Title | Early Pregnancy Exposure to Rare Earth Elements and Risk of Gestational Diabetes Mellitus: A Nested Case-Control Study |
Authors | Xu, Xiangrong Wang, Yuanyuan Han, Na Yang, Xiangming Ji, Yuelong Liu, Jue Jin, Chuyao Lin, Lizi Zhou, Shuang Luo, Shusheng Bao, Heling Liu, Zheng Wang, Bin Yan, Lailai Wang, Hai-Jun Ma, Xu |
Affiliation | Peking Univ, Sch Publ Hlth, Dept Maternal & Child Hlth, Beijing, Peoples R China Natl Human Genet Resources Ctr, Environm & Spatial Epidemiol Res Ctr, Beijing, Peoples R China Natl Res Inst Family Planning, Human Genet Resources Ctr, Beijing, Peoples R China Tongzhou Maternal & Child Hlth Hosp Beijing, Obstetr Dept, Beijing, Peoples R China Peking Univ, Sch Publ Hlth, Dept Epidemiol & Biostat, Beijing, Peoples R China Peking Univ, Inst Reprod & Child Hlth, Key Lab Reprod Hlth, Natl Hlth & Family Planning Commiss Peoples Repub, Beijing, Peoples R China Peking Univ, Sch Publ Hlth, Dept Laboratorial Sci & Technol, Beijing, Peoples R China |
Keywords | CERIUM OXIDE NANOPARTICLES TOXIC METALS MINING AREA ASSOCIATION HYPERGLYCEMIA PREVALENCE MECHANISMS VEGETABLES KNOWLEDGE PROVINCE |
Issue Date | 20-Dec-2021 |
Publisher | FRONTIERS IN ENDOCRINOLOGY |
Abstract | ObjectiveThe extensive use of rare earth elements (REEs) in many technologies was found to have effects on human health, but the association between early pregnancy exposure to REEs and gestational diabetes mellitus (GDM) is still unknown. MethodsThis nested case-control study involved 200 pregnant women with GDM and 200 healthy pregnant women from the Peking University Birth Cohort in Tongzhou. We examined the serum concentrations of 14 REEs during early pregnancy and analyzed their associations with the risk of GDM. ResultsWhen the elements were considered individually in the logistic regression model, no significant associations were found between REEs and GDM, after adjusting for confounding variables (P > 0.05). In weighted quantile sum (WQS) regression, each quartile decrease in the mixture index for REEs resulted in a 1.67-fold (95% CI: 1.12-2.49) increased risk of GDM. Neodymium (Nd), Praseodymium (Pr), and Lanthanum (La) were the most important contributors in the mixture. ConclusionThe study findings indicated that early pregnancy exposure to lower levels of REE mixture was associated with an increased risk of GDM, and Nd, Pr, and La exhibited the strongest effects in the mixture. |
URI | http://hdl.handle.net/20.500.11897/634568 |
ISSN | 1664-2392 |
DOI | 10.3389/fendo.2021.774142 |
Indexed | SCI(E) |
Appears in Collections: | 公共卫生学院 |