Effect of para-nitrophenol concentration in urine of healthy adults on thyroid function based on US NHANES
10.13213/j.cnki.jeom.2021.21095
- VernacularTitle:健康成年人群尿中对硝基酚水平对甲状腺功能的影响—基于美国NHANES数据库
- Author:
Shuxiao SHI
1
;
Yan ZHANG
1
;
Ping XIAO
2
;
Ying TIAN
1
Author Information
1. Department of Environmental Health, School of Public Health, Shanghai Jiao Tong University, Shanghai 200025, China.
2. Shanghai Municipal Center for Disease Control and Prevention, Shanghai 200336, China.
- Publication Type:Investigation
- Keywords:
parathion;
methyl parathion;
para-nitrophenol;
thyroid function
- From:
Journal of Environmental and Occupational Medicine
2021;38(12):1350-1355
- CountryChina
- Language:Chinese
-
Abstract:
Background Parathion and methyl parathion are typical organophosphorus insecticides and para−nitrophenol (PNP) is their main specific metabolite. Previous studies have shown that parathion and methyl parathion may play a role as endocrine disrupting chemicals, but the evidence is limited. Objective Our aim is to evaluate association between urinary PNP concentration and thyroid function among healthy adults and whether this association has gender differences. Methods The study was based on the 2007—2008 US National Health and Nutrition ExaminationSurvey (NHANES). A total of 1071 subjects aging from 20 to 64 years with data on both urinary PNP and serum thyroid function indicators were finally enrolled. Thyroid function was evaluated by measuring serum thyroid stimulating hormone (TSH), free triiodothyronine (FT3), free thyroxine (FT4), total triiodothyronine (TT3), total thyroxine (TT4), thyroglobulin (TG), and thyroglobulin antibody (TG-Ab). A generalized linear model was used to analyze the relationship between urinary PNP and serum thyroid function indicators and the dose-response relationship. Gender differences were also explored. Results In the total population, the positive rate of PNP was 92.5%, and the median urinary PNP concentration adjusted for urinary creatinine was 0.62 μg·g−1. The median creatinine-adjusted urinary PNP concentrations in the male and female populations were 0.60 and 0.66 µg·g−1 respectively. The median activities or concentrations of serum thyroid function indicators TSH, FT3, FT4, TT3, and TT4 in the total population were 1500.00 μIU·L−1, 3200.00 pg·L−1, 8.00 ng·L−1, 1140.00 ng·L−1, and 76.00 μg·L−1 respectively. In the total population, a logarithmic unit increase of urinary PNP was associated with 1050.00 pg·L−1 decrease in serum FT3 levels (b=−0.02, 95%CI: −0.02-−0.01), 10.50 ng·L−1 decrease in FT4 levels (b=−0.02, 95%CI: −0.03-−0.01), and 10.50 ng·L−1 decrease in TT3 levels (b=−0.02, 95%CI: −0.03-−0.01), all in a dose-response manner (all Ptrend<0.05). After sex stratification, for every logarithmic unit increase of urinary PNP, the serum TG-Ab level was increased by 1100.00 IU·L−1 (b=0.04, 95%CI: 0.00-0.08) and the serum FT3 level was reduced by 1020.00 pg·L−1 (b=−0.01, 95%CI: −0.02-0.00) among males, and both showed dose-response relationships (both Ptrend<0.05); every logarithmic unit increase of urinary PNP was associated with 1050.00 pg·L−1 decrease in FT3 levels (b=−0.02, 95%CI: −0.03-−0.01), 10.50 ng·L−1decrease in FT4 levels (b=−0.02, 95%CI: −0.03-0.00), 10.70 ng·L−1 decrease in TT3 levels (b=−0.03, 95%CI: −0.05-−0.01), and 10.50 μg·L−1 decrease in TT4 levels (b=−0.02, 95%CI: −0.04-0.00) among females, and there were dose-response relationships of urinary PNP concentration with serum FT3 and TT3 levels (both Ptrend<0.001). Conclusion Changes in the concentration of PNP in urine are associated with changes in serum FT4, FT3, and TT3 levels and the results also show gender differences.
