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尿钒浓度与高血压患病率及血压水平的关系。

Concentrations of vanadium in urine with hypertension prevalence and blood pressure levels.

机构信息

The First Affiliated Hospital of Shenzhen University (The Second People's Hospital of Shenzhen), Guangdong Innovation Platform of Translational Research for Cerebrovascular Diseases, Shenzhen, Guangdong, China; Key Laboratory of Environment and Health, Ministry of Education & Ministry of Environmental Protection, and State Key Laboratory of Environmental Health (Incubating), School of Public Health, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei, China; Key Laboratory of Occupational Health and Environmental Medicine, Department of Public Health, Jining Medical University, Jining, China; State Key Laboratory of Transducer Technology, Chinese Academy of Sciences, Beijing, China.

Key Laboratory of Environment and Health, Ministry of Education & Ministry of Environmental Protection, and State Key Laboratory of Environmental Health (Incubating), School of Public Health, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei, China.

出版信息

Ecotoxicol Environ Saf. 2021 Apr 15;213:112028. doi: 10.1016/j.ecoenv.2021.112028. Epub 2021 Feb 16.

Abstract

The associations of vanadium exposure with hypertension risk in animal studies are inconsistent. Furthermore, epidemiologic studies on this topic are scarce. We aimed to assess the associations of vanadium exposure with hypertension prevalence and blood pressure levels in a general Chinese population. We measured urinary vanadium concentrations in 1867 participants to evaluate their internal exposure levels. The associations of urinary vanadium concentrations, categorized into quartiles or treated as continuous variables by logarithm transformation (log2), with hypertension prevalence and blood pressure levels were assessed by the multivariable logistic and linear regression models, respectively. We used the restricted cubic spline model to evaluate the dose-response relationship. Compared with the bottom quartile of vanadium, participants in the third and fourth quartile had an adjusted odds ratio of 2.04 (95% CI:1.40, 2.96) and 2.08 (95% CI:1.42, 3.06) for hypertension, with a linear dose-response relationship. The corresponding number for a doubling of vanadium concentrations was 1.25 (95% CI:1.12, 1.39). Besides, a doubling of vanadium concentrations was associated with a 0.66 (95% CI: 0.01, 1.31) and 0.90 (95% CI: 0.50, 1.31) mm Hg increased systolic and diastolic blood pressure level, respectively. Vanadium exposure was associated with increased hypertension prevalence and blood pressure levels. Prospective studies are needed to confirm our findings in other populations.

摘要

在动物研究中,钒暴露与高血压风险的相关性并不一致。此外,关于这一主题的流行病学研究也很少。我们旨在评估一般中国人群中钒暴露与高血压患病率和血压水平的相关性。我们测量了 1867 名参与者的尿钒浓度,以评估他们的体内暴露水平。通过多变量逻辑回归和线性回归模型分别评估尿钒浓度(分为四分位数或通过对数转换(log2)连续变量)与高血压患病率和血压水平的相关性。我们使用限制性立方样条模型来评估剂量-反应关系。与钒的最低四分位数相比,第三和第四四分位数的参与者患高血压的调整比值比分别为 2.04(95%CI:1.40,2.96)和 2.08(95%CI:1.42,3.06),呈线性剂量-反应关系。钒浓度加倍的相应数字为 1.25(95%CI:1.12,1.39)。此外,钒浓度加倍与收缩压和舒张压分别升高 0.66(95%CI:0.01,1.31)和 0.90(95%CI:0.50,1.31)mmHg 相关。钒暴露与高血压患病率和血压水平升高有关。需要前瞻性研究来证实我们在其他人群中的发现。

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