PMID- 38309699 OWN - NLM STAT- MEDLINE DCOM- 20240205 LR - 20240206 IS - 1210-7778 (Print) IS - 1210-7778 (Linking) VI - 31 IP - 4 DP - 2023 Dec TI - Association among serum per- and polyfluoroalkyl substances, lipid profile and metabolic syndrome in Czech adults, HBM-EHES survey 2019. PG - 227-234 LID - 10.21101/cejph.a7799 [doi] AB - OBJECTIVES: Per- and polyfluoroalkyl substances (PFASs) are a large group of persistent synthetic chemicals widely used commercially. They accumulate increasingly in all environmental components and enter the organisms, including humans. Some of them are associated with the risk of harm to health, among others with metabolic disorders. To test the associations between blood serum levels of PFASs and blood lipid profile as well as metabolic syndrome, we linked human biomonitoring with the Czech Health Examination Survey (CZ-EHES) conducted in 2019. METHODS: A total of 168 participants of the CZ-EHES survey aged 25-64 years were examined including anthropometrical data and analyses for serum PFAS and blood lipid levels. Extended model approach in multiple linear regression models was used for identification of the associations between serum levels of 11 PFASs and lipid profile components. The relation between PFAS serum levels and metabolic syndrome prevalence was tested using a logistic regression model. RESULTS: Six PFASs were detected over the limit of quantification in at least 40% cases and were examined in subsequent analyses: perfluorodecanoic acid (PFDA), perfluorohexane sulfonic acid (PFHxS), perfluorooctanoic acid (PFOA), perfluorononanoic acid (PFNA), perfluorooctane sulfonic acid (PFOS), perfluoroundecanoic acid (PFUdA). The most dominant was PFOS with the mean value amounting to 4.81 ng/ml. After adjusting for potential confounders, we found a significant positive association between serum PFHxS and blood total cholesterol (p = 0.005) as well as LDL-cholesterol (p = 0.008). Significant positive association was also found between PFDA and HDL-cholesterol levels (p = 0.010). No significant associations were detected between PFASs and triglycerides, and between PFASs and metabolic syndrome. CONCLUSIONS: We found some evidence of a significant association between blood serum PFAS levels and blood cholesterol levels. Our results did not confirm an association between serum PFASs and the metabolic syndrome prevalence. FAU - Puklova, Vladimira AU - Puklova V AD - National Institute of Public Health, Prague, Czech Republic. FAU - Capkova, Nadezda AU - Capkova N AD - National Institute of Public Health, Prague, Czech Republic. FAU - Fialova, Alena AU - Fialova A AD - National Institute of Public Health, Prague, Czech Republic. AD - Third Faculty of Medicine, Charles University in Prague, Czech Republic. FAU - Vavrous, Adam AU - Vavrous A AD - National Institute of Public Health, Prague, Czech Republic. FAU - Zejglicova, Kristyna AU - Zejglicova K AD - National Institute of Public Health, Prague, Czech Republic. FAU - Cerna, Milena AU - Cerna M AD - National Institute of Public Health, Prague, Czech Republic. AD - Third Faculty of Medicine, Charles University in Prague, Czech Republic. LA - eng PT - Journal Article PL - Czech Republic TA - Cent Eur J Public Health JT - Central European journal of public health JID - 9417324 RN - 0 (Environmental Pollutants) RN - 0 (Lipids) RN - 0 (Fluorocarbons) RN - 335-76-2 (perfluorodecanoic acid) RN - 9H2MAI21CL (perfluorooctane sulfonic acid) RN - 355-46-4 (perfluorohexanesulfonic acid) RN - 97C5T2UQ7J (Cholesterol) RN - 0 (Decanoic Acids) RN - 0 (Sulfonic Acids) RN - 0 (Alkanesulfonic Acids) SB - IM MH - Adult MH - Humans MH - *Environmental Pollutants MH - *Metabolic Syndrome/epidemiology MH - Serum MH - Czech Republic/epidemiology MH - Lipids MH - *Fluorocarbons MH - Cholesterol MH - *Decanoic Acids MH - *Sulfonic Acids MH - *Alkanesulfonic Acids OTO - NOTNLM OT - human biomonitoring OT - lipid profile OT - metabolic syndrome OT - serum PFASs EDAT- 2024/02/04 00:42 MHDA- 2024/02/05 06:42 CRDT- 2024/02/03 19:36 PHST- 2023/03/20 00:00 [received] PHST- 2023/12/06 00:00 [accepted] PHST- 2024/02/05 06:42 [medline] PHST- 2024/02/04 00:42 [pubmed] PHST- 2024/02/03 19:36 [entrez] AID - 10.21101/cejph.a7799 [doi] PST - ppublish SO - Cent Eur J Public Health. 2023 Dec;31(4):227-234. doi: 10.21101/cejph.a7799.