PMID- 35026581 OWN - NLM STAT- MEDLINE DCOM- 20220208 LR - 20220208 IS - 1090-2414 (Electronic) IS - 0147-6513 (Linking) VI - 231 DP - 2022 Feb TI - The association between essential trace element mixture and cognitive function in Chinese community-dwelling older adults. PG - 113182 LID - S0147-6513(22)00022-7 [pii] LID - 10.1016/j.ecoenv.2022.113182 [doi] AB - BACKGROUND: The evidence about the effect of essential trace element (ETE) mixture on cognitive function amongst older adults is limited. This study aims to evaluate the associations of single ETEs and ETE mixture with cognitive function using a representative sample of community-dwelling older adults in China. METHODS: A total of 3814 older adults were included in the study. Urinary concentrations of selenium (Se), vanadium (V), cobalt (Co), strontium (Sr), and molybdenum (Mo) were detected by inductively coupled plasma mass spectrometry. Cognitive function in older adults was assessed using the Chinese version of the Mini-Mental State Examination (MMSE). Linear regression and Bayesian kernel machine regression (BKMR) were performed to explore the associations of single ETEs and ETE mixture with cognitive function, respectively. RESULTS: Linear regression showed that urinary levels of Se and V were positively associated with MMSE scores in the adjusted single-element models. BKMR also showed marginally positive associations of Se and V with MMSE scores. Moreover, higher urinary levels of ETE mixture were significantly associated with increased MMSE scores in a dose-response pattern, and Se was the most important contributor within the mixture. Both Se and V demonstrated positive additive effects on the associations of other ETEs with MMSE scores, whereas Co had a negative additive effect. CONCLUSIONS: V and Se are positively associated with cognitive function, individually and as a mixture. ETE mixture exhibits a linear dose-response association with improved cognitive function, with Se being the most important component within the mixture. Mixture analyses rather than single ETE analyses may provide a real-world perspective on the relationship between ETE mixture and cognitive function. Further cohort studies are needed to clarify the association of multiple ETEs with cognitive function. CI - Copyright (c) 2022 The Authors. Published by Elsevier Inc. All rights reserved. FAU - Cheng, Bei-Jing AU - Cheng BJ AD - School of Public Health, Department of Epidemiology and Health Statistics, Anhui Medical University, Hefei, Anhui 230032, China. FAU - Wang, Jun AU - Wang J AD - School of Public Health, Department of Epidemiology and Health Statistics, Anhui Medical University, Hefei, Anhui 230032, China. FAU - Meng, Xiang-Long AU - Meng XL AD - School of Public Health, Department of Epidemiology and Health Statistics, Anhui Medical University, Hefei, Anhui 230032, China. FAU - Sun, Liang AU - Sun L AD - Fuyang Center for Diseases Prevention and Control, Fuyang, Anhui 236069, China. FAU - Hu, Bing AU - Hu B AD - Fuyang Center for Diseases Prevention and Control, Fuyang, Anhui 236069, China. FAU - Li, Huai-Biao AU - Li HB AD - Fuyang Center for Diseases Prevention and Control, Fuyang, Anhui 236069, China. FAU - Sheng, Jie AU - Sheng J AD - School of Public Health, Experimental Center for Public Health, Anhui Medical University, Hefei, Anhui 230032, China. FAU - Chen, Gui-Mei AU - Chen GM AD - School of Health Services Management, Anhui Medical University, Hefei, Anhui 230032, China. FAU - Tao, Fang-Biao AU - Tao FB AD - School of Health Services Management, Anhui Medical University, Hefei, Anhui 230032, China; Anhui Provincial Key Laboratory of Population Health and Aristogenics, Hefei, Anhui 230032, China. FAU - Sun, Ye-Huan AU - Sun YH AD - School of Public Health, Department of Epidemiology and Health Statistics, Anhui Medical University, Hefei, Anhui 230032, China. Electronic address: yhsun_ahmu_edu@yeah.net. FAU - Yang, Lin-Sheng AU - Yang LS AD - School of Public Health, Department of Epidemiology and Health Statistics, Anhui Medical University, Hefei, Anhui 230032, China. Electronic address: yanglinsheng@ahmu.edu.cn. LA - eng PT - Journal Article DEP - 20220110 PL - Netherlands TA - Ecotoxicol Environ Saf JT - Ecotoxicology and environmental safety JID - 7805381 RN - 0 (Trace Elements) RN - H6241UJ22B (Selenium) SB - IM MH - Aged MH - Bayes Theorem MH - Cognition MH - Humans MH - Independent Living MH - *Selenium MH - *Trace Elements OTO - NOTNLM OT - BKMR OT - Cognitive function OT - Essential trace element OT - Older adults EDAT- 2022/01/14 06:00 MHDA- 2022/02/09 06:00 CRDT- 2022/01/13 20:26 PHST- 2021/09/25 00:00 [received] PHST- 2022/01/05 00:00 [revised] PHST- 2022/01/06 00:00 [accepted] PHST- 2022/01/14 06:00 [pubmed] PHST- 2022/02/09 06:00 [medline] PHST- 2022/01/13 20:26 [entrez] AID - S0147-6513(22)00022-7 [pii] AID - 10.1016/j.ecoenv.2022.113182 [doi] PST - ppublish SO - Ecotoxicol Environ Saf. 2022 Feb;231:113182. doi: 10.1016/j.ecoenv.2022.113182. Epub 2022 Jan 10.