Blood Concentrations of Persistent Organic Pollutants and Unhealthy Metabolic Phenotypes in Normal-Weight, Overweight, and Obese Individuals

Gasull, M; Castell, C; Pallarès, N; Miret, C; Pumarega, J; Te Llez-Plaza, M; López, T; Salas-Salvadó, HJ; Lee, DH; Goday, A; Porta,

HERO ID

5346873

Reference Type

Journal Article

Year

2018

Language

English

PMID

29106481

HERO ID 5346873
In Press No
Year 2018
Title Blood Concentrations of Persistent Organic Pollutants and Unhealthy Metabolic Phenotypes in Normal-Weight, Overweight, and Obese Individuals
Authors Gasull, M; Castell, C; Pallarès, N; Miret, C; Pumarega, J; Te Llez-Plaza, M; López, T; Salas-Salvadó, HJ; Lee, DH; Goday, A; Porta,
Journal American Journal of Epidemiology
Volume 187
Issue 3
Page Numbers 494-506
Abstract Factors underlying metabolic phenotypes, such as the metabolically healthy but obese phenotype, remain unclear. Differences in metabolic phenotypes-particularly, among individuals with a similar body mass index-could be related to concentrations of persistent organic pollutants (POPs). To our knowledge, no studies have analyzed POPs and metabolic phenotypes in normal-weight persons. We investigated the relationships between serum concentrations of POPs and metabolic phenotypes in 860 normal-weight, overweight, and obese participants in the 2002 Catalan Health Interview Survey (Spain). POP concentrations were significantly higher in metabolically unhealthy than in metabolically healthy individuals. In models adjusting for body mass index and other confounders, hexachlorobenzene, β-hexachlorocyclohexane, and polychlorinated biphenyls were associated with the unhealthy metabolic phenotype and metabolic syndrome. Among normal-weight individuals, the adjusted prevalence ratio of having an unhealthy phenotype for the upper category of the sum of orders of the 6 mentioned POPs (all individually associated with metabolic phenotypes) was 4.1 (95% confidence interval: 1.7, 10.0). Among overweight and obese individuals, the corresponding prevalence ratio for the sum of polychlorinated biphenyls was 1.4 (95% confidence interval: 1.0, 1.8). Our results supported the hypothesis that POP concentrations are associated with unhealthy metabolic phenotypes, not only in obese and overweight individuals but also (and probably more strongly) in normal-weight individuals.
Doi 10.1093/aje/kwx267
Pmid 29106481
Wosid WOS:000426812300013
Is Certified Translation No
Dupe Override No
Is Public Yes
Language Text English