Serum concentrations of persistent organic pollutants and the metabolic syndrome in Akwesasne Mohawks, a Native American community (original) (raw)
Related papers
Environmental Research, 2008
We have investigated the relationships among the concentration of total serum polychlorinated biphenyls (PCBs), various PCB congener groupings, and three pesticides to total serum lipids in humans with and without self-reported cardiovascular disease. Blood samples were obtained from 335 adult Akwesasne Mohawks, and were analyzed for 101 PCB congeners, mirex, dichloro-diphenyl-dichloro-ethylene (DDE), and hexachlorobenzene (HCB), as well as serum triglycerides and cholesterol. Structural equation modeling, following the definition of latent variables by means of confirmatory factor analysis, was used to analyze the relationships between serum lipids with PCBs and heart disease. There were significant associations among PCBs, lipids, age, and body mass index (BMI), a fact which justified the application of the structural equation model. Gender of the participant was unrelated to any of the remaining study variables. The results of this study are consistent with a model in which age is considered as both an exogenous explanatory variable and a biological driving mechanism for the acquisition of PCBs. Moreover, the results of this study are consistent with the conclusion that PCBs, acting through P450 enzymes, are directly responsible for increased synthesis of cholesterol and triglycerides, substances known to be major risk factors for cardiovascular disease.
Environmental health perspectives, 2016
Exposure to persistent organic pollutants (POPs) is known to increase risk of diabetes. To determine which POPs are most associated with prevalence of diabetes in 601 Akwesasne Native Americans. Multiple logistic regression analysis was used to assess associations between quartiles of concentrations of 101 polychlorinated biphenyl (PCBs) congeners, congener groups and three chlorinated pesticides [dichlorodiphenyldichloroethylene (DDE), hexachlorobenzene (HCB) and mirex] with diabetes. In Model 1 the relationship between quartiles of exposure and diabetes were adjusted only for sex, age, body mass index (BMI) and total serum lipids. Model 2 included additional adjustment for either total PCBs or total pesticides. Total serum PCB and pesticide concentrations were each significantly associated with prevalence of diabetes when adjusted only for covariates (Model 1), but neither showed a significant OR for highest to lowest quartiles after additional adjustment for the other (Model 2). ...
Environmental Health Perspectives, 2007
BACKGROUND: Recent research suggests that diabetes, a condition whose incidence is increasing, is associated with exposure to polychlorinated biphenyls (PCBs) and chlorinated pesticides. OBJECTIVES: We investigated the potential association between diabetes and serum levels of PCBs, dichlorodiphenyldichloroethylene (DDE), hexachlorobenzene (HCB), and mirex in a cross-sectional study of an adult Native-American (Mohawk) population. METHODS: Through a standardized questionnaire we collected demographic, medical, and lifestyle information from 352 adults, ≥ 30 years of age. We collected fasting serum samples that were analyzed for 101 PCB congeners, DDE, HCB, and mirex along with fasting glucose, triglycerides, and cholesterol. Participants who had fasting-glucose values > 125 mg/dL and/or who were taking antidiabetic medication were defined as persons with diabetes. We conducted logistic regression to assess the potential association between organochlorine serum levels and diabetes, while controlling for the potential confounding variables of age, body mass index (BMI), smoking, sex, and serum lipid levels. Organochlorine serum levels were categorized in tertiles, and the lowest tertile was used as the reference category. RESULTS: The prevalence of diabetes was 20.2%. The odds ratio (OR) of having diabetes for participants in the highest tertile of total PCB concentration compared with the lowest tertile was 3.9 (95% confidence interval, 1.5-10.6). The corresponding ORs for DDE and HCB were even higher. Elevated serum mirex was not associated with diabetes. After adjustment for other analytes, the OR for HCB remained significant, whereas ORs for PCBs and DDE remained elevated but not statistically significant. In contrast, after adjustment for other analytes, the OR for mirex became statistically significant and indicated an inverse association. CONCLUSIONS: In this study of adult Native Americans, elevated serum PCBs, DDE, and HCB were positively associated with diabetes after controlling for potential confounders, whereas a negative association was observed for mirex.
