Association of blood cadmium and physical activity with mortality: A prospective cohort study
Physical activity (PA) may be considered an alternative method to ameliorate the elevated mortality risks associated with cadmium exposure. In this prospective cohort study, a total of 20,253 participants (weighted mean age, 47.79 years), including 10,247 men (weighted prevalence: 50.1 %), aged 18 y...
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Elsevier
2025-01-01
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| Series: | Ecotoxicology and Environmental Safety |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S0147651324016178 |
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| author | Yilin Chen Cien Zhen Lin Zeng Hongliang Feng Jinyu Wang Qi Yong H. Ai Sizhi Ai Jihui Zhang Yannis Yan Liang Huachen Xue Yujing Zhou |
| author_facet | Yilin Chen Cien Zhen Lin Zeng Hongliang Feng Jinyu Wang Qi Yong H. Ai Sizhi Ai Jihui Zhang Yannis Yan Liang Huachen Xue Yujing Zhou |
| author_sort | Yilin Chen |
| collection | DOAJ |
| description | Physical activity (PA) may be considered an alternative method to ameliorate the elevated mortality risks associated with cadmium exposure. In this prospective cohort study, a total of 20,253 participants (weighted mean age, 47.79 years), including 10,247 men (weighted prevalence: 50.1 %), aged 18 years or older, were selected from the National Health and Nutrition Examination Survey from 2007 to 2018. Multivariable Cox proportional hazards regression models were utilized to evaluate the associations between blood cadmium levels, PA, and the risks of mortality. Restricted cubic spline analyses were employed to investigate the nonlinear relationships between blood cadmium and PA levels and mortality risks. During a median follow-up of 7.6 years, a total of 2002 (9.89 %) all-cause deaths occurred, of which 581 (2.87 %) participants were due to cardiovascular disease (CVD) and 498 (2.46 %) died of cancer. J-shaped associations were observed for blood cadmium with risks of mortality (all P overall < 0.001; all P nonlinearity < 0.001). Blood cadmium and PA had multiplicative interactions on mortality risk (all P interaction < 0.05). Compared with the subgroup with the lowest quartile of blood cadmium and recommended PA, the combination of the highest quartile of blood cadmium and without recommended PA was associated with the highest risks of all-cause and cancer mortality, followed by those meeting recommended PA but in the highest quartile of blood cadmium (hazard ratios, 2.43; 95 % confidence interval, 1.95–3.02). Achieving recommended PA significantly attenuated the detrimental effects of blood cadmium on all-cause, CVD, and cancer mortality risks. |
| format | Article |
| id | doaj-art-9d150d04c01347d6990facacacceb1ac |
| institution | Kabale University |
| issn | 0147-6513 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Ecotoxicology and Environmental Safety |
| spelling | doaj-art-9d150d04c01347d6990facacacceb1ac2025-02-12T05:29:36ZengElsevierEcotoxicology and Environmental Safety0147-65132025-01-01290117541Association of blood cadmium and physical activity with mortality: A prospective cohort studyYilin Chen0Cien Zhen1Lin Zeng2Hongliang Feng3Jinyu Wang4Qi Yong H. Ai5Sizhi Ai6Jihui Zhang7Yannis Yan Liang8Huachen Xue9Yujing Zhou10Center for Sleep and Circadian Medicine, The Affiliated Brain Hospital, Guangzhou Medical University, Guangzhou 510370, China; Department of Neurology and National Center for Neurological Disorders, Huashan Hospital, State Key Laboratory of Medical Neurobiology and MOE Frontiers Center for Brain Science, Fudan University, Shanghai 200040, ChinaCenter for Sleep and Circadian Medicine, The Affiliated Brain Hospital, Guangzhou Medical University, Guangzhou 510370, China; Department of Biology, University of Padova, Padova 35121, ItalyGuangdong Cardiovascular Institute, Guangdong Provincial People's Hospital (Guangdong Academy of Medical Sciences), Southern Medical University, Guangzhou 510080, ChinaCenter for Sleep and Circadian Medicine, The Affiliated Brain Hospital, Guangzhou Medical University, Guangzhou 510370, China; Key Laboratory of Neurogenetics and Channelopathies of Guangdong Province and the Ministry of Education of China, Guangzhou Medical University, Guangzhou 510260, ChinaDepartment of Rehabilitation Medicine, Zhongda Hospital, School of Medicine, Southeast University, Nanjing 210009, ChinaDepartment of Health Technology and Informatics, The Hong Kong Polytechnic University, Hong KongCenter for Sleep and Circadian Medicine, The Affiliated Brain Hospital, Guangzhou Medical University, Guangzhou 510370, China; Key Laboratory of Neurogenetics and Channelopathies of Guangdong Province