PMID- 37848781 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 urinary phthalate metabolites and chronic obstructive pulmonary disease incidence in US adults: results from NHANES 2007-2018. PG - 113026-113038 LID - 10.1007/s11356-023-30334-w [doi] AB - Despite associations between urinary phthalates and respiratory symptoms and disorders have been investigated, knowledge about their impact on COPD incidence remains limited. Using data of 8242 adults (aged 20-80 years) from the 2007-2018 National Health and Nutrition Examination Survey (NHANES), the association of mixed urinary phthalate metabolites with COPD incidence was evaluated. Among them, 789 were COPD patients, and the rest were non-COPD participants. In the single-pollutant models, a variety of phthalate metabolites were identified as independent positive factors for COPD incidence, including mono-(carboxynonyl) phthalate (MCNP), mono-(2-ethyl-5-carboxypentyl) phthalate (MECPP), mono-n-butyl phthalate (MnBP), mono-(3-carboxylpropyl) phthalate (MCPP), mono-ethyl phthalate (MEP), mono-(2-ethyl-5-hydroxyhexyl) phthalate (MEHHP), mono-(2-ethyl-5-oxohexyl) phthalate (MEOHP), and mono-benzyl phthalate (MBzP). Multi-pollutant models, including weighted quantile sum (WQS) regression, quantile-based g computation (qgcomp), and Bayesian kernel machine regression (BKMR) approaches consistently revealed the positive association between phthalates co-exposure and COPD incidence, and MCPP was recognized as the dominant positive driver. The positive association was more evident in the youth group and the male group. The interactions between certain phthalate metabolites in COPD were also observed. Given the limitations of the cross-sectional design of NHANES study, well-designed longitudinal studies are needed to verify or disprove these findings. CI - (c) 2023. The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature. FAU - Shen, Jiran AU - Shen J AD - Department of Respiratory and Critical Care Medicine, The First Affiliated Hospital of Anhui Medical University, Hefei, 230022, China. FAU - Wang, Yue AU - Wang Y AD - Department of Infectious Disease, Hefei Second People's Hospital, Hefei, 230001, China. FAU - Zhou, Sijing AU - Zhou S AD - Department of Occupational Disease, Hefei Third Clinical College of Anhui Medical University, Hefei, 230022, China. FAU - Tang, Min AU - Tang M AD - Department of Respiratory and Critical Care Medicine, The First Affiliated Hospital of Anhui Medical University, Hefei, 230022, China. FAU - Li, Min AU - Li M AD - Department of Oncology, the First Affiliated Hospital of Anhui Medical University, Hefei, 230022, China. FAU - Han, Rui AU - Han R AD - Department of Respiratory and Critical Care Medicine, The First Affiliated Hospital of Anhui Medical University, Hefei, 230022, China. FAU - Fei, Guanghe AU - Fei G AD - Department of Respiratory and Critical Care Medicine, The First Affiliated Hospital of Anhui Medical University, Hefei, 230022, China. FAU - Wang, Ran AU - Wang R AUID- ORCID: 0000-0002-3016-1011 AD - Department of Respiratory and Critical Care Medicine, The First Affiliated Hospital of Anhui Medical University, Hefei, 230022, China. wangran@ahmu.edu.cn. LA - eng GR - No.81970051/the fund for Natural Science Foundation of China/ GR - gxgwfx2021014/Excellent Top Talent Cultivation Project of Anhui Higher Education Institutions/ GR - clinical medicine/A sub-project of the Anhui Medical University National first-class undergraduate specialty construction program/ GR - Occupational medicine/Construction projects of key disciplines in Hefei/ GR - Hwk2021zd008/the Applied Medical Research Project of Hefei Health Commission/ GR - Hwk2022zd013/the Applied Medical Research Project of Hefei Health Commission/ PT - Journal Article DEP - 20231017 PL - Germany TA - Environ Sci Pollut Res Int JT - Environmental science and pollution research international JID - 9441769 RN - 6O7F7IX66E (phthalic acid) RN - 0 (Environmental Pollutants) RN - 0 (Phthalic Acids) SB - IM MH - Adolescent MH - Adult MH - Humans MH - Male MH - Environmental Exposure MH - Nutrition Surveys MH - Cross-Sectional Studies MH - Bayes Theorem MH - Incidence MH - *Environmental Pollutants/metabolism MH - *Phthalic Acids/metabolism MH - *Pulmonary Disease, Chronic Obstructive/epidemiology OTO - NOTNLM OT - Chronic obstructive pulmonary disease OT - Combined effect OT - NHANES OT - Phthalate EDAT- 2023/10/18 00:43 MHDA- 2023/11/15 06:42 CRDT- 2023/10/17 23:48 PHST- 2023/05/30 00:00 [received] PHST- 2023/10/02 00:00 [accepted] PHST- 2023/11/15 06:42 [medline] PHST- 2023/10/18 00:43 [pubmed] PHST- 2023/10/17 23:48 [entrez] AID - 10.1007/s11356-023-30334-w [pii] AID - 10.1007/s11356-023-30334-w [doi] PST - ppublish SO - Environ Sci Pollut Res Int. 2023 Nov;30(52):113026-113038. doi: 10.1007/s11356-023-30334-w. Epub 2023 Oct 17.