| Association of exposure to phthalates and environmental phenolics with markers of kidney function: Korean National Environmental Health Survey (KoNEHS) 2015-2017 | |
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| 년도 | 2020 |
| 날짜 | 2020 Oct |
| 페이지 / 학회지명 |
143, 105877 / Environment International |
| 논문저자 | Inae Lee 1, Jae Yoon Park 2, Sunmi Kim 1, Jung Nam An 3, Jeonghwan Lee 4, Hyunwoong Park 5, Sun Kyoung Jung 6, Sung Yeon Kim 6, Jung Pyo Lee 7, Kyungho Choi 8 |
| Link |
https://www.sciencedirect.com/science/article/pii/S0160412020318328
200회 연결
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1 School of Public Health, Seoul National University, Seoul, Republic of Korea. 2 Department of Internal Medicine, Dongguk University Ilsan Hospital, Goyang, Republic of Korea; Department of Internal Medicine, Dongguk University College of Medicine, Gyeongju, Republic of Korea. 3 Department of Internal Medicine, Hallym University Sacred Heart Hospital, Anyang, Gyeonggi-do, Republic of Korea. 4 Department of Internal Medicine, Seoul National University Boramae Medical Center, Seoul, Republic of Korea. 5 Department of Laboratory Medicine, Seoul National University Boramae Medical Center, Seoul, Republic of Korea. 6 Environmental Health Research Division, National Institute of Environmental Research, Ministry of Environment, Incheon, Republic of Korea. 7 Department of Internal Medicine, Seoul National University Boramae Medical Center, Seoul, Republic of Korea; Department of Internal Medicine, Seoul National University College of Medicine, Seoul, Republic of Korea. Electronic address: jungpyolee@snu.ac.kr. 8 School of Public Health, Seoul National University, Seoul, Republic of Korea. Electronic address: kyungho@snu.ac.kr. Abstract Increasing number of consumer chemicals have been associated with chronic kidney disease (CKD) in human populations. However, many studies that investigated estimated glomerular filtration rate (eGRF) as an outcome reported inconsistent associations. In the present study, we employed a subset (n = 1292) of a nationally representative adult population participating in Korean National Environmental Health Survey (KoNEHS) 2015-2017, and assessed associations of major phthalates, bisphenol A (BPA), and parabens with both eGRF and albuminuria. In order to address a potential collider issue, a covariate-adjusted standardization method was applied, in addition to the conventional creatinine-correction, for adjusting urine dilution. Regardless of adjustment method, urinary DEHP metabolites showed significant positive associations with albumin to creatinine ratio (ACR). In addition, urinary metabolites of other heavy molecular weight phthalates such as MCOP and MCNP showed significant positive associations with ACR in the female population, but only following the covariate-adjusted standardization. For eGFR, conventional creatinine-correction resulted in positive associations with most of measured phthalate metabolites. However, with the covariate-adjusted standardization, most of positive associations with eGFR disappeared, and instead, significant negative associations were observed for MnBP, BPA, and EtP. Secondary analysis following stratification by CKD status, as well as principal component analysis (PCA), generally supported the observed associations. The present observations highlight the importance of urine dilution adjustment method for association studies on eGFR, and suggest potential effects of several consumer chemicals on adverse kidney function among humans. Keywords: Albumin to creatinine ratio (ACR); Chronic kidney disease (CKD); Environmental phenolics; Estimated glomerular filtration rate (eGFR); Phthalate metabolites. |
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