and the Ministry of Education of China, Guangzhou Medical University, Guangzhou 510260, China; Department of Cardiology, Heart Center, The First Affiliated Hospital of Xinxiang Medical University, Weihui 453003, ChinaCenter for Sleep and Circadian Medicine, The Affiliated Brain Hospital, Guangzhou Medical University, Guangzhou 510370, China; Key Laboratory of Neurogenetics and Channelopathies of Guangdong Province and the Ministry of Education of China, Guangzhou Medical University, Guangzhou 510260, ChinaCenter for Sleep and Circadian Medicine, The Affiliated Brain Hospital, Guangzhou Medical University, Guangzhou 510370, China; Key Laboratory of Neurogenetics and Channelopathies of Guangdong Province and the Ministry of Education of China, Guangzhou Medical University, Guangzhou 510260, China; Institute of Psycho-neuroscience, The Affiliated Brain Hospital, Guangzhou Medical University, Guangzhou 510370, ChinaCenter for Sleep and Circadian Medicine, The Affiliated Brain Hospital, Guangzhou Medical University, Guangzhou 510370, China; Key Laboratory of Neurogenetics and Channelopathies of Guangdong Province and the Ministry of Education of China, Guangzhou Medical University, Guangzhou 510260, China; Correspondence to: 36 Mingxin Road, Guangzhou, Guangdong, China.Center for Sleep and Circadian Medicine, The Affiliated Brain Hospital, Guangzhou Medical University, Guangzhou 510370, China; Key Laboratory of Neurogenetics and Channelopathies of Guangdong Province and the Ministry of Education of China, Guangzhou Medical University, Guangzhou 510260, China; Correspondence to: 36 Mingxin Road, Guangzhou, Guangdong, China.Physical activity (PA) may be considered an alternative method to ameliorate the elevated mortality risks associated with cadmium exposure. In this prospective cohort study, a total of 20,253 participants (weighted mean age, 47.79 years), including 10,247 men (weighted prevalence: 50.1 %), aged 18 years or older, were selected from the National Health and Nutrition Examination Survey from 2007 to 2018. Multivariable Cox proportional hazards regression models were utilized to evaluate the associations between blood cadmium levels, PA, and the risks of mortality. Restricted cubic spline analyses were employed to investigate the nonlinear relationships between blood cadmium and PA levels and mortality risks. During a median follow-up of 7.6 years, a total of 2002 (9.89 %) all-cause deaths occurred, of which 581 (2.87 %) participants were due to cardiovascular disease (CVD) and 498 (2.46 %) died of cancer. J-shaped associations were observed for blood cadmium with risks of mortality (all P overall < 0.001; all P nonlinearity < 0.001). Blood cadmium and PA had multiplicative interactions on mortality risk (all P interaction < 0.05). Compared with the subgroup with the lowest quartile of blood cadmium and recommended PA, the combination of the highest quartile of blood cadmium and without recommended PA was associated with the highest risks of all-cause and cancer mortality, followed by those meeting recommended PA but in the highest quartile of blood cadmium (hazard ratios, 2.43; 95 % confidence interval, 1.95–3.02). Achieving recommended PA significantly attenuated the detrimental effects of blood cadmium on all-cause, CVD, and cancer mortality risks.http://www.sciencedirect.com/science/article/pii/S0147651324016178Blood cadmiumMortalityNational health and nutrition examination surveyPhysical activity |
| spellingShingle | Yilin Chen Cien Zhen Lin Zeng Hongliang Feng Jinyu Wang Qi Yong H. Ai Sizhi Ai Jihui Zhang Yannis Yan Liang Huachen Xue Yujing Zhou Association of blood cadmium and physical activity with mortality: A prospective cohort study Ecotoxicology and Environmental Safety Blood cadmium Mortality National health and nutrition examination survey Physical activity |
| title | Association of blood cadmium and physical activity with mortality: A prospective cohort study |
| title_full | Association of blood cadmium and physical activity with mortality: A prospective cohort study |
| title_fullStr | Association of blood cadmium and physical activity with mortality: A prospective cohort study |
| title_full_unstemmed | Association of blood cadmium and physical activity with mortality: A prospective cohort study |
| title_short | Association of blood cadmium and physical activity with mortality: A prospective cohort study |
| title_sort | association of blood cadmium and physical activity with mortality a prospective cohort study |
| topic | Blood cadmium Mortality National health and nutrition examination survey Physical activity |
| url | http://www.sciencedirect.com/science/article/pii/S0147651324016178 |
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