Association between urinary phthalate metabolites and nephrolithiasis in adults: A cross-sectional analysis with NHANES 2007–2018

被引：11
作者：
Di X. [1 ]
Xiang L. [1 ,2 ]
Jian Z. [1 ]
Xia Z. [3 ]
Luo D. [1 ]
机构：
[1] Department of Urology and Institute of Urology, West China Hospital, Sichuan University, Chengdu
[2] Department of Clinical Research Management, West China Hospital, Sichuan University, Chengdu
[3] College of Architecture and Environment, Sichuan University, Chengdu
来源：
Chemosphere | 2023年 / 337卷
基金：
中国国家自然科学基金;
关键词：
Calcium; Epidemiology; National Health and Nutrition Examination Survey; Nephrolithiasis; Phthalate metabolites;
D O I：
10.1016/j.chemosphere.2023.139436
中图分类号：
学科分类号：
摘要：
Nephrolithiasis is highly prevalent and brings health and economic burdens to patients. The augmentation of nephrolithiasis may be associated with exposure to phthalate metabolites. However, few studies investigated the effect of various phthalates exposure on nephrolithiasis. We analyzed data from 7139 participants aged 20 years or above from the National Health and Nutrition Examination Survey (NHANES) 2007–2018. Serum calcium level-stratified univariate and multivariate linear regression analyses were performed to explore the relationship between urinary phthalate metabolites and nephrolithiasis. As a result, the prevalence of nephrolithiasis was approximately 9.96%. After adjusting for confounding factors, associations were found between serum calcium concentration with monoethyl phthalate (P = 0.012) and mono-isobutyl phthalate (P = 0.003) compared with tertile 1 (T1). In adjusted analysis, nephrolithiasis was positively associated with middle and high tertiles of mono benzyl phthalate (P < 0.05) compare with low tertile group. Furthermore, high-level exposure to mono-isobutyl phthalate had a similar positive association with nephrolithiasis (P = 0.028). Our findings provide evidence that exposure to certain phthalate metabolites (i.e. MiBP and MBzP) may be associated with a high risk of nephrolithiasis depending on serum calcium level. © 2023 Elsevier Ltd
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