Co-exposure of serum calcium, selenium and vanadium is nonlinearly associated with increased risk of type 2 diabetes mellitus in a Chinese population

Copyright © 2020 Elsevier Ltd. All rights reserved..

BACKGROUND: Metals play an important role in type 2 diabetes mellitus (T2DM). This study aimed to explore the association of T2DM risk with single metal exposure and multi-metal co-exposure.

METHODS: A case-control study with 223 T2DM patients and 302 controls was conducted. Serum concentrations of 19 metals were determined by inductively coupled plasma mass spectrometry (ICP-MS). Those metals with greater effects were screened out and co-exposure effects of metals were assessed by least absolute shrinkage and selection operator (LASSO) regression.

RESULTS: Serum calcium (Ca), selenium (Se) and vanadium (V) were found with greater effects. Higher levels of Ca and Se were associated with increased T2DM risk (OR = 2.23, 95%CI: 1.38-3.62, Ptrend = 0.002; OR = 3.16, 95%CI: 1.82-5.50, Ptrend < 0.001), but higher V level was associated with decreased T2DM risk (OR = 0.58, 95%CI: 0.34-0.97, Ptrend < 0.001). Serum Ca and V concentrations were nonlinearly associated with T2DM risk (Poverall < 0.001, Pnonliearity < 0.001); however, Se concentration was linearly associated with T2DM risk (Poverall < 0.001, Pnonliearity = 0.389). High co-exposure score of serum Ca, Se and V was associated with increased T2DM risk (OR = 3.50, 95%CI: 2.08-5.89, Ptrend < 0.001) as a non-linear relationship (Poverall < 0.001, Pnonliearity = 0.003).

CONCLUSIONS: This study suggest that higher levels of serum Ca and Se were associated with increased T2DM risk, but higher serum V level was associated with decreased T2DM risk. Moreover, co-exposure of serum Ca, Se and V was nonlinearly associated with T2DM risk, and high co-exposure score was positively associated with T2DM risk.

Medienart:

E-Artikel

Erscheinungsjahr:

2021

Erschienen:

2021

Enthalten in:

Zur Gesamtaufnahme - volume:263

Enthalten in:

Chemosphere - 263(2021) vom: 20. Jan., Seite 128021

Sprache:

Englisch

Beteiligte Personen:

Lv, Yingnan [VerfasserIn]
Xie, Lianguang [VerfasserIn]
Dong, Chunting [VerfasserIn]
Yang, Rongqing [VerfasserIn]
Long, Tianzhu [VerfasserIn]
Yang, Haisheng [VerfasserIn]
Chen, Lulin [VerfasserIn]
Zhang, Lulu [VerfasserIn]
Chen, Xiaolang [VerfasserIn]
Luo, Xiaoyu [VerfasserIn]
Huang, Sifang [VerfasserIn]
Yang, Xiaobo [VerfasserIn]
Lin, Rui [VerfasserIn]
Zhang, Haiying [VerfasserIn]

Links:

Volltext

Themen:

00J9J9XKDE
Calcium
Environmental Pollutants
H6241UJ22B
Journal Article
LASSO regression
Metal co-exposure
Nonlinear relationship
Restricted cubic splines regression
SY7Q814VUP
Selenium
Type 2 diabetes mellitus
Vanadium

Anmerkungen:

Date Completed 11.12.2020

Date Revised 07.12.2022

published: Print-Electronic

Citation Status MEDLINE

doi:

10.1016/j.chemosphere.2020.128021

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM316480177