Environmental health : a global access science source, 2013
Anniston, Alabama, is the site of a former Monsanto plant where polychlorinated biphenyls (PCBs) were manufactured from 1929 until 1971. Residents of Anniston are known to have elevated levels of PCBs. The objective of the study was to test the hypothesis that levels of the various lipid components (total cholesterol, LDL cholesterol, HDL cholesterol, triglycerides) are differentially associated with concentrations of total PCBs and total pesticides, and further that different congeners, congener groups and different pesticides do not have identical associations in serum samples obtained from Anniston residents in a cross-sectional study. Fasting serum samples were obtained from 575 residents of Anniston who were not on any lipid-lowering medication and were analyzed for 35 PCB congeners, nine chlorinated pesticides, total cholesterol, LDL and HDL cholesterol and triglyceride concentrations. Associations between toxicant concentrations and lipid levels were determined using multiple...
Environment International, 2017
The Anniston Community Health Survey, a cross-sectional study, was undertaken in 2005-2007 to study environmental exposure to polychlorinated biphenyl (PCB) and organochlorine (OC) pesticides and health outcomes among residents of Anniston, AL, United States. The examination of potential risks between these pollutants and metabolic syndrome, a cluster of cardiovascular risk factors (i.e., hypertension, central obesity, dyslipidemia and dysglycemia) was the focus of this analysis. Participants were 548 adults who completed the survey and a clinic visit, were free of diabetes, and had a serum sample for clinical laboratory parameters as well as PCB and OC pesticide concentrations. Associations between summed concentrations of 35 PCB congeners and 9 individual pesticides and metabolic syndrome were examined using generalized linear modeling and logistic regression; odds ratios (OR) and 95% confidence intervals (CI) are reported. Pollutants were evaluated as quintiles and as log transformations of continuous serum concentrations. Participants were mostly female (68%) with a mean age (SD) of 53.6 (16.2) years. The racial distribution was 56% white and 44% African American; 49% met the criteria for metabolic syndrome. In unadjusted logistic regression, statistically significant and positive associations across the majority of quintiles were noted for seven individually modeled pesticides (p,p′-DDT, p,p′-DDE, HCB, β-HCCH, oxychlor, tNONA, Mirex). Following adjustment for covariables (i.e., age, sex, race, education, marital status, current smoking, alcohol consumption, positive family history of diabetes or cardiovascular disease, liver disease, BMI), significant elevations in risk were noted for p,p′-DDT across multiple quintiles (range of ORs 1.61 to 2.36), for tNONA (range of ORs 1.62-2.80) and for p,p′-DDE [OR (95% CI)] of 2.73 (1.09-6.88) in the highest quintile relative to the first. Significant trends were observed in adjusted logistic models for log 10 HCB [OR = 6.15 (1.66-22.88)], log 10 oxychlor [OR = 2.09 (1.07-4.07)] and log 10 tNONA [3.19 (1.45-7.00)]. Summed PCB concentrations were significantly and positively associated with metabolic syndrome only in unadjusted models; adjustment resulted in attenuation of the ORs in both the quintile and logtransformed models. In conclusion, several OC pesticides were found to have significant associations with metabolic syndrome in the Anniston study population while no association was observed for PCBs.
