| Title: | The exposure to volatile organic chemicals associates positively with rheumatoid arthritis: a cross-sectional study from the NHANES program |
| Author(s): | Lei T; Qian H; Yang J; Hu Y; |
| Address: | "Department of Orthopedic Surgery, Hunan Engineering Research Center of Biomedical Metal and Ceramic Implants, National Clinical Research Center of Geriatric Disorder, Xiangya Hospital, Central South University, Changsha, China. Department of Orthopedic Surgery, Affiliated Hospital of Zunyi Medical University, Zunyi, China. Department of Orthopedic Surgery, The First Affiliated Hospital, College of Medicine, Zhejiang University, Hangzhou, China" |
| DOI: | 10.3389/fimmu.2023.1098683 |
| ISSN/ISBN: | 1664-3224 (Electronic) 1664-3224 (Linking) |
| Abstract: | "INTRODUCTION: Rheumatoid arthritis (RA) is an autoimmune disease and closely associated with both genetic and environmental factors. Volatile organic chemicals (VOC), a common environment pollutant, was associated with some autoimmune diseases, while whether VOC exposure or which VOC leads to RA is yet clarified. METHODS: A cross-sectional study using data from the 6 survey cycles (2005-2006, 2011-2012, 2013-2014, 2015-2016, 2017-2018, 2017-2020) of NHANES program was performed. The RA or non-arthritis status of participant was identified through a questionnaire survey. The quantile logistic regression method was used for correlation analysis between VOC metabolites (VOCs) in urine and RA. The covariates included age, gender, race, educational level, marital status, total energy intake, physical activity, smoking, hypertension, diabetes, urine creatinine, albumin and marihuana use. RESULTS: A total of 9536 participants (aged 20 to 85) with 15 VOCs, comprising 618 RA and 8918 non-arthritis participants, was finally included for analysis. Participants in the RA group showed higher VOCs in urine than that in the non-arthritis group. A positive association between 2 VOCs (AMCC: Q4: OR=2.173, 95%CI: 1.021, 4.627. 3HPMA: Q2: OR=2.286, 95%CI: 1.207 - 4.330; Q4: OR=2.663, 95%CI: 1.288 -5.508.) and RA was detected in the model 3, which was independent of all the covariates. The relative parent compounds of the two VOCs included N,N-Dimethylformamide and acrolein. DISCUSSION: These findings suggested that the VOC exposure significantly associated with RA, providing newly epidemiological evidence for the establishment that environmental pollutants associated with RA. And also, more prospective studies and related experimental studies are needed to further validate the conclusions of this study" |
| Keywords: | "Humans *Volatile Organic Compounds Cross-Sectional Studies Nutrition Surveys Prospective Studies *Arthritis, Rheumatoid/epidemiology *Environmental Pollutants/adverse effects environment pollution national health and nutrition examination survey public he;" |
| Notes: | "MedlineLei, Ting Qian, Hu Yang, Junxiao Hu, Yihe eng Research Support, Non-U.S. Gov't Switzerland 2023/07/05 Front Immunol. 2023 Jun 19; 14:1098683. doi: 10.3389/fimmu.2023.1098683. eCollection 2023" |
