Urinary metal profiles in mother-offspring pairs and their association with early dysglycemia in the International Hyperglycemia and Adverse Pregnancy Outcome Follow Up Study (HAPO-FUS)

Background Variations in dietary intake and environmental exposure patterns of essential and non-essential trace metals influence many aspects of human health throughout the life span. Objective To examine the relationship between urine profiles of essential and non-essential metals in mother-offspr...

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Veröffentlicht in:Journal of exposure science & environmental epidemiology 2023-11, Vol.33 (6), p.855-864
Hauptverfasser: El Muayed, Malek, Wang, Janice C., Wong, Winifred P., Metzger, Boyd E., Zumpf, Katelyn B., Gurra, Miranda G., Sponenburg, Rebecca A., Hayes, M. Geoffrey, Scholtens, Denise M., Lowe, Lynn P., Lowe, William L.
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container_end_page 864
container_issue 6
container_start_page 855
container_title Journal of exposure science & environmental epidemiology
container_volume 33
creator El Muayed, Malek
Wang, Janice C.
Wong, Winifred P.
Metzger, Boyd E.
Zumpf, Katelyn B.
Gurra, Miranda G.
Sponenburg, Rebecca A.
Hayes, M. Geoffrey
Scholtens, Denise M.
Lowe, Lynn P.
Lowe, William L.
description Background Variations in dietary intake and environmental exposure patterns of essential and non-essential trace metals influence many aspects of human health throughout the life span. Objective To examine the relationship between urine profiles of essential and non-essential metals in mother-offspring pairs and their association with early dysglycemia. Methods Herein, we report findings from an ancillary study to the international Hyperglycemia and Adverse Pregnancy Outcome Follow-Up Study (HAPO-FUS) that examined urinary essential and non-essential metal profiles from mothers and offspring ages 10–14 years (1012 mothers, 1013 offspring, 968 matched pairs) from 10 international sites. Results Our analysis demonstrated a diverse exposure pattern across participating sites. In multiple regression modelling, a positive association between markers of early dysglycemia and urinary zinc was found in both mothers and offspring after adjustment for common risk factors for diabetes. The analysis showed weaker, positive, and negative associations of the 2-h glucose value with urinary selenium and arsenic respectively. A positive association between 2-h glucose values and cadmium was found only in mothers in the fully adjusted model when participants with established diabetes were excluded. There was a high degree of concordance between mother and offspring urinary metal profiles. Mother-to-offspring urinary metal ratios were unique for each metal, providing insights into changes in their homeostasis across the lifespan. Significance Urinary levels of essential and non-essential metals are closely correlated between mothers and their offspring in an international cohort. Urinary levels of zinc, selenium, arsenic, and cadmium showed varying degrees of association with early dysglycemia in a comparatively healthy cohort with a low rate of preexisting diabetes. Impact statement Our data provides novel evidence for a strong correlation between mother and offspring urinary metal patterns with a unique mother-to-offspring ratio for each metal. The study also provides new evidence for a strong positive association between early dysglycemia and urinary zinc, both in mothers and offspring. Weaker positive associations with urinary selenium and cadmium and negative associations with arsenic were also found. The low rate of preexisting diabetes in this population provides the unique advantage of minimizing the confounding effect of preexisting, diabetes related renal changes t
doi_str_mv 10.1038/s41370-022-00511-z
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Geoffrey ; Scholtens, Denise M. ; Lowe, Lynn P. ; Lowe, William L.</creator><creatorcontrib>El Muayed, Malek ; Wang, Janice C. ; Wong, Winifred P. ; Metzger, Boyd E. ; Zumpf, Katelyn B. ; Gurra, Miranda G. ; Sponenburg, Rebecca A. ; Hayes, M. Geoffrey ; Scholtens, Denise M. ; Lowe, Lynn P. ; Lowe, William L.