What We Learned from the Study of Exposed Population to PCBs and Pesticides
The Open Environmental Pollution & Toxicology Journal, 2009
During previous fifteen years several field surveys were carried out in the large area subjected to environmental pollution by polychlorinated biphenyls and pesticides. The attention has been focused to the analyses of organochlorine (OCs) levels in environmental (superficial waters, air, soil, wildlife, foods) and human samples. Among adverse health effects the attention has been focused to thyroid volume and thyroid autoimmune disorders, pituitary-thyroid interrelations, metabolic disorders and diabetes in adults and to cognitive, behavioral and psychoneuromotoric disorders, impairment of hearing apparatus and dental defects in schoolchildren. Original data were obtained showing possible transgenerational transmission of certain adverse health effects possibly by previous prenatal and perinatal exposure of young adults to high organochlorine levels of their mothers. In participants from heavily polluted area with high blood organochlorine levels a significantly higher prevalence of adverse health signs was found compared to those from the area with considerably lower pollution. However, considerable attention was also paid to the problem of individual susceptibility to adverse health effects.
Environmental health …, 2007
Diabetes is one of the most prevalent chronic diseases in developed countries, conferring a significant burden in terms of medical complications and health-care costs. Between 1980 and 2004, the number of Americans with diabetes increased from 5.8 million to 14.7 million. In 2004 alone, there were approximately 1.4 million new diagnoses of diabetes in American adults (18-79 years of age) [Centers for Disease Control and Prevention (CDC) 2005]. Incidence and prevalence of diabetes vary by age, ethnicity, and socioeconomic factors and are, in general, higher in Native Americans (CDC 2003a). Known risk factors for diabetes include obesity, genetic susceptibility, hyperinsulinemia (a marker for insulin resistance), sedentary lifestyle (Warram and Krolewski 2005), and cigarette smoking (Rimm et al. 1995; Will et al. 2001). Polychlorinated biphenyls (PCBs) were produced for use in various industries until the late 1970s when their production was banned.
Blood Pressure in Relation to Concentrations of PCB Congeners and Chlorinated Pesticides
Environmental Health Perspectives, 2010
Background: Residents of Anniston, Alabama, live near a Monsanto plant that manufactured polychlorinated biphenyls (PCBs) from 1929 to 1971 and are relatively heavily exposed. oBjectives: The goal of this study was to determine the relationship, if any, between blood pressure and levels of total serum PCBs, several PCB groups with common actions or structure, 35 individual PCB congeners, and nine chlorinated pesticides. Methods: Linear regression analysis was used to determine the relationships between blood pressure and serum levels of the various contaminants after adjustment for age, body mass index, sex, race, smoking, and exercise in 394 Anniston residents who were not taking antihypertensive medication. results: Other than age, total serum PCB concentration was the strongest determinant of blood pressure of the covariates studied. We found the strongest associations for those PCB congeners that had multiple ortho chlorines. We found the associations over the full range of blood pressure as well as in those subjects whose blood pressure was in the normal range. The chlorinated pesticides showed no consistent relationship to blood pressure. conclusions: In this cross-sectional study, serum concentrations of PCBs, especially those congeners with multiple ortho chlorines, were strongly associated with both systolic and diastolic blood pressure.
PCBs and other organochlorines in human tissue samples from the Welsh population: I—adipose
Environmental Pollution, 1994
Tile general exposure of humans to polychlorinated biphenyls (PCBs) and YDDT (i.e.. F!fty PCB congeners were screened, of which 29 were identified in most of the samples. Congener IUPAC numbers 138, 153 and 180 were the most abundant compounds', accounting for an average of 55% ~f tile YPCB congeners analysed. YPCB concentrations varied between 0.2 and 1.8 ixg g i of adipose tissue and were positively correlated with the donors age and negatively associated with the percentage of lipid in the adipose tissue. A progressive change in the congener pattern was noted with increasing subject age. Tissue from older individuals generally contained a relatively high proportion of the more persistent and higher chlorinated congeners. YD D T concentrations ranged Jrom 0.11 to 5.6 ~g g ~ adipose tissue, with p,p'-DDE contributing 96% towards the ZDDT concentration. ZDDT levels were also positively correlated with age. No significant d(fferences in the ZPCB and ~,DDT concentrations were noted between males and females, between people living in rural and urban locations or with the subjects' body weight at the time of their death.