Effects of Environmental Exposure to Cadmium and Lead on the Risks of Diabetes and Kidney Dysfunction

Environmental exposure to cadmium (Cd) or lead (Pb) is independently associated with increased risks of type 2 diabetes, and chronic kidney disease. The aim of this study was to examine the effects of concurrent exposure to these toxic metals on the risks of diabetes and kidney functional impairment...

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Veröffentlicht in:International journal of environmental research and public health Jg. 19; H. 4; S. 2259
Hauptverfasser: Yimthiang, Supabhorn, Pouyfung, Phisit, Khamphaya, Tanaporn, Kuraeiad, Saruda, Wongrith, Paleeratana, Vesey, David A., Gobe, Glenda C., Satarug, Soisungwan
Format: Journal Article
Sprache:Englisch
Veröffentlicht: Switzerland MDPI AG 16.02.2022
MDPI
Schlagworte:
Blood pressure
Body mass index
Cadmium
Chronic illnesses
Creatinine
Diabetes
Diabetes Mellitus, Type 2 - epidemiology
Environmental Exposure - adverse effects
Environmental Exposure - analysis
Fasting
Glucose
Humans
Kidney
Kidney diseases
Lead - toxicity
Middle Aged
Plasma
Statistical analysis
Urine
United States > US
Sweden
albuminuria
cadmium
fasting plasma glucose
glomerular filtration rate
diabetes
lead
ISSN:1660-4601, 1661-7827, 1660-4601
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Zusammenfassung:Environmental exposure to cadmium (Cd) or lead (Pb) is independently associated with increased risks of type 2 diabetes, and chronic kidney disease. The aim of this study was to examine the effects of concurrent exposure to these toxic metals on the risks of diabetes and kidney functional impairment. The Cd and Pb exposure levels among study subjects were low to moderate, evident from the means for blood concentrations of Cd and Pb ([Cd]b and [Pb]b) of 0.59 µg/L and 4.67 µg/dL, respectively. Of 176 study subjects (mean age 60), 71 (40.3%) had abnormally high fasting plasma glucose levels. Based on their [Cd]b and [Pb]b, 53, 71, and 52 subjects were assigned to Cd and Pb exposure profiles 1, 2, and 3, respectively. The diagnosis of diabetes was increased by 4.2-fold in those with an exposure profile 3 (p = 0.002), and by 2.9-fold in those with the estimated glomerular filtration (eGFR) ≤ 60 mL/min/1.73 m2 (p = 0.029). The prevalence odds ratio (POR) for albuminuria was increased by 5-fold in those with plasma glucose levels above kidney threshold of 180 mg/dL (p = 0.014), and by 3.1-fold in those with low eGFR) (p = 0.050). Collectively, these findings suggest that the Cd and Pb exposure profiles equally impact kidney function and diabetes risk.
Bibliographie:ObjectType-Article-1
SourceType-Scholarly Journals-1
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ISSN:1660-4601
1661-7827
1660-4601
DOI:10.3390/ijerph19042259