Association between exposure to urinary metal and all-cause and cardiovascular mortality in US adults
2024

Impact of Urinary Metals on Mortality

Sample size: 14305 publication 10 minutes Evidence: high

Author Information

Author(s): Cheng Ting, Yu Dongdong, Li Geng, Chen Xiankun, Zhou Li, Wen Zehuai

Primary Institution: Guangzhou University of Chinese Medicine

Hypothesis

What is the association between exposure to urinary metals and all-cause and cardiovascular mortality in US adults?

Conclusion

Higher levels of cobalt, lead, and antimony in urine are linked to an increased risk of all-cause and cardiovascular mortality.

Supporting Evidence

  • Cobalt and antimony were positively associated with all-cause mortality.
  • Lead and antimony were significantly associated with cardiovascular mortality.
  • The study used multiple statistical models to assess the impact of metal exposure.
  • High detection rates of metals were observed in urine samples.
  • Complex non-linear relationships were found between metal exposure and mortality.

Takeaway

This study found that certain metals in urine can make people more likely to die from heart problems or other causes.

Methodology

The study analyzed data from the NHANES survey, measuring urinary metals and tracking mortality using various statistical models.

Potential Biases

Potential biases may arise from the retrospective nature of the analysis and reliance on self-reported health conditions.

Limitations

The study is based on cross-sectional data, which may not capture long-term exposure effects, and cannot establish causality.

Participant Demographics

Participants were adults aged 20-85, with a majority being over 60 years old, and included both males and females.

Statistical Information

P-Value

<0.001

Confidence Interval

95% CI: 1.12, 1.75

Statistical Significance

p<0.001

Digital Object Identifier (DOI)

10.1371/journal.pone.0316045

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