</creatorcontrib><description>Background Variations in dietary intake and environmental exposure patterns of essential and non-essential trace metals influence many aspects of human health throughout the life span. Objective To examine the relationship between urine profiles of essential and non-essential metals in mother-offspring pairs and their association with early dysglycemia. Methods Herein, we report findings from an ancillary study to the international Hyperglycemia and Adverse Pregnancy Outcome Follow-Up Study (HAPO-FUS) that examined urinary essential and non-essential metal profiles from mothers and offspring ages 10–14 years (1012 mothers, 1013 offspring, 968 matched pairs) from 10 international sites. Results Our analysis demonstrated a diverse exposure pattern across participating sites. In multiple regression modelling, a positive association between markers of early dysglycemia and urinary zinc was found in both mothers and offspring after adjustment for common risk factors for diabetes. The analysis showed weaker, positive, and negative associations of the 2-h glucose value with urinary selenium and arsenic respectively. A positive association between 2-h glucose values and cadmium was found only in mothers in the fully adjusted model when participants with established diabetes were excluded. There was a high degree of concordance between mother and offspring urinary metal profiles. Mother-to-offspring urinary metal ratios were unique for each metal, providing insights into changes in their homeostasis across the lifespan. Significance Urinary levels of essential and non-essential metals are closely correlated between mothers and their offspring in an international cohort. Urinary levels of zinc, selenium, arsenic, and cadmium showed varying degrees of association with early dysglycemia in a comparatively healthy cohort with a low rate of preexisting diabetes. Impact statement Our data provides novel evidence for a strong correlation between mother and offspring urinary metal patterns with a unique mother-to-offspring ratio for each metal. The study also provides new evidence for a strong positive association between early dysglycemia and urinary zinc, both in mothers and offspring. Weaker positive associations with urinary selenium and cadmium and negative associations with arsenic were also found. The low rate of preexisting diabetes in this population provides the unique advantage of minimizing the confounding effect of preexisting, diabetes related renal changes that would alter the relationship between dysglycemia and renal metal excretion.</description><identifier>ISSN: 1559-0631</identifier><identifier>EISSN: 1559-064X</identifier><identifier>DOI: 10.1038/s41370-022-00511-z</identifier><identifier>PMID: 36509832</identifier><language>eng</language><publisher>New York: Nature Publishing Group US</publisher><subject>Arsenic ; Blood Glucose - analysis ; Cadmium ; Clinical outcomes ; Diabetes ; Diabetes Mellitus ; Diet ; Dietary guidelines ; Dietary intake ; Epidemiology ; Female ; Follow-Up Studies ; Food intake ; Glucose ; Heavy metals ; Homeostasis ; Humans ; Hyperglycemia ; Hyperglycemia - epidemiology ; Life span ; Medicine ; Medicine &amp; Public Health ; Metals ; Metals - urine ; Mothers ; Offspring ; Pregnancy ; Pregnancy Outcome ; Regression analysis ; Renal function ; Risk factors ; RNA-Binding Protein FUS ; Selenium ; Trace metals ; Zinc</subject><ispartof>Journal of exposure science &amp; environmental epidemiology, 2023-11, Vol.33 (6), p.855-864</ispartof><rights>The Author(s), under exclusive licence to Springer Nature America, Inc. 2022. 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Geoffrey</creatorcontrib><creatorcontrib>Scholtens, Denise M.</creatorcontrib><creatorcontrib>Lowe, Lynn P.</creatorcontrib><creatorcontrib>Lowe, William L.</creatorcontrib><title>Urinary metal profiles in mother-offspring pairs and their association with early dysglycemia in the International Hyperglycemia and Adverse Pregnancy Outcome Follow Up Study (HAPO-FUS)</title><title>Journal of exposure science &amp; environmental epidemiology</title><addtitle>J Expo Sci Environ Epidemiol</addtitle><addtitle>J Expo Sci Environ Epidemiol</addtitle><description>Background Variations in dietary intake and environmental exposure patterns of essential and non-essential trace metals influence many aspects of human health throughout the life span. Objective To examine the relationship between urine profiles of essential and non-essential metals in mother-offspring pairs and their association with early dysglycemia. Methods Herein, we report findings from an ancillary study to the international Hyperglycemia and Adverse Pregnancy Outcome Follow-Up Study (HAPO-FUS) that examined urinary essential and non-essential metal profiles from mothers and offspring ages 10–14 years (1012 mothers, 1013 offspring, 968 matched pairs) from 10 international sites. Results Our analysis demonstrated a diverse exposure pattern across participating sites. In multiple regression modelling, a positive association between markers of early dysglycemia and urinary zinc was found in both mothers and offspring after adjustment for common risk factors for diabetes. The analysis showed weaker, positive, and negative associations of the 2-h glucose value with urinary selenium and arsenic respectively. A positive association between 2-h glucose values and cadmium