PMID- 37833592 OWN - NLM STAT- MEDLINE DCOM- 20231115 LR - 20231208 IS - 1614-7499 (Electronic) IS - 0944-1344 (Linking) VI - 30 IP - 52 DP - 2023 Nov TI - Association between mixed urinary metal exposure and liver function: analysis of NHANES data. PG - 112564-112574 LID - 10.1007/s11356-023-30242-z [doi] AB - Metals have been reported to affect liver functions; however, the association between mixed metal exposure in the urine and liver functions remains unclear. The present study analyzed data from the National Health and Nutrition Examination Survey (NHANES) program collected in 2005-2018. Weighted multiple linear regression and Bayesian kernel machine regression (BKMR) were used to explore the relationship between mixed urinary metal contents and liver function tests (LFTs). A total of 8158 participants were analyzed in this study. Multiple methods suggested that cadmium (Cd) was significantly positively related to LFTs, while cobalt (Co) was negatively related to LFTs. Meanwhile, some other metals showed a significant relationship with some indicators of LFTs. Urine metal is related to LFTs, with Cd and Co content changes being closely related to LFTs. The metal in urine may represent a marker for predicting liver dysfunction. Further studies are needed to verify this hypothesis. CI - (c) 2023. The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature. FAU - Zha, Bowen AU - Zha B AD - Department of Education, Beijing Anzhen Hospital, Capital Medical University, Beijing, 100069, People's Republic of China. AD - Department of Endoscopy, National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, 100021, People's Republic of China. FAU - Xu, Huanchang AU - Xu H AD - Department of Education, Beijing Luhe Hospital, Capital Medical University, 101149, Beijing, People's Republic of China. FAU - Liu, Yuqi AU - Liu Y AD - Department of Education, Beijing Luhe Hospital, Capital Medical University, 101149, Beijing, People's Republic of China. FAU - Zha, Xiaqin AU - Zha X AD - Department of Blood Purification, University Affiliated Second Hospital, 333000, Nanchang, People's Republic of China. zhaxq1234@163.com. LA - eng PT - Journal Article DEP - 20231014 PL - Germany TA - Environ Sci Pollut Res Int JT - Environmental science and pollution research international JID - 9441769 RN - 00BH33GNGH (Cadmium) RN - 0 (Metals) RN - 3G0H8C9362 (Cobalt) SB - IM MH - Humans MH - *Cadmium/urine MH - Nutrition Surveys MH - Bayes Theorem MH - *Metals MH - Cobalt MH - Liver OTO - NOTNLM OT - BKMR OT - LFT OT - NHANES OT - Urinary metal EDAT- 2023/10/14 10:43 MHDA- 2023/11/15 06:42 CRDT- 2023/10/13 23:49 PHST- 2023/04/11 00:00 [received] PHST- 2023/09/29 00:00 [accepted] PHST- 2023/11/15 06:42 [medline] PHST- 2023/10/14 10:43 [pubmed] PHST- 2023/10/13 23:49 [entrez] AID - 10.1007/s11356-023-30242-z [pii] AID - 10.1007/s11356-023-30242-z [doi] PST - ppublish SO - Environ Sci Pollut Res Int. 2023 Nov;30(52):112564-112574. doi: 10.1007/s11356-023-30242-z. Epub 2023 Oct 14.