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Racial and Sex Differences between Urinary Phthalates and Metabolic Syndrome among U.S. Adults

Nhanes 2005–2014

Bibliographic Data

ID17801143
AuthorsRajrupa Ghosh (0009-0008-5330-870X, University of Maryland, College Park), Mefruz Salwa Haque (University of Maryland, College Park), Paul C Turner (0000-0001-7744-891X, University of Maryland, College Park), Raul Cruz-Cano (0000-0001-7715-1198, University of Maryland, College Park), Cher M Dallal (0000-0002-7946-3969, University of Maryland, College Park, corresponding author)
Year2021
Volume18
Issue13
Pages6870-6870
Publication date2021-06-26
Open AccessYes
TypeARTICLE
VenueInternational Journal of Environmental Research and Public Health (JOURNAL)
Journal identifiersISSN: 1661-7827 • E-ISSN: 1660-4601
PublisherMultidisciplinary Digital Publishing Institute (PUBLISHER • CH)
DOI10.3390/ijerph18136870
PMID34206929
OpenAlexW3174957799
LanguageEN
Citations received2
References cited4

Phthalates, plasticizers ubiquitous in household and personal care products, have been associated with metabolic disturbances. Despite the noted racial differences in phthalate exposure and the prevalence of metabolic syndrome (MetS), it remains unclear whether associations between phthalate metabolites and MetS vary by race and sex. A cross-sectional analysis was conducted among 10,017 adults from the National Health and Nutritional Examination Survey (2005-2014). Prevalence odds ratios (POR) and 95% confidence intervals (CIs) were estimated for the association between 11 urinary phthalate metabolites and MetS using weighted sex and race stratified multivariable logistic regression. Higher MCOP levels were significantly associated with increased odds of MetS among women but not men, and only remained significant among White women (POR Q4 vs. Q1 = 1.68, 95% CI: 1.24, 2.29; p -trend = 0.001). Similarly, the inverse association observed with MEHP among women, persisted among White women only (POR Q4 vs. Q1 = 0.53, 95% CI: 0.35, 0.80; p -trend = 0.003). However, ΣDEHP metabolites were associated with increased odds of MetS only among men, and this finding was limited to White men (POR Q4 vs. Q1 = 1.54, 95% CI: 1.01, 2.35; p -trend = 0.06). Among Black men, an inverse association was observed with higher MEP levels (POR Q4 vs. Q1 = 0.43, 95% CI: 0.24, 0.77; p -trend = 0.01). The findings suggest differential associations between phthalate metabolites and MetS by sex and race/ethnicity

Confidence interval · Environmental health · Logistic regression · Metabolic syndrome · National Health and Nutrition Examination Survey · Obesity · Odds ratio · Phthalate · Population · Chemistry · Demography · Effects and risks of endocrine disrupting chemicals · Medicine · Internal Medicine

  • Sex Differences between Urinary Phthalate Metabolites and Metabolic Syndrome in Adults

    Open Access•Ya‐Ling Shih, Chia‐Jung Hsieh et al.•International Journal of…•2022

  • Moderating effects of insomnia on the association between urinary phthalate metabolites and depressive symptoms in Chinese college students

    Open Access•Tingting Li, Shuman Tao et al.•BMC Public Health•2025

  • Prevalence of Diabetes by Race and Ethnicity in the United States, 2011-2016

    Yiling J Cheng, Alka M Kanaya et al.•JAMA•2019

  • The Metabolic Syndrome and Cardiovascular Risk

    Open Access•Salvatore Mottillo, Kristian B Filion et al.•Journal of the American College…•2010

  • Prevalence of and Trends in Diabetes Among Adults in the United States, 1988-2012

    Andy Menke, Sarah Stark Casagrande et al.•JAMA•2015

  • Definition of Metabolic Syndrome

    Scott M Grundy, H Bryan Brewer et al.•Circulation•2004

Citations per year0.5
Citation span2022 - 2025 (4)
Highly citedNo

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