The association between phthalates and metabolic syndrome: the National Health and Nutrition Examination Survey 2001-2010
Higher exposure to certain phthalates is associated with a diabetes and insulin resistance, with sex differences seen. Yet, little is known about the association between phthalates and metabolic syndrome (MetS), particularly with consideration for differences by sex and menopausal status. We analyze...
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| description | Higher exposure to certain phthalates is associated with a diabetes and insulin resistance, with sex differences seen. Yet, little is known about the association between phthalates and metabolic syndrome (MetS), particularly with consideration for differences by sex and menopausal status.
We analyzed data from 2719 participants in the National Health and Nutrition Examination Survey (NHANES) 2001-2010 aged 20-80 years. Five urinary phthalate metabolites (MEP, MnBP, MiBP, MBzP, and MCPP) and DEHP metabolites were analyzed by the Centers for Disease Control and Prevention and were evaluated as population-specific quartiles. MetS was defined by National Cholesterol Education Program's Adult Treatment Panel III report criteria. Prevalence odds ratios (POR) and 95 % confidence intervals (CI) were calculated using multivariable logistic regression, adjusting for potential confounders and stratifying by sex and menopausal status.
Participants with MetS (32 % of the study population) had higher concentrations for all urinary phthalate metabolites. After full adjustment, higher DEHP metabolite concentrations were associated with an increased odds of MetS in men, but not women (adj. POR for men Q4 versus Q1: 2.20; 95 % CI: 1.32, 3.68 and adj. POR for women Q4 versus Q1: 1.50; 95 % CI: 0.89, 2.52). When evaluating by menopausal status, pre-menopausal women with higher concentrations of MBzP had close to a 4-fold increased odds of MetS compared to pre-menopausal women with the lowest concentrations of MBzP (adj POR: Q4 versus Q1: 3.88; 95 % CI: 1.59, 9.49).
Higher concentrations of certain phthalate metabolites were associated with an increased odds of MetS. Higher DEHP metabolite concentrations were associated with an increased odds of MetS for men. In women, the strongest association was between higher concentrations of MBzP and MetS, but only among pre-menopausal women. |
| doi_str_mv | 10.1186/s12940-016-0136-x |
| format | Article |
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We analyzed data from 2719 participants in the National Health and Nutrition Examination Survey (NHANES) 2001-2010 aged 20-80 years. Five urinary phthalate metabolites (MEP, MnBP, MiBP, MBzP, and MCPP) and DEHP metabolites were analyzed by the Centers for Disease Control and Prevention and were evaluated as population-specific quartiles. MetS was defined by National Cholesterol Education Program's Adult Treatment Panel III report criteria. Prevalence odds ratios (POR) and 95 % confidence intervals (CI) were calculated using multivariable logistic regression, adjusting for potential confounders and stratifying by sex and menopausal status.
Participants with MetS (32 % of the study population) had higher concentrations for all urinary phthalate metabolites. After full adjustment, higher DEHP metabolite concentrations were associated with an increased odds of MetS in men, but not women (adj. POR for men Q4 versus Q1: 2.20; 95 % CI: 1.32, 3.68 and adj. POR for women Q4 versus Q1: 1.50; 95 % CI: 0.89, 2.52). When evaluating by menopausal status, pre-menopausal women with higher concentrations of MBzP had close to a 4-fold increased odds of MetS compared to pre-menopausal women with the lowest concentrations of MBzP (adj POR: Q4 versus Q1: 3.88; 95 % CI: 1.59, 9.49).
Higher concentrations of certain phthalate metabolites were associated with an increased odds of MetS. Higher DEHP metabolite concentrations were associated with an increased odds of MetS for men. In women, the strongest association was between higher concentrations of MBzP and MetS, but only among pre-menopausal women.</description><identifier>ISSN: 1476-069X</identifier><identifier>EISSN: 1476-069X</identifier><identifier>DOI: 10.1186/s12940-016-0136-x</identifier><identifier>PMID: 27079661</identifier><language>eng</language><publisher>England: BioMed Central Ltd</publisher><subject>Adult ; Aged ; Aged, 80 and over ; Environmental health ; Environmental Pollutants - urine ; Female ; Health aspects ; Health risk assessment ; Humans ; Insulin resistance ; Male ; Menopause ; Menopause - urine ; Metabolic disorders ; Metabolic syndrome ; Metabolic Syndrome - epidemiology ; Metabolic Syndrome - urine ; Metabolic syndrome X ; Metabolites ; Middle Aged ; Nutrition Surveys ; Observations ; Odds Ratio ; Phthalates ; Phthalic Acids - urine ; Risk factors ; Sex factors in disease ; Socioeconomic factors ; United States ; Womens health ; Young Adult</subject><ispartof>Environmental health, 2016-04, Vol.15 (39), p.52-52, Article 52</ispartof><rights>COPYRIGHT 2016 BioMed Central Ltd.</rights><rights>Copyright BioMed Central 2016</rights><rights>James-Todd et al. 2016</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c560t-54d120a41ed2a37b1c8060f97e747a3cc91cbae4bc379211da59a2a995f7cf663</citedby><cites>FETCH-LOGICAL-c560t-54d120a41ed2a37b1c8060f97e747a3cc91cbae4bc379211da59a2a995f7cf663</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC4832560/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC4832560/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,723,776,780,860,881,27901,27902,53766,53768</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/27079661$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>James-Todd, Tamarra M</creatorcontrib><creatorcontrib>Huang, Tianyi</creatorcontrib><creatorcontrib>Seely, Ellen W</creatorcontrib><creatorcontrib>Saxena, Aditi R</creatorcontrib><title>The association between phthalates and metabolic syndrome: the National Health and Nutrition Examination Survey 2001-2010</title><title>Environmental health</title><addtitle>Environ Health</addtitle><description>Higher exposure to certain phthalates is associated with a diabetes and insulin resistance, with sex differences seen. Yet, little is known about the association between phthalates and metabolic syndrome (MetS), particularly with consideration for differences by sex and menopausal status.
