Department of Orthopaedic Surgery, Tri-Service General Hospital, Taipei 114, Taiwan.
School of Medicine, National Defense Medical Center, Taipei 114, Taiwan.
Int J Environ Res Public Health. 2021 Nov 14;18(22):11949. doi: 10.3390/ijerph182211949.
Metabolic syndrome encompasses multiple conditions that increase the risk of cardiovascular disease, and exposure to environmental chemicals can cause metabolic syndrome. This cross-sectional study analyzed data from the US National Health and Nutrition Examination Survey (2003-2006) on 4318 adult participants to assess the association between acrylamide (AA) exposure and metabolic syndrome. Concentrations of hemoglobin-adducted AA (HbAA) and hemoglobin-adducted glycidamide (HbGA) were evaluated. Metabolic syndrome markers related to HbAA and HbGA and the effect of exposure to AA and GA on the prevalence of metabolic syndrome were studied by ANOVA and multivariate logistic regression analyses, respectively. HbAA concentration inversely correlated with the number of metabolic syndrome markers ( < 0.05). An increased HbAA concentration was noted with reduced high triglyceride and low high-density lipoprotein cholesterol levels in the adjusted model ( < 0.05). High fasting plasma glucose level significantly correlated with HbGA concentration in the adjusted model. In conclusion, AA exposure alters metabolic syndrome markers in adults. Additional clinical and animal studies will clarify the role of AA exposure at different stages in the progression of metabolic syndrome-related diseases.
代谢综合征包含多种增加心血管疾病风险的病症,而环境化学物质的暴露也可能导致代谢综合征。本横断面研究分析了美国国家健康和营养检查调查(2003-2006 年)中 4318 名成年参与者的数据,以评估丙烯酰胺(AA)暴露与代谢综合征之间的关联。评估了血红蛋白结合的 AA(HbAA)和血红蛋白结合的缩水甘油醛(HbGA)的浓度。通过方差分析和多元逻辑回归分析分别研究了与 HbAA 和 HbGA 相关的代谢综合征标志物以及 AA 和 GA 暴露对代谢综合征患病率的影响。HbAA 浓度与代谢综合征标志物的数量呈负相关(<0.05)。在调整模型中,HbAA 浓度随着高甘油三酯和低高密度脂蛋白胆固醇水平的降低而降低(<0.05)。空腹血浆葡萄糖水平在调整模型中与 HbGA 浓度显著相关。总之,AA 暴露改变了成年人的代谢综合征标志物。更多的临床和动物研究将阐明 AA 暴露在代谢综合征相关疾病进展的不同阶段的作用。