Perfluoroalkyl acids, hyperuricemia and gout in adults: Analyses of NHANES 2009-2014

Scinicariello, F; Buser, MC; Balluz, L; Gehle, K; Murray, HE; Abadin, HG; Attanasio, R

HERO ID

6833670

Reference Type

Journal Article

Year

2020

Language

English

PMID

32590180

HERO ID 6833670
In Press No
Year 2020
Title Perfluoroalkyl acids, hyperuricemia and gout in adults: Analyses of NHANES 2009-2014
Authors Scinicariello, F; Buser, MC; Balluz, L; Gehle, K; Murray, HE; Abadin, HG; Attanasio, R
Journal Chemosphere
Volume 259
Page Numbers 127446
Abstract Background: Previous studies have reported a positive association of perfluoralkyl acids (PFAAs), including perfluorooctanoic acid (PFOA) and perfluorooctane sulfonate (PFOS), with hyperuricemia. The objective of the study is to investigate whether there is an association between concurrent serum levels of several PFAAs and gout, serum uric acid (SUA) or hyperuricemia in the U.S. adult population as represented by the National Health and Nutrition Examination Survey (NHANES) 2009e2014 sample (n ¼ 4917). The PFAAs investigated include PFOA, perfluorononanoic acid (PFNA), perfluorodecanoic acid (PFDA), perfluorohexane sulfonic acid (PFHxS) and PFOS. Methods: This cross-sectional study used multivariate logistic regressions to analyze the association of single PFAAs with hyperuricemia and self-reported gout; the association with SUA was analyzed by multivariate linear regression. Analyses were adjusted for race/ethnicity, age, sex, education, alcohol consumption, smoking, serum cotinine, BMI, diabetes, hypertension, chronic kidney disease, and SUA (for gout only). Results: Higher quartile values of serum PFOA and PFHxS were associated with increased odds of selfreported gout. There was a positive association of SUA with increased levels of PFOA, PFNA, PFOS, PFHxS and PFDA. Higher quartile values of PFOA, PFNA, and PFHxS were associated with higher odds of hyperuricemia. Conclusions: In this population-based cross-sectional analysis, we found an association between selected PFAAs and self-reported gout. We also confirmed previous reports of an association between several PFAAs and hyperuricemia. Our study suggests that exposure to PFAAs may be a risk factor for hyperuricemia and gout.
Doi 10.1016/j.chemosphere.2020.127446
Pmid 32590180
Wosid WOS:000566573600058
Is Certified Translation No
Dupe Override No
Comments Scopus URL: https://www.scopus.com/inward/record.uri?eid=2-s2.0-85086903013&doi=10.1016%2fj.chemosphere.2020.127446&partnerID=40&md5=21bd9697fe939efdd102a3f3dfe76d02
Is Public Yes
Language Text English
Keyword gout; hyperuricemia; NHANES; perfluoralkyl acids; uric acid