We analyzed data from 2719 participants in the National Health and Nutrition Examination Survey (NHANES) 2001-2010 aged 20-80 years. Five urinary phthalate metabolites (MEP, MnBP, MiBP, MBzP, and MCPP) and DEHP metabolites were analyzed by the Centers for Disease Control and Prevention and were evaluated as population-specific quartiles. MetS was defined by National Cholesterol Education Program's Adult Treatment Panel III report criteria. Prevalence odds ratios (POR) and 95 % confidence intervals (CI) were calculated using multivariable logistic regression, adjusting for potential confounders and stratifying by sex and menopausal status.
Participants with MetS (32 % of the study population) had higher concentrations for all urinary phthalate metabolites. After full adjustment, higher DEHP metabolite concentrations were associated with an increased odds of MetS in men, but not women (adj. POR for men Q4 versus Q1: 2.20; 95 % CI: 1.32, 3.68 and adj. POR for women Q4 versus Q1: 1.50; 95 % CI: 0.89, 2.52). When evaluating by menopausal status, pre-menopausal women with higher concentrations of MBzP had close to a 4-fold increased odds of MetS compared to pre-menopausal women with the lowest concentrations of MBzP (adj POR: Q4 versus Q1: 3.88; 95 % CI: 1.59, 9.49).
Higher concentrations of certain phthalate metabolites were associated with an increased odds of MetS. Higher DEHP metabolite concentrations were associated with an increased odds of MetS for men. In women, the strongest association was between higher concentrations of MBzP and MetS, but only among pre-menopausal women.</description><subject>Adult</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Environmental health</subject><subject>Environmental Pollutants - urine</subject><subject>Female</subject><subject>Health aspects</subject><subject>Health risk assessment</subject><subject>Humans</subject><subject>Insulin resistance</subject><subject>Male</subject><subject>Menopause</subject><subject>Menopause - urine</subject><subject>Metabolic disorders</subject><subject>Metabolic syndrome</subject><subject>Metabolic Syndrome - epidemiology</subject><subject>Metabolic Syndrome - urine</subject><subject>Metabolic syndrome X</subject><subject>Metabolites</subject><subject>Middle Aged</subject><subject>Nutrition Surveys</subject><subject>Observations</subject><subject>Odds Ratio</subject><subject>Phthalates</subject><subject>Phthalic Acids - urine</subject><subject>Risk factors</subject><subject>Sex factors in disease</subject><subject>Socioeconomic factors</subject><subject>United States</subject><subject>Womens health</subject><subject>Young Adult</subject><issn>1476-069X</issn><issn>1476-069X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2016</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>BENPR</sourceid><recordid>eNptUstu1DAUjRCIlsIHsEGR2LBJsR3HjlkgVVWhSFVZUCR21o1z03GV2IPtlJm_x5kppUXIsvw6j-urUxSvKTmmtBXvI2WKk4pQkWctqs2T4pBymU9C_Xj6YH9QvIjxhhAqW9E8Lw6YJFIJQQ-L7dUKS4jRGwvJeld2mH4hunK9SisYIWEswfXlhAk6P1pTxq3rg5_wQ5ky9XLHgrE8RxjTaoe9nFOwO7GzDUzW7YW_zeEWtyXLVVSMUPKyeDbAGPHV3XpUfP90dnV6Xl18_fzl9OSiMo0gqWp4TxkBTrFnUMuOmpYIMiiJkkuojVHUdIC8M7VUjNIeGgUMlGoGaQYh6qPi4153PXcT9gZdCjDqdbAThK32YPXjF2dX-trfat7WLJeQBd7dCQT_c8aY9GSjwXEEh36OOjeVNrVSbPF6-w_0xs8ht2dBKZnFFGv_oq5hRG3d4LOvWUT1Ceeqlarhi-3xf1B59DhZ4x0ONt8_ItA9wQQfY8Dh_o-U6CUvep8XnfOil7zoTea8edice8afgNS_AUzSu4M</recordid><startdate>20160414</startdate><enddate>20160414</enddate><creator>James-Todd, Tamarra M</creator><creator>Huang, Tianyi</creator><creator>Seely, Ellen W</creator><creator>Saxena, Aditi R</creator><general>BioMed Central Ltd</general><general>BioMed Central</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7T2</scope><scope>7U7</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8C1</scope><scope>8FE</scope><scope>8FG</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABJCF</scope><scope>ABUWG</scope><scope>AEUYN</scope><scope>AFKRA</scope><scope>ATCPS</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>BGLVJ</scope><scope>BHPHI</scope><scope>C1K</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>L6V</scope><scope>M0S</scope><scope>M1P</scope><scope>M7S</scope><scope>PATMY</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>PTHSS</scope><scope>PYCSY</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20160414</creationdate><title>The