was found only in mothers in the fully adjusted model when participants with established diabetes were excluded. There was a high degree of concordance between mother and offspring urinary metal profiles. Mother-to-offspring urinary metal ratios were unique for each metal, providing insights into changes in their homeostasis across the lifespan. Significance Urinary levels of essential and non-essential metals are closely correlated between mothers and their offspring in an international cohort. Urinary levels of zinc, selenium, arsenic, and cadmium showed varying degrees of association with early dysglycemia in a comparatively healthy cohort with a low rate of preexisting diabetes. Impact statement Our data provides novel evidence for a strong correlation between mother and offspring urinary metal patterns with a unique mother-to-offspring ratio for each metal. The study also provides new evidence for a strong positive association between early dysglycemia and urinary zinc, both in mothers and offspring. Weaker positive associations with urinary selenium and cadmium and negative associations with arsenic were also found. 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Objective To examine the relationship between urine profiles of essential and non-essential metals in mother-offspring pairs and their association with early dysglycemia. Methods Herein, we report findings from an ancillary study to the international Hyperglycemia and Adverse Pregnancy Outcome Follow-Up Study (HAPO-FUS) that examined urinary essential and non-essential metal profiles from mothers and offspring ages 10–14 years (1012 mothers, 1013 offspring, 968 matched pairs) from 10 international sites. Results Our analysis demonstrated a diverse exposure pattern across participating sites. In multiple regression modelling, a positive association between markers of early dysglycemia and urinary zinc was found in both mothers and offspring after adjustment for common risk factors for diabetes. The analysis showed weaker, positive, and negative associations of the 2-h glucose value with urinary selenium and arsenic respectively. A positive association between 2-h glucose values and cadmium was found only in mothers in the fully adjusted model when participants with established diabetes were excluded. There was a high degree of concordance between mother and offspring urinary metal profiles. Mother-to-offspring urinary metal ratios were unique for each metal, providing insights into changes in their homeostasis across the lifespan. Significance Urinary levels of essential and non-essential metals are closely correlated between mothers and their offspring in an international cohort. Urinary levels of zinc, selenium, arsenic, and cadmium showed varying degrees of association with early dysglycemia in a comparatively healthy cohort with a low rate of preexisting diabetes. Impact statement Our data provides novel evidence for a strong correlation between mother and offspring urinary metal patterns with a unique mother-to-offspring ratio for each metal. The study also provides new evidence for a strong positive association between early dysglycemia and urinary zinc, both in mothers and offspring. Weaker positive associations with urinary selenium and cadmium and negative associations with arsenic were also found. The low rate of preexisting diabetes in this population provides the unique advantage of minimizing the confounding effect of preexisting, diabetes related renal changes that would alter the relationship between dysglycemia and renal metal excretion.</abstract><cop>New York</cop><pub>Nature Publishing Group US</pub><pmid>36509832</pmid><doi>10.1038/s41370-022-00511-z</doi><tpages>10</tpages><orcidid>https://orcid.org/0000-0001-8669-9681</orcidid><orcidid>https://orcid.org/0000-0002-1879-6575</orcidid><orcidid>https://orcid.org/0000-0001-7771-2004</orcidid><orcidid>https://orcid.org/0000-0002-8252-7863</orcidid><oa>free_for_read</oa></addata></record>
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source MEDLINE; SpringerLink Journals - AutoHoldings
subjects Arsenic
Blood Glucose - analysis
Cadmium
Clinical outcomes
Diabetes
Diabetes Mellitus
Diet
Dietary guidelines
Dietary intake
Epidemiology
Female
Follow-Up Studies
Food intake
Glucose
Heavy metals
Homeostasis
Humans
Hyperglycemia
Hyperglycemia - epidemiology
Life span
Medicine
Medicine & Public Health
Metals
Metals - urine
Mothers
Offspring
Pregnancy
Pregnancy Outcome
Regression analysis
Renal function
Risk factors
RNA-Binding Protein FUS
Selenium
Trace metals
Zinc
title Urinary metal profiles in mother-offspring pairs and their association with early dysglycemia in the International Hyperglycemia and Adverse Pregnancy Outcome Follow Up Study (HAPO-FUS)
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