Associations of urinary polycyclic aromatic hydrocarbons with bone mineral density at specific body sites in U.S. adults, NHANES 2001-2004

Exposure to polycyclic aromatic hydrocarbons and bone mineral density in children and adolescents: results from the 2011-2016 National Health and Nutrition Examination Survey

Introduction

Identifying factors that hinder bone development in children and adolescents is crucial for preventing osteoporosis. Exposure to polycyclic aromatic hydrocarbons (PAHs) has been linked to reduced bone mineral density (BMD), although available data, especially in children and adolescents, are limited. We examined the associations between urinary hydroxylated-PAHs (OH-PAHs) and lumbar spine BMD, pelvic BMD, and total BMD among 8-19 years participants (N = 1,332) of the 2011-2016 National Health and Nutrition Examination Survey.

Methods

Weighted linear regressions were employed to assess the associations between urinary OH-PAHs and BMD. Additionally, Bayesian kernel machine regression (BKMR) and quantile g-computation (Qgcomp) models were utilized to investigate the effect of co-exposure of PAHs on BMD.

Results

Several urinary OH-PAHs exhibited negative associations with lumbar spine BMD, pelvic BMD, and total BMD in children and adolescents. For instance, an increase of one unit in the natural log-transformed levels of urinary 1-hydroxypyrene and 2&3-Hydroxyphenanthrene was linked with a decrease of -0.014 g/cm2 (95% CI: -0.026, -0.002) and -0.018 g/cm2 (95% CI: -0.032, -0.004) in lumbar spine BMD, a decrease of -0.021 g/cm2 (95% CI: -0.039, -0.003) and -0.017 g/cm2 (95% CI: -0.033, -0.001) in pelvic BMD, and a decrease of -0.013 g/cm2 (95% CI: -0.023, -0.002) and -0.016 g/cm2 (95% CI: -0.026, -0.006) in total BMD. The body mass index modified the associations between urinary OH-PAHs and BMD, revealing negative effects on BMD primarily significant in overweight/obese individuals but not significant in underweight/normal individuals. Both the BKMR model and the Qgcomp model indicated a significant negative correlation between the overall effects of seven urinary OH-PAHs and lumbar spine BMD, pelvic BMD, and total BMD.

Conclusion

Our findings revealed that exposure to PAHs might hinder bone development in children and adolescents, potentially impacting peak bone mass-an essential factor influencing lifelong skeletal health.

Association between polycyclic aromatic hydrocarbons and periodontitis: Results from a large population-based study

AIM

To explore the association between polycyclic aromatic hydrocarbons (PAHs) (measured using urinary metabolites) and periodontitis using data from the National Health and Nutrition Examination Survey 2009-2014.

MATERIALS AND METHODS

Weighted binary logistic regression, Bayesian kernel machine regression (BKMR) and weighted quantile sum (WQS) regression were used to evaluate independent and joint associations between the six urinary monohydroxylated metabolites of PAHs (OH-PAHs) and periodontitis.

RESULTS

In all, 3413 participants were included in this study. All six urinary OH-PAHs were present at higher levels in the periodontitis group compared with the non-periodontitis group (p < .001). Fully adjusted multivariable logistic regressions showed positive associations between the six urinary OH-PAHs and periodontitis (p < .05). Higher concentrations of OH-PAHs were also positively associated with attachment loss, periodontal pocket depth (PPD) and the number of tooth loss. BKMR and WQS regression yielded similar positive associations between OH-PAH mixtures and periodontitis.

CONCLUSIONS

PAHs and their mixture are positively associated with periodontitis, which may provide novel insights into periodontitis prevention from an environmental exposure perspective.

Chloroform associated with bone mineral density and bone mineral content in adults: A population-based cross-sectional research

BACKGROUND

Bone mineral density is an important indicator of osteoporosis, and its variation with volatile organic compounds exposure has rarely been studied. However, the relationship between chloroform (an essential volatile organic compounds component) and bone mineral density remains unclear. Consequently, we aimed to explore the relationship between chloroform alone and bone mineral density or bone mineral content.

METHODS

Herein, 2,553 individuals aged 18 and above from the National Health and Nutrition Examination Surveys (NHANES) in 2009-2010, 2013-2014, and 2017-2020, were included. We employed two independent t-tests and multi-linear regression models to statistically assess the relationship between chloroform exposure and BMD/BMC in the spine and femoral area.

RESULTS

A "V"-shaped correlation between chloroform exposure and bone mineral density or bone mineral content (BMD/BMC) was observed in the unadjusted model, particularly in the Ward's triangle and femoral neck as a whole. A negative correlation was specifically observed for the Ward's triangle BMD/BMC and L4 BMD/BMC. On the other hand, in the adjusted model, a dominantly negative correlation between the L4 BMC and chloroform exposure was observed over a range of exposure levels. The subgroup analysis revealed a negative correlation between chloroform concentrations and BMC in the femur and spine, especially in women and the 65-80 age population.

CONCLUSION

Our study revealed a "V" shaped correlation between chloroform and BMD/BMC of the femur and spine in U.S. adults. This finding highlights the fact that prolonged exposure to chloroform may cause the changes in BMD/BMC.