美国参与者尿草甘膦浓度与慢性阻塞性肺疾病之间的关系:来自NHANES 2013-2018的证据

IF 2.7 3区 医学 Q2 RESPIRATORY SYSTEM
Yushan Shi, Shuangshuang Pu, Ning Huang, Yan Wang
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引用次数: 0

摘要

背景:草甘膦在环境和人体组织中广泛存在,引起了人们对健康的关注。尿草甘膦浓度与慢性阻塞性肺疾病之间的关联证据有限。方法:分析来自2588名参与者的数据,我们应用调查加权logistic回归模型和三次样条技术来量化尿草甘膦浓度与COPD患病率之间的关系。进一步进行亚组分析和敏感性分析。结果:研究显示尿中草甘膦浓度升高与COPD风险增加之间存在显著关联。在完全调整的模型中,尿草甘膦自然对数每增加一个单位,COPD风险增加35% (OR, 1.35, 95% CI, 1.01-1.82, P=0.043)。亚组分析显示,在不同的人口统计群体中存在一致的关联,在当前吸烟者和女性中存在明显的关联。敏感性分析和排除慢性肾脏疾病的参与者加强了研究结果的稳健性。结论:研究结果提供了证据,证明尿中草甘膦浓度与美国成年人群的代表性样本中COPD患病率呈正相关。需要进一步研究因素和其他环境污染物对COPD的影响。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Association Between Urinary Glyphosate Concentrations and Chronic Obstructive Pulmonary Disease in USA Participants: Evidence from NHANES 2013-2018.

Background: Glyphosate has raised health concerns due to its widespread detection in environment and human tissues. Limited evidence exists found in the association between urinary glyphosate concentrations and chronic obstructive pulmonary disease.

Methods: Analyzing data from 2588 participants, we applied survey-weighted logistic regression models and cubic spline techniques to quantify link between urinary glyphosate concentrations and prevalence of COPD. Further subgroup and sensitivity analyses were also conducted.

Results: Study revealed a significant association between higher urinary glyphosate concentrations that increased risk of COPD. In fully adjusted models, a one-unit increase in natural logarithm of urinary glyphosate was associated with a 35% increased risk of COPD (OR, 1.35, 95% CI, 1.01-1.82, P=0.043). Subgroup analyses showed consistent associations across different demographic groups with a pronounced association in current smokers and females. Sensitivity analyses and exclusion of participants with chronic kidney disease reinforced the robustness of the findings.

Conclusion: Findings provide evidence of a positive association between urinary glyphosate concentrations and prevalence of COPD in a representative sample of the adult population at the United States of America. Further studies are needed to investigate the influence of factors and other environmental pollutants on COPD.

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来源期刊
CiteScore
4.80
自引率
10.70%
发文量
372
审稿时长
16 weeks
期刊介绍: An international, peer-reviewed journal of therapeutics and pharmacology focusing on concise rapid reporting of clinical studies and reviews in COPD. Special focus will be given to the pathophysiological processes underlying the disease, intervention programs, patient focused education, and self management protocols. This journal is directed at specialists and healthcare professionals
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