PMID- 38123769 OWN - NLM STAT- MEDLINE DCOM- 20240122 LR - 20240202 IS - 1614-7499 (Electronic) IS - 0944-1344 (Linking) VI - 31 IP - 4 DP - 2024 Jan TI - Association between combined exposure to dioxins and arthritis among US adults: a cross-sectional study. PG - 5415-5428 LID - 10.1007/s11356-023-31423-6 [doi] AB - Dioxins and dioxin-like compounds (DLCs) are common pollutants hazardous to human health. We applied 12 dioxins and DLCs data of 1851 participants (including 484 arthritis patients) from National Health Examination Survey (NHANES) 2001-2004 and quadrupled them into rank variables. Multivariate logistic regression, weighted quantile sum (WQS) regression, and Bayesian kernel machine regression (BKMR) models were used to explore the relationship between individual or mixed exposure to the pollutants and arthritis after adjusting for multiple covariates. In multivariable logistic regression with an individual dioxin or DLC, almost every chemical was significantly positively associated with arthritis, except PCB66 (polychlorinated biphenyl 66) and 1,2,3,4,6,7,8-heptachlorodibenzofuran (hpcdf). The WQS model indicated that the combined exposure to the 12 dioxins and DLCs was positively linked to arthritis (OR: 1.884, 95% CI: 1.514-2.346), with PCB156 (weighted 0.281) making the greatest contribution. A positive trend between combined exposure and arthritis was observed in the BKMR model, with a posterior inclusion probability (PIP) of 0.987 for PCB156, which was also higher than the other contaminants. CI - (c) 2023. The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature. FAU - Meng, Qi AU - Meng Q AD - Department of Joint Surgery, Shandong Provincial Hospital, Shandong University, Jinan, 250012, Shandong, China. FAU - Wang, Yi AU - Wang Y AD - Department of Joint Surgery, Shandong Provincial Hospital Affiliated to Shandong First Medical University, Jinan, 250021, Shandong, China. AD - Orthopaedic Research Laboratory, Medical Science and Technology Innovation Center, Shandong First Medical University & Shandong Academy of Medical Sciences, Jinan, 250117, Shandong, China. FAU - Yuan, Tao AU - Yuan T AD - Department of Joint Surgery, Shandong Provincial Hospital, Shandong University, Jinan, 250012, Shandong, China. FAU - Su, Yang AU - Su Y AD - Department of Joint Surgery, Shandong Provincial Hospital, Shandong University, Jinan, 250012, Shandong, China. FAU - Ge, Jianxun AU - Ge J AD - Department of Joint Surgery, Shandong Provincial Hospital, Shandong University, Jinan, 250012, Shandong, China. FAU - Dong, Shankun AU - Dong S AD - Department of Joint Surgery, Shandong Provincial Hospital, Shandong University, Jinan, 250012, Shandong, China. FAU - Sun, Shui AU - Sun S AD - Department of Joint Surgery, Shandong Provincial Hospital, Shandong University, Jinan, 250012, Shandong, China. sunshui@sdfmu.edu.cn. AD - Department of Joint Surgery, Shandong Provincial Hospital Affiliated to Shandong First Medical University, Jinan, 250021, Shandong, China. sunshui@sdfmu.edu.cn. AD - Orthopaedic Research Laboratory, Medical Science and Technology Innovation Center, Shandong First Medical University & Shandong Academy of Medical Sciences, Jinan, 250117, Shandong, China. sunshui@sdfmu.edu.cn. LA - eng GR - 82272485/National Natural Science Foundation of China/ PT - Journal Article DEP - 20231220 PL - Germany TA - Environ Sci Pollut Res Int JT - Environmental science and pollution research international JID - 9441769 RN - 0 (Dioxins) RN - 0 (Environmental Pollutants) SB - IM MH - Adult MH - Humans MH - *Dioxins MH - Cross-Sectional Studies MH - Bayes Theorem MH - Nutrition Surveys MH - *Environmental Pollutants OTO - NOTNLM OT - Arthritis OT - Bayesian kernel machine regression OT - Dioxin OT - Dioxin-like compounds OT - Environmental exposure OT - Weighted quantile sum EDAT- 2023/12/21 00:41 MHDA- 2024/01/22 06:43 CRDT- 2023/12/20 23:41 PHST- 2023/07/06 00:00 [received] PHST- 2023/12/04 00:00 [accepted] PHST- 2024/01/22 06:43 [medline] PHST- 2023/12/21 00:41 [pubmed] PHST- 2023/12/20 23:41 [entrez] AID - 10.1007/s11356-023-31423-6 [pii] AID - 10.1007/s11356-023-31423-6 [doi] PST - ppublish SO - Environ Sci Pollut Res Int. 2024 Jan;31(4):5415-5428. doi: 10.1007/s11356-023-31423-6. Epub 2023 Dec 20.