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DOI10.1016/j.ijheh.2013.01.005
Multiple classes of environmental chemicals are associated with liver disease: NHANES 2003-2004
Christensen, Krista L. Yorita1; Carrico, Caroline K.2; Sanyal, Arun J.3; Gennings, Chris2
发表日期2013-11-01
ISSN1438-4639
卷号216期号:6页码:703-709
英文摘要

Biomonitoring studies show that humans carry a body burden of multiple classes of contaminants which are not often studied together. Many of these chemicals may be hepatotoxic. We used the 2003-2004 National Health and Nutrition Examination Survey to evaluate the relationship between alanine aminotransferase (ALT) and 37 environmental contaminants, comprising heavy metals, non-dioxin-like polychlorinated biphenyls (PCBs), and dioxin-like compounds, using a novel method. Linear regression models were constructed for each chemical separately, then as a class, using quartiles to represent exposure and adjusting for age, sex, race, income, and BMI. We then used an optimization approach to compile a weighted sum of the quartile scores, both within and across chemical classes. Using the optimization approach to construct weighted quartile scores, the dioxin like PCB, the non-dioxin like PCB and metal class-level scores were significantly associated with elevated ALT. A significant interaction was detected between the class-level score for metals, and the score for non-dioxin-like PCBs. When including all chemicals in one model, 3 chemicals accounted for 78% of the weight (mercury, PCB 180, 3,3',4,4',5-PNCB) with the remaining 22% associated with 4 chemicals (a dioxin and 3 PCBs). Validation with a holdout dataset indicated that the weighted quartile sum estimator efficiently identifies reproducible significant associations. Published by Elsevier GmbH.


英文关键词Biomonitoring;ALT;Liver;Mixtures;Cumulative
语种英语
WOS记录号WOS:000326857600012
来源期刊INTERNATIONAL JOURNAL OF HYGIENE AND ENVIRONMENTAL HEALTH
来源机构美国环保署
文献类型期刊论文
条目标识符http://gcip.llas.ac.cn/handle/2XKMVOVA/57410
作者单位1.US EPA, Washington, DC 20460 USA;
2.Virginia Commonwealth Univ, Dept Biostat, Richmond, VA 23298 USA;
3.Virginia Commonwealth Univ, Dept Internal Med, Richmond, VA 23298 USA
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GB/T 7714
Christensen, Krista L. Yorita,Carrico, Caroline K.,Sanyal, Arun J.,et al. Multiple classes of environmental chemicals are associated with liver disease: NHANES 2003-2004[J]. 美国环保署,2013,216(6):703-709.
APA Christensen, Krista L. Yorita,Carrico, Caroline K.,Sanyal, Arun J.,&Gennings, Chris.(2013).Multiple classes of environmental chemicals are associated with liver disease: NHANES 2003-2004.INTERNATIONAL JOURNAL OF HYGIENE AND ENVIRONMENTAL HEALTH,216(6),703-709.
MLA Christensen, Krista L. Yorita,et al."Multiple classes of environmental chemicals are associated with liver disease: NHANES 2003-2004".INTERNATIONAL JOURNAL OF HYGIENE AND ENVIRONMENTAL HEALTH 216.6(2013):703-709.
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