataset was linked to mortality information from the National Center for Health Statistics (NCHS) for individuals aged 18 and older, with follow-up through 2019. The primary aim was to investigate the relationships between urinary glyphosate levels, whole blood selenium, selenium intake, and the influence of selenium status on glyphosate-related all-cause mortality risk. A significant negative correlation was observed between the natural logarithm (ln) of urinary glyphosate levels and the ln of whole blood selenium in the complex multiple linear regression models, with a ß coefficient of −0.010 (SE = 0.003, P = 0.003). However, no association was found between urinary glyphosate levels and selenium intake. Furthermore, the association was particularly prominent among females, non-Hispanic whites, and individuals with lower selenium intake. When examining the relationship between glyphosate exposure, whole blood selenium levels, and all-cause mortality, higher ln-urinary glyphosate levels were significantly associated with an increased risk of mortality (Hazard Ratio [HR] = 1.43; 95 % CI: 1.00–2.09). This elevated risk was especially pronounced in individuals with whole blood selenium concentrations at or above the 50th percentile. Additionally, ln-whole blood selenium was associated with a protective effect against all-cause mortality (HR = 0.01; 95 % CI: 0.00–0.18), with the strongest protective effect observed in individuals with selenium levels below the 50th percentile.

Conclusions

In this comprehensive analysis of NHANES data, our study identifies a potentially harmful relationship between glyphosate exposure and whole blood selenium levels. Notably, excessively high whole blood selenium levels may not only reduce the protective effects against all-cause mortality but could also increase the risk of glyphosate-related mortality, suggesting a U-shaped relationship between selenium levels and mortality risk. These findings highlight the need for further research into the health effects of glyphosate exposure and its interaction with selenium status, emphasizing the potential public health implications.
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来源期刊
CiteScore
12.10
自引率
5.90%
发文量
1234
审稿时长
88 days
期刊介绍: Ecotoxicology and Environmental Safety is a multi-disciplinary journal that focuses on understanding the exposure and effects of environmental contamination on organisms including human health. The scope of the journal covers three main themes. The topics within these themes, indicated below, include (but are not limited to) the following: Ecotoxicology、Environmental Chemistry、Environmental Safety etc.
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