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头发中的甲基汞水平与动脉僵硬呈负相关。

Hair methylmercury levels are inversely correlated with arterial stiffness.

机构信息

Health Promotion Center, CHA Bundang Medical Center, Department of Family Medicine, CHA University School of Medicine, 335 Pangyo-ro, Bundang-gu, Gyeonggi-do, 13488, Republic of Korea.

CHA Graduate School of Medicine, 120 Hyeryong-ro, Pocheon, 11160, Republic of Korea.

出版信息

Atherosclerosis. 2022 Sep;357:14-19. doi: 10.1016/j.atherosclerosis.2022.08.003. Epub 2022 Aug 12.

Abstract

BACKGROUND AND AIMS

Cardiovascular diseases (CVD), including coronary heart disease, are the leading cause of death worldwide. Several studies investigating the relationship between fish intake, methylmercury exposure, and CVDs in adults have reported inconsistent results. This study aimed to determine the association between hair methylmercury levels and arterial stiffness using brachial-ankle pulse wave velocity (baPWV).

METHODS

This cross-sectional study included 891 seemingly healthy Korean adults (418 men and 473 women). The anthropometric and biochemical profiles, including methylmercury levels in the hair, were measured. Arterial stiffness was measured using baPWV, wherein high baPWV was defined as >1375 cm/s (>75th percentile). The odds ratios for high baPWVs were examined using multivariable logistic regression analysis after adjusting for potential confounders across the quintiles of hair methylmercury levels (Q1 = ≤0.6, Q2 = 0.6-0.8, Q3 = 0.8-1.1, Q4 = 1.1-1.5, and Q5=>1.5 μg/g).

RESULTS

After adjusting for multiple confounders-age, sex, height, body weight, smoking status, weekly alcohol consumption, total metabolic equivalent of task, mean arterial blood pressure, resting heart rate, triglycerides, low density lipoprotein cholesterol, fasting plasma glucose, uric acid and white blood cell count-the odds ratios (95% confidence intervals) for high baPWVs in each quintile of hair methylmercury levels were 1.00, 0.36 (0.17-0.76), 0.38 (0.20-0.76), 0.28 (0.13-0.61), and 0.49 (0.24-0.99), respectively.

CONCLUSIONS

Within non-toxic low levels, higher hair methylmercury levels are independently associated with lower arterial stiffness in seemingly healthy Korean adults regardless of classical cardiovascular risk factors.

摘要

背景与目的

心血管疾病(CVD),包括冠心病,是全球范围内的主要死亡原因。多项研究调查了成年人中鱼类摄入量、甲基汞暴露与 CVD 之间的关系,结果不一致。本研究旨在通过肱踝脉搏波速度(baPWV)来确定头发中甲基汞水平与动脉僵硬之间的关系。

方法

本横断面研究纳入 891 名看似健康的韩国成年人(418 名男性和 473 名女性)。测量了人体测量学和生化指标,包括头发中的甲基汞水平。使用 baPWV 测量动脉僵硬,其中高 baPWV 定义为>1375cm/s(>75 百分位)。在校正潜在混杂因素后,使用多变量逻辑回归分析检查头发甲基汞水平五分位数(Q1=≤0.6,Q2=0.6-0.8,Q3=0.8-1.1,Q4=1.1-1.5,Q5>1.5μg/g)中高 baPWV 的比值比。

结果

在校正多重混杂因素后(年龄、性别、身高、体重、吸烟状态、每周饮酒量、总代谢当量、平均动脉压、静息心率、甘油三酯、低密度脂蛋白胆固醇、空腹血糖、尿酸和白细胞计数),头发甲基汞水平每五分位的高 baPWV 的比值比(95%置信区间)分别为 1.00、0.36(0.17-0.76)、0.38(0.20-0.76)、0.28(0.13-0.61)和 0.49(0.24-0.99)。

结论

在非毒性低水平下,头发中甲基汞水平较高与看似健康的韩国成年人的动脉僵硬程度降低独立相关,无论经典心血管危险因素如何。

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