Associations between metabolic syndrome and four heavy metals: A systematic review and meta-analysis
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15.03.2021 |
Xu P.
Liu A.
Li F.
Tinkov A.A.
Liu L.
Zhou J.C.
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Environmental Pollution |
10.1016/j.envpol.2021.116480 |
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Ссылка
© 2021 Elsevier Ltd Four most concerned heavy metal pollutants, arsenic, cadmium, lead, and mercury may share common mechanisms to induce metabolic syndrome (MetS). However, recent studies exploring the relationships between MetS and metal exposure presented inconsistent findings. We aimed to clarify the relationship between heavy metal exposure biomarkers and MetS using a meta-analysis and systematic review approach. Literature search was conducted in international and the Chinese national databases up to June 2020. Of selected studies, we extracted the relevant data and evaluated the quality of each study's methodology. We then calculated the pooled effect sizes (ESs), standardized mean differences (SMDs), and their 95% confidence intervals (CIs) using a random-effect meta-analysis approach followed by stratification analyses for control of potential confounders. Involving 55,536 participants, the included 22 articles covered 52 observational studies reporting ESs and/or metal concentrations on specific metal and gender. Our results show that participants with MetS had significantly higher levels of heavy metal exposure [pooled ES = 1.16, 95% CI: 1.09, 1.23; n = 42, heterogeneity I2 = 75.6%; and SMD = 0.22, 95% CI: 0.15, 0.29; n = 32, I2 = 94.2%] than those without MetS. Pooled ESs in the subgroups stratified by arsenic, cadmium, lead, and mercury were 1.04 (95% CI: 0.97, 1.10; n = 8, I2 = 61.0%), 1.10 (0.95, 1.27; 11, 45.0%), 1.21 (1.00, 1.48; 12, 82.9%), and 1.26 (1.06, 1.48; 11, 67.7%), respectively. Pooled ESs in the subgroups stratified by blood, urine, and the other specimen were 1.22 (95% CI: 1.08, 1.38; n = 26, I2 = 75.8%), 1.06 (1.00, 1.13; 14, 58.1%), and 2.41 (1.30, 4.43; 2, 0.0%), respectively. In conclusion, heavy metal exposure was positively associated with MetS. Further studies are warranted to examine the effects of individual metals and their interaction on the relationship between MetS and heavy metals. The exposure to heavy metals was positively associated with the prevalence of metabolic syndrome. Exposures to lead and mercury had a stronger association with the risk of metabolic syndrome.
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Estimated Heavy-Metal and Arsenic Contents in Medicinal Plant Raw Materials of the Voronezh Region
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01.06.2018 |
D’yakova N.
Samylina I.
Slivkin A.
Gaponov S.
Myndra A.
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Pharmaceutical Chemistry Journal |
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© 2018, Springer Science+Business Media, LLC, part of Springer Nature. The levels of pollution by heavy metals and arsenic in top soil layers and medicinal plant raw materials in Voronezh Region were studied using Urtica dioica and Plantago major leaves as examples. The analyses were carried out using atomic absorption spectrometry on a graphite-furnace MGA-915MD spectrometer. Samples were collected from districts with different anthropogenic impacts across the whole region. Leaves of P. major characteristically had the highest coefficients of accumulation from the soil for Cd, As, and Ni. Leaves of U. dioica typically had high accumulation coefficients for Ni.
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