Association between 24-Hour Urinary Cadmium and Pulmonary Function among Community-Exposed Men: The VA Normative Aging Study
2008

Cadmium Exposure and Lung Function in Men

Sample size: 96 publication 10 minutes Evidence: moderate

Author Information

Author(s): Lampe Brad J., Park Sung Kyun, Robins Thomas, Mukherjee Bhramar, Litonjua Augusto A., Amarasiriwardena Chitra, Weisskopf Marc, Sparrow David, Hu Howard

Primary Institution: Department of Environmental Health Sciences, University of Michigan School of Public Health

Hypothesis

Is there an association between urinary cadmium levels and pulmonary function in community-exposed men?

Conclusion

Chronic cadmium exposure is associated with reduced pulmonary function, and this effect is modified by cigarette smoking.

Supporting Evidence

  • A single log-unit increase in urinary cadmium was inversely associated with FEV1 percent predicted.
  • Current smokers had a higher geometric mean urinary cadmium and lower FEV1/FVC ratio than former and never smokers.
  • The study used mixed-effect models to account for repeated measures of lung function.
  • Statistical analysis showed significant trends in lung function decline with increasing urinary cadmium levels.

Takeaway

This study found that men with higher levels of cadmium in their urine had worse lung function, especially if they smoked.

Methodology

The study analyzed 96 men with urinary cadmium measured in 24-hour urine samples and assessed their lung function over multiple time points.

Potential Biases

Potential bias due to the small sample size and lack of data on urinary cotinine levels.

Limitations

The small sample size limits the statistical power, and the study only had one time point of urinary cadmium data per subject.

Participant Demographics

Participants were mostly white men aged 21-80, free of major health issues.

Statistical Information

P-Value

p<0.05

Confidence Interval

95% CI −13.59 to −1.53%

Statistical Significance

p<0.05

Digital Object Identifier (DOI)

10.1289/ehp.11265

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