Affiliation:
1. the Second Affiliated Hospital of Chongqing Medical University
2. Yongchuan Hospital of Chongqing Medical University
3. Exeter University
Abstract
Abstract
Cadmium is a ubiquitous environmental pollutant and carcinogenic heavy metal. There was a clear association between elevated serum cadmium levels and cardiovascular diseases (CVDs), however, this association varied by subgroup, and previous studies have not explored the sex differences in this association or investigated whether alcohol consumption affects this association. Here, we enrolled 37,729 participants from 11 cycles (1999–2020) of the National Health and Nutrition Examination Survey (NHANES) to explore the association between serum cadmium and CVDs in depth. After grouping the population by gender and adjusting for potential confounders using a multivariable logistic regression modeling strategy, we observed an independent association between serum cadmium levels and CVDs. Moreover, we further included alcohol consumption as a subgroup variable, performed a subgroup multivariable logistic regression to observe whether this association was modified by alcohol consumption. We found that serum cadmium levels were significantly positively associated with most CVDs, and that this association was gender-differentiated, which was also modified by alcohol consumption. Our study provides a new perspective for further exploring the relationship between serum cadmium levels and CVDs.
Publisher
Research Square Platform LLC
Reference46 articles.
1. Biogeochemistry of cadmium and its release to the environment;Cullen JT;Metal ions in life sciences,2013
2. Liu, S. et al. Fertilizer application in rural cropland drives cadmium enrichment in bats dwelling in an urban area. Environmental pollution (Barking, Essex: 1987) 242, 970–975, doi:10.1016/j.envpol.2018.07.079 (2018).
3. Cadmium exposure and cardiovascular disease in the 2005 Korea National Health and Nutrition Examination Survey;Lee MS;Environmental research,2011
4. Long-term cadmium exposure and fractures, cardiovascular disease, and mortality in a prospective cohort of women;Tägt J;Environment international,2022
5. Urinary cadmium concentrations and metabolic syndrome in U.S. adults: The National Health and Nutrition Examination Survey 2001–2014;Noor N;Environment international,2018