association between phthalates and metabolic syndrome: the National Health and Nutrition Examination Survey 2001-2010</title><author>James-Todd, Tamarra M ; Huang, Tianyi ; Seely, Ellen W ; Saxena, Aditi R</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c560t-54d120a41ed2a37b1c8060f97e747a3cc91cbae4bc379211da59a2a995f7cf663</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2016</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Environmental health</topic><topic>Environmental Pollutants - 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Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Environmental health</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>James-Todd, Tamarra M</au><au>Huang, Tianyi</au><au>Seely, Ellen W</au><au>Saxena, Aditi R</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The association between phthalates and metabolic syndrome: the National Health and Nutrition Examination Survey 2001-2010</atitle><jtitle>Environmental health</jtitle><addtitle>Environ Health</addtitle><date>2016-04-14</date><risdate>2016</risdate><volume>15</volume><issue>39</issue><spage>52</spage><epage>52</epage><pages>52-52</pages><artnum>52</artnum><issn>1476-069X</issn><eissn>1476-069X</eissn><abstract>Higher exposure to certain phthalates is associated with a diabetes and insulin resistance, with sex differences seen. Yet, little is known about the association between phthalates and metabolic syndrome (MetS), particularly with consideration for differences by sex and menopausal status.
We analyzed data from 2719 participants in the National Health and Nutrition Examination Survey (NHANES) 2001-2010 aged 20-80 years. Five urinary phthalate metabolites (MEP, MnBP, MiBP, MBzP, and MCPP) and DEHP metabolites were analyzed by the Centers for Disease Control and Prevention and were evaluated as population-specific quartiles. MetS was defined by National Cholesterol Education Program's Adult Treatment Panel III report criteria. Prevalence odds ratios (POR) and 95 % confidence intervals (CI) were calculated using multivariable logistic regression, adjusting for potential confounders and stratifying by sex and menopausal status.
Participants with MetS (32 % of the study population) had higher concentrations for all urinary phthalate metabolites. After full adjustment, higher DEHP metabolite concentrations were associated with an increased odds of MetS in men, but not women (adj. POR for men Q4 versus Q1: 2.20; 95 % CI: 1.32, 3.68 and adj. POR for women Q4 versus Q1: 1.50; 95 % CI: 0.89, 2.52). When evaluating by menopausal status, pre-menopausal women with higher concentrations of MBzP had close to a 4-fold increased odds of MetS compared to pre-menopausal women with the lowest concentrations of MBzP (adj POR: Q4 versus Q1: 3.88; 95 % CI: 1.59, 9.49).
Higher concentrations of certain phthalate metabolites were associated with an increased odds of MetS. Higher DEHP metabolite concentrations were associated with an increased odds of MetS for men. In women, the strongest association was between higher concentrations of MBzP and MetS, but only among pre-menopausal women.</abstract><cop>England</cop><pub>BioMed Central Ltd</pub><pmid>27079661</pmid><doi>10.1186/s12940-016-0136-x</doi><tpages>1</tpages><oa>free_for_read</oa></addata></record> |
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| subjects | Adult Aged Aged, 80 and over Environmental health Environmental Pollutants - urine Female Health aspects Health risk assessment Humans Insulin resistance Male Menopause Menopause - urine Metabolic disorders Metabolic syndrome Metabolic Syndrome - epidemiology Metabolic Syndrome - urine Metabolic syndrome X Metabolites Middle Aged Nutrition Surveys Observations Odds Ratio Phthalates Phthalic Acids - urine Risk factors Sex factors in disease Socioeconomic factors United States Womens health Young Adult |
| title | The association between phthalates and metabolic syndrome: the National Health and Nutrition Examination Survey 2001-2010 |
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