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

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