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基于美国国家健康与营养检查调查(NHANES)的美国成年人挥发性有机化合物暴露与肌肉减少症风险

Exposure to volatile organic compounds and sarcopenia risk in US adults based on NHANES.

作者信息

Qu Tian-Zhen, Zhang Yue, Huang Qing-Yun, Chen Xing-Lan, Zhu Ye

机构信息

Department of General Practice, Jiangyin People's Hospital, Shoushan Road 163, Wuxi, 214400, China.

Department of Cardiology, Charité - Universitätsmedizin Berlin, Charitéplatz 1, 10115, Berlin, Germany.

出版信息

Sci Rep. 2025 Jul 15;15(1):25480. doi: 10.1038/s41598-025-11628-0.

Abstract

This study investigates the association between volatile organic compounds (VOCs) and sarcopenia in a cohort of 3,391 U.S. participants aged 20-59 years, using NHANES data from 2011 to 2018. Various urinary metabolites of VOCs (mVOCs) were analyzed, and in multivariate logistic regression, CEMA (a metabolite of acrolein), CYMA (a metabolite of acrylonitrile), ATCA (a metabolite of cyanide), and 3,4-MHA (a metabolite of xylene) were found to have significant associations with sarcopenia. Weighted Quantile Sum (WQS) and Bayesian Kernel Machine Regression (BKMR) analyses further supported these findings, identifying ATCA as a key contributor. Subgroup analyses revealed meaningful associations between sarcopenia and mVOCs in both men and women. Additionally, mediation analysis identified high-density lipoprotein (HDL) as a partial mediator, contributing to 3.8% of the effect. These results emphasize the need for future longitudinal studies to establish causality and further explore the underlying biological mechanisms.

摘要

本研究利用2011年至2018年的美国国家健康与营养检查调查(NHANES)数据,调查了3391名年龄在20至59岁的美国参与者队列中挥发性有机化合物(VOCs)与肌肉减少症之间的关联。分析了VOCs的各种尿液代谢物(mVOCs),在多变量逻辑回归中,发现2-羧基乙基硫醚(CEMA,丙烯醛的一种代谢物)、2-氰基乙基硫醚(CYMA,丙烯腈的一种代谢物)、2-氨基噻唑-4-羧酸(ATCA,氰化物的一种代谢物)和3,4-甲基马尿酸(3,4-MHA,二甲苯的一种代谢物)与肌肉减少症有显著关联。加权分位数和(WQS)分析以及贝叶斯核机器回归(BKMR)分析进一步支持了这些发现,确定ATCA是一个关键因素。亚组分析揭示了男性和女性中肌肉减少症与mVOCs之间有意义的关联。此外,中介分析确定高密度脂蛋白(HDL)为部分中介因素,其作用占总效应的3.8%。这些结果强调未来需要进行纵向研究以确定因果关系并进一步探索潜在的生物学机制。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fd08/12264073/9d0e8bfbc4a9/41598_2025_11628_Fig1_HTML.jpg

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