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Blood Lead Level as a Predictor of Coronary Artery Disease
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Ryoung Jin Park, Seung Hyun Kim, Ji Ung Park, Yang Hyun Kim, Myoung Bo Kim, Won Ju Park, Jai Dong Moon
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Korean Journal of Occupational and Environmental Medicine 2009;21(1):38-45. Published online March 31, 2009
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DOI: https://doi.org/10.35371/kjoem.2009.21.1.38
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Abstract
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Lead exposure is known to be associated with high blood pressure, hypertension, coronary artery disease, peripheral arterial disease, left ventricular hypertropy, and electrocardiographic abnormalities. We investigated the association between blood lead and coronary artery calcification and stenosis. METHODS Between April 2006 and July 2007, 502 adults (345 males and 157 females), who had no history of cardiovascular disease or occupational exposure to lead, were recruited as study subjects. All subjects underwent coronary CT angiography and blood lead measurement. RESULTS Blood lead levels were distributed from 0.43 to 11.30 (microgram/dL with a geometric mean blood lead level of 2.98+/-1.5 (microgram/dL. The geometric mean blood lead levels were higher in men than women (3.31+/-1.5 (microgram/dL vs. 2.36+/-1.5 (microgram/dL, P < 0.01). Based on a multivariate analysis, a 1 unit ((microgram/dL) increase in blood lead level was associated