先前的研究发现镍与代谢综合征(MetS)之间可能存在关联,但结果相互矛盾。没有研究确定镍暴露是否会增加美国普通人群中MetS的患病率。因此,我们使用国家健康和营养调查(NHANES)的数据来评估尿镍和MetS之间的关联.由于尿镍水平呈现为偏斜分布,使用对数变换对它们进行归一化。加权多元逻辑模型,受限三次样条,阈值效应分析,和亚组分析用于检查尿镍浓度与MetS及其组分风险之间的关联。根据1577名参与者的数据,个人在第二个,第三,尿镍的第四四分位数对MetS的校正OR为1.42(95%CI:0.88,2.28),2.00(95%CI:1.22,3.28),和1.68(95%CI:1.05,2.70),分别,代表一个倒置的“L”形非线性剂量-反应关系,拐点为0.2141ng/L。40岁以上的患者,男性,受教育程度较低,吸烟者更容易接触镍。此外,镍与MetS的大多数成分之间存在显着关联,最强到最弱的相关性是高空腹血糖,高密度脂蛋白减少,腹部肥胖,血压升高;然而,镍与高脂血症无显著相关性。总之,环境镍暴露增加了美国成年人的MetS患病率,尤其是40岁以上的男性,那些受教育程度较低的人,和吸烟者。
Previous studies have found a possible association between
nickel and metabolic syndrome (MetS), but with conflicting results. No studies have determined whether
nickel exposure increases the prevalence of MetS in the general U.S. population. Therefore, we used data from the National Health and Nutrition Examination Survey (NHANES) to assess the association between urinary
nickel and MetS. Since urinary nickel levels were presented as a skewed distribution, they were normalized using a logarithmic transformation. Weighted multivariate logistic models, restricted cubic spline, threshold effect analysis, and subgroup analyses were used to examine the association between urinary nickel concentration and the risk of MetS and its components. Based on data from 1577 participants, individuals in the second, third, and fourth quartiles of urinary nickel had an adjusted OR for MetS of 1.42 (95% CI: 0.88, 2.28), 2.00 (95% CI: 1.22, 3.28), and 1.68 (95% CI: 1.05, 2.70), respectively, representing an inverted \"L\"-shaped nonlinear dose-response relationship with an inflection point at 0.2141 ng/L. Patients over the age of 40, males, less educated, and smokers are more susceptible to
nickel exposure. In addition, there were significant associations between
nickel and most components of the MetS, with the strongest to weakest correlations being high fasting glucose, reduced high-density lipoprotein, abdominal obesity, and elevated blood pressure; however, there was no significant correlation between nickel and hyperlipidemia. In conclusion, environmental nickel exposure increases the prevalence of MetS in U.S. adults, particularly in males over 40 years of age, those with less education, and smokers.