PMID- 37125027 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20230502 IS - 2296-861X (Print) IS - 2296-861X (Electronic) IS - 2296-861X (Linking) VI - 10 DP - 2023 TI - Single and combined associations of blood lead and essential metals with serum lipid profiles in community-dwelling adults. PG - 1129169 LID - 10.3389/fnut.2023.1129169 [doi] LID - 1129169 AB - BACKGROUND: Although several studies have examined the relationships between lead (Pb) exposure and serum lipid profiles, the associations of the metal mixture, including lead (Pb) and essential metals with lipid profiles, remain unclear. OBJECTIVE: To investigate the associations of the metal mixture including Pb and essential metals [magnesium (Mg), manganese (Mn), copper (Cu), iron (Fe), zinc (Zn), and calcium (Ca)] with serum lipid profiles [total cholesterol (TC), triglyceride (TG), low-density lipoprotein cholesterol (LDL-C), and high-density lipoprotein cholesterol (HDL-C)], as well as the potential interactions among the metals. METHODS: Nine hundred and ninety-eight Chinese community-dwelling adults completed a questionnaire and underwent checkups of anthropometric parameters, serum lipid profile levels (TC, TG, LDL-C, and HDL-C), and blood metal concentrations (Pb, Mg, Mn, Cu, Fe, Zn, and Ca). The multivariable linear regression, weighted quantile sum (WQS) regression, and Bayesian kernel machine regression (BKMR) were applied to evaluate the single and combined associations of blood Pb and essential metals with serum lipid profiles. RESULTS: In the multivariable linear regression model, the blood Pb was positively associated with TC, LDL-C, and HDL-C (p < 0.05, all), and the blood Mg were positively associated with serum TC, LDL-C, and Ln TG (p < 0.05, all). In the WQS regression and BKMR models, the metal mixture of blood Pb and the essential metals was positively associated with all of the serum lipid profiles. In addition, an inverse U-shaped association of Pb with Ln TG and the positive interactive effect between blood Pb and Mg levels on TC and LDL-C were found. CONCLUSION: The levels of blood Pb, together with the essential metals, especially Mg levels, are suggested to be considered when assessing dyslipidemia risk. However, more evidence is still needed to validate the conclusions. CI - Copyright (c) 2023 Wan, Wang, Liang, He, Ma, Li, He, Guo, Wang, Li, Lin, Liu and Shen. FAU - Wan, Heng AU - Wan H AD - Department of Endocrinology and Metabolism, Shunde Hospital, Southern Medical University (The First People's Hospital of Shunde), Foshan, Guangdong, China. FAU - Wang, Dongmei AU - Wang D AD - Department of Endocrinology and Metabolism, Shunde Hospital, Southern Medical University (The First People's Hospital of Shunde), Foshan, Guangdong, China. FAU - Liang, Yongqian AU - Liang Y AD - Department of Endocrinology and Metabolism, Shunde Hospital, Southern Medical University (The First People's Hospital of Shunde), Foshan, Guangdong, China. FAU - He, Yajun AU - He Y AD - Department of Endocrinology and Metabolism, Shunde Hospital, Southern Medical University (The First People's Hospital of Shunde), Foshan, Guangdong, China. FAU - Ma, Qintao AU - Ma Q AD - Department of Endocrinology and Metabolism, Shunde Hospital, Southern Medical University (The First People's Hospital of Shunde), Foshan, Guangdong, China. FAU - Li, Tingting AU - Li T AD - School of Public Health, Southern Medical University, Guangzhou, Guangdong, China. FAU - He, Yingbo AU - He Y AD - School of Public Health, Southern Medical University, Guangzhou, Guangdong, China. FAU - Guo, Hanquan AU - Guo H AD - School of Public Health, Southern Medical University, Guangzhou, Guangdong, China. FAU - Wang, Jiachen AU - Wang J AD - School of Public Health, Southern Medical University, Guangzhou, Guangdong, China. FAU - Li, Zhao AU - Li Z AD - Department of Business Development, Shunde Hospital, Southern Medical University (The First People's Hospital of Shunde), Foshan, Guangdong, China. FAU - Lin, Xu AU - Lin X AD - Department of Endocrinology and Metabolism, Shunde Hospital, Southern Medical University (The First People's Hospital of Shunde), Foshan, Guangdong, China. FAU - Liu, Lan AU - Liu L AD - Department of Endocrinology and Metabolism, Shunde Hospital, Southern Medical University (The First People's Hospital of Shunde), Foshan, Guangdong, China. FAU - Shen, Jie AU - Shen J AD - Department of Endocrinology and Metabolism, Shunde Hospital, Southern Medical University (The First People's Hospital of Shunde), Foshan, Guangdong, China. LA - eng PT - Journal Article DEP - 20230414 PL - Switzerland TA - Front Nutr JT - Frontiers in nutrition JID - 101642264 PMC - PMC10140323 OTO - NOTNLM OT - Bayesian kernel machine regression OT - lead OT - lipid profiles OT - magnesium OT - metal mixture COIS- The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest. EDAT- 2023/05/01 06:42 MHDA- 2023/05/01 06:43 PMCR- 2023/01/01 CRDT- 2023/05/01 03:53 PHST- 2022/12/21 00:00 [received] PHST- 2023/03/23 00:00 [accepted] PHST- 2023/05/01 06:43 [medline] PHST- 2023/05/01 06:42 [pubmed] PHST- 2023/05/01 03:53 [entrez] PHST- 2023/01/01 00:00 [pmc-release] AID - 10.3389/fnut.2023.1129169 [doi] PST - epublish SO - Front Nutr. 2023 Apr 14;10:1129169. doi: 10.3389/fnut.2023.1129169. eCollection 2023.