PMID- 37965524 OWN - NLM STAT- MEDLINE DCOM- 20231116 LR - 20240424 IS - 2296-2565 (Electronic) IS - 2296-2565 (Linking) VI - 11 DP - 2023 TI - Association and interactions between mixed exposure to trace elements and the prevalence of kidney stones: a study of NHANES 2017-2018. PG - 1251637 LID - 10.3389/fpubh.2023.1251637 [doi] LID - 1251637 AB - BACKGROUND: The association between exposure to trace elements mixture and the prevalence of kidney stones and the interactions between elements are unclear. The aim of this study was to explore the association between exposure to trace elements mixture and the prevalence of kidney stones and the interactions between the elements. METHODS: A total of 1,244 participants (139 kidney stone formers and 1,105 non-stone former participants) in NHANES 2017-2018 were included. The exposure to trace elements was evaluated by measuring their concentration in urine samples. Three methods, Logistic regression, quantile-based g computation (qgcomp), and Bayesian kernel machine regression (BKMR), were used for analysis. RESULTS: According to the results from qgcomp and BKMR, a negative association was found between exposure to the 13 trace elements and the prevalence of kidney stones [OR = 0.50 (0.32, 0.78)]. Subgroup analysis revealed that Co, As, and iodine in the whole population, Co, As, and Ni in males, and Cs, iodine, and Sb in females, were most strongly associated with kidney stones. Kidney stone was found to be positively correlated with Co and negatively correlated with the other elements. Besides, there were significant interactions between Ni and Pb in the whole population, Co and iodine in males, and Pb and iodine in females. CONCLUSION: There was a negative association between exposure to the mixture of 13 trace elements and the prevalence of kidney stones. CI - Copyright (c) 2023 Wang, Zhang, Ma, Yang, Dang, Cao, Shi, Ouyang, Pan and Hu. FAU - Wang, Xiao AU - Wang X AD - Institute of Epidemiology and Health Statistics, School of Public Health, Lanzhou University, Lanzhou, China. FAU - Zhang, Jia AU - Zhang J AD - Institute of Epidemiology and Health Statistics, School of Public Health, Lanzhou University, Lanzhou, China. FAU - Ma, Zhibin AU - Ma Z AD - Institute of Epidemiology and Health Statistics, School of Public Health, Lanzhou University, Lanzhou, China. FAU - Yang, Yaya AU - Yang Y AD - Institute of Epidemiology and Health Statistics, School of Public Health, Lanzhou University, Lanzhou, China. FAU - Dang, Ying AU - Dang Y AD - Institute of Epidemiology and Health Statistics, School of Public Health, Lanzhou University, Lanzhou, China. FAU - Cao, Shuting AU - Cao S AD - Institute of Epidemiology and Health Statistics, School of Public Health, Lanzhou University, Lanzhou, China. FAU - Shi, Xiaoru AU - Shi X AD - Institute of Epidemiology and Health Statistics, School of Public Health, Lanzhou University, Lanzhou, China. FAU - Ouyang, Changping AU - Ouyang C AD - Institute of Epidemiology and Health Statistics, School of Public Health, Lanzhou University, Lanzhou, China. FAU - Pan, Jinhua AU - Pan J AD - Institute of Epidemiology and Health Statistics, School of Public Health, Lanzhou University, Lanzhou, China. FAU - Hu, Xiaobin AU - Hu X AD - Institute of Epidemiology and Health Statistics, School of Public Health, Lanzhou University, Lanzhou, China. LA - eng PT - Journal Article DEP - 20231026 PL - Switzerland TA - Front Public Health JT - Frontiers in public health JID - 101616579 RN - 0 (Trace Elements) RN - 2P299V784P (Lead) RN - 9679TC07X4 (Iodine) SB - IM MH - Female MH - Male MH - Humans MH - *Trace Elements MH - Prevalence MH - Bayes Theorem MH - Lead MH - Nutrition Surveys MH - *Kidney Calculi/epidemiology/etiology MH - *Iodine PMC - PMC10642183 OTO - NOTNLM OT - BKMR OT - NHANES OT - kidney stone OT - qgcomp OT - trace element 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- 2023/11/15 06:42 MHDA- 2023/11/16 06:44 PMCR- 2023/10/26 CRDT- 2023/11/15 04:29 PHST- 2023/07/28 00:00 [received] PHST- 2023/10/09 00:00 [accepted] PHST- 2023/11/16 06:44 [medline] PHST- 2023/11/15 06:42 [pubmed] PHST- 2023/11/15 04:29 [entrez] PHST- 2023/10/26 00:00 [pmc-release] AID - 10.3389/fpubh.2023.1251637 [doi] PST - epublish SO - Front Public Health. 2023 Oct 26;11:1251637. doi: 10.3389/fpubh.2023.1251637. eCollection 2023.