Associations of Serum Per- and Polyfluoroalkyl Substances with Hyperuricemia in Adults: A Nationwide Cross-Sectional Study

横断面研究 高尿酸血症 环境卫生 医学 内科学 尿酸 病理
作者
Xulin Zheng,Yitao Pan,Yingli Qu,Saisai Ji,Wei Wang,Zheng Li,Feng Zhao,Bing Wu,Linna Xie,Yawei Li,Haocan Song,Xiaojian Hu,Yidan Qiu,Zheng Zhang,Wenli Zhang,Yanwei Yang,Jiayi Cai,Yuanduo Zhu,Ying Zhu,Zhaojin Cao,John S. Ji,Yuebin Lv,Jiayin Dai,Xiaoming Shi
出处
期刊:Environmental Science & Technology [American Chemical Society]
标识
DOI:10.1021/acs.est.3c11095
摘要

There has been widespread concern about the health hazards of per- and polyfluoroalkyl substances (PFAS), which may be the risk factor for hyperuricemia with evidence still insufficient in the general population in China. Here, we conducted a nationwide study involving 9,580 adults aged 18 years or older from 2017 to 2018, measured serum concentrations of uric acid and PFAS (PFOA, PFOS, 6:2 Cl-PFESA, PFNA, PFHxS) in participants, to assess the associations of individual PFAS with hyperuricemia, and estimated a joint effect of PFAS mixtures. We found positive associations of higher serum PFAS with elevated odds of hyperuricemia in Chinese adults, with the greatest contribution from PFOA (69.37%). The nonmonotonic dose-response (NMDR) relationships were observed for 6:2 Cl-PFESA and PFHxS with hyperuricemia. Participants with less marine fish consumption, overweight, and obesity may be the sensitive groups to the effects of PFAS on hyperuricemia. We highlight the potential health hazards of legacy long-chain PFAS (PFOA) once again because of the higher weights of joint effects. This study also provides more evidence about the NMDR relationships in PFAS with hyperuricemia and emphasizes a theoretical basis for public health planning to reduce the health hazards of PFAS in sensitive groups.
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