PMID- 38351959 OWN - NLM STAT- MEDLINE DCOM- 20240215 LR - 20240215 IS - 2296-2565 (Electronic) IS - 2296-2565 (Linking) VI - 12 DP - 2024 TI - Exposure to volatile organic compounds is a risk factor for diabetes retinopathy: a cross-sectional study. PG - 1347671 LID - 10.3389/fpubh.2024.1347671 [doi] LID - 1347671 AB - INTRODUCTION: A few past experimental studies have indicated that exposure to volatile organic compounds (VOCs) might be a potential risk factor for diabetes retinopathy (DR). However, these findings lack substantial support from extensive epidemiological research. This large-scale cross-sectional study aimed to examine whether exposure to low levels of VOCs in the general population is associated with diabetes mellitus (DM) and DR. METHODS: The analytical data was from the National Health and Nutrition Examination Survey (NHANES) dataset (2011-2018). To minimize the potential impact of gender and age on the findings, propensity score matching was utilized to align the data selection. Relationships between blood VOCs and DM and DR were assessed in a sample of 2,932 adults using the logistic regression models. Additionally, Bayesian kernel machine regression (BKMR) models and Weighted Quantile Sum (WQS) were conducted for mixture exposure analysis. RESULTS: The result shows VOCs were positive associated with DM and DR in US adults, as assessed by WQS model, and the calculated odd ratios (ORs) [95% confidence interval (C.I)] were 53.91(34.11 ~ 85.22) and 7.38(3.65 ~ 14.92), respectively. Among the components of VOCs, 1,2-Dibromoethane, Carbon Tetrachloride and 2,5-Dimethylfuran were positive related with the DR, and ORs (95%C.I) were 2.91(2.29 ~ 3.70), 2.86(2.25 ~ 3.65) and 2.19(1.79 ~ 2.94), respectively. BKMR model shows that there was a dose-response relationship between combined VOCs and DR, although the relationship was non-linearly. CONCLUSION: This study suggested that exposure to VOCs may increase the risk of DR, which had important public health implications. CI - Copyright (c) 2024 Wang, Chen, Peng, Wang, Ding, Li and Xu. FAU - Wang, Zhi AU - Wang Z AD - Department of Endocrinology, The Second People's Hospital of Lianyungang, Lianyungang, China. FAU - Chen, Dongjun AU - Chen D AD - Department of Cardiac Function Examine, The Second People's Hospital of Lianyungang, Lianyungang, China. FAU - Peng, Lingling AU - Peng L AD - Department of Endocrinology, The Second People's Hospital of Lianyungang, Lianyungang, China. FAU - Wang, Xian AU - Wang X AD - Department of Ultrasonography, The Second People's Hospital of Lianyungang, Lianyungang, China. FAU - Ding, Qun AU - Ding Q AD - Department of Endocrinology, The Second People's Hospital of Lianyungang, Lianyungang, China. FAU - Li, Liang AU - Li L AD - Department of Ultrasonography, The Second People's Hospital of Lianyungang, Lianyungang, China. FAU - Xu, Tongdao AU - Xu T AD - Department of Endocrinology, The Second People's Hospital of Lianyungang, Lianyungang, China. LA - eng PT - Journal Article DEP - 20240130 PL - Switzerland TA - Front Public Health JT - Frontiers in public health JID - 101616579 RN - 0 (Volatile Organic Compounds) SB - IM MH - Adult MH - Humans MH - Nutrition Surveys MH - Cross-Sectional Studies MH - *Volatile Organic Compounds/adverse effects MH - Environmental Exposure/adverse effects MH - Bayes Theorem MH - *Diabetic Retinopathy/epidemiology/etiology MH - Risk Factors MH - *Diabetes Mellitus PMC - PMC10861660 OTO - NOTNLM OT - NHANES OT - diabetes mellitus OT - diabetic retinopathy OT - epidemiology OT - volatile organic compounds 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- 2024/02/14 06:44 MHDA- 2024/02/15 06:43 PMCR- 2024/01/30 CRDT- 2024/02/14 03:45 PHST- 2023/12/01 00:00 [received] PHST- 2024/01/17 00:00 [accepted] PHST- 2024/02/15 06:43 [medline] PHST- 2024/02/14 06:44 [pubmed] PHST- 2024/02/14 03:45 [entrez] PHST- 2024/01/30 00:00 [pmc-release] AID - 10.3389/fpubh.2024.1347671 [doi] PST - epublish SO - Front Public Health. 2024 Jan 30;12:1347671. doi: 10.3389/fpubh.2024.1347671. eCollection 2024.