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韩国国家环境健康调查(KoNEHS)第三轮中汞浓度与血脂谱之间的关联。

The association between mercury concentrations and lipid profiles in the Korean National Environmental Health Survey (KoNEHS) cycle 3.

作者信息

Sohn Soo Ho, Heo Han Cheol, Jo Seongmin, Park Chulyong, Sakong Joon

机构信息

Department of Occupational and Environmental Medicine, Yeungnam University Hospital, Daegu, Korea.

Department of Preventive Medicine and Public Health, College of Medicine, Yeungnam University, Daegu, Korea.

出版信息

Ann Occup Environ Med. 2020 Jun 22;32:e19. doi: 10.35371/aoem.2020.32.e19. eCollection 2020.

Abstract

BACKGROUND

High concentrations of mercury intake from seafood are known to cause various side effects in humans, including on the nervous system. Various studies have reported the effects of mercury concentrations in humans; however, the association between dyslipidemia, a cardiovascular disease risk factor, and mercury remains controversial. Therefore, this study aimed to investigate the association between mercury accumulation and cholesterol concentrations in a Korean population.

METHODS

We analyzed data of a sample of 3,228 respondents obtained from the Korean National Environmental Health Survey cycle 3, surveyed between 2015 and 2017, to determine how lipid profiles changed according to the blood mercury concentrations (BHg) and urine mercury concentrations (UHg). Multiple regression analysis was used to determine the effects of mercury concentrations among various factors affecting blood cholesterol levels.

RESULTS

The arithmetic mean (AM) of BHg was 2.91 (2.81-3.02) μg/L, and the geometric mean (GM) was 2.71 (2.59-2.85) μg/L. The AM of UHg was 0.52 (0.48-0.56) μg/L, and the GM was 0.35 (0.33-0.38) μg/L. Lipid profiles were more related to the BHg than to the UHg. Total cholesterol (total-C), high-density lipoprotein cholesterol (HDL-C), and low-density lipoprotein cholesterol (LDL-C) levels increased significantly as BHg increased in males, and total-C, triglyceride, and LDL-C levels increased significantly in females. Multiple regression analysis indicated that BHg were significantly associated with total-C, HDL-C, and LDL-C levels.

CONCLUSIONS

We found an association between mercury exposure and the risk of dyslipidemia; however, further studies are required to elucidate a causal association.

摘要

背景

已知从海鲜中摄入高浓度汞会对人体造成各种副作用,包括对神经系统的影响。多项研究报告了汞浓度对人体的影响;然而,血脂异常(一种心血管疾病风险因素)与汞之间的关联仍存在争议。因此,本研究旨在调查韩国人群中汞蓄积与胆固醇浓度之间的关联。

方法

我们分析了2015年至2017年期间进行的韩国国家环境健康调查第3周期中3228名受访者的样本数据,以确定血脂谱如何根据血液汞浓度(BHg)和尿液汞浓度(UHg)而变化。采用多元回归分析来确定汞浓度在影响血液胆固醇水平的各种因素中的作用。

结果

BHg的算术平均值(AM)为2.91(2.81 - 3.02)μg/L,几何平均值(GM)为2.71(2.59 - 2.85)μg/L。UHg的AM为0.52(0.48 - 0.56)μg/L,GM为0.35(0.33 - 0.38)μg/L。血脂谱与BHg的相关性比与UHg的相关性更强。男性中,随着BHg升高,总胆固醇(total-C)、高密度脂蛋白胆固醇(HDL-C)和低密度脂蛋白胆固醇(LDL-C)水平显著升高,女性中total-C、甘油三酯和LDL-C水平显著升高。多元回归分析表明,BHg与total-C、HDL-C和LDL-C水平显著相关。

结论

我们发现汞暴露与血脂异常风险之间存在关联;然而,需要进一步研究以阐明因果关系。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/140d/7332352/98195d34d606/aoem-32-e19-g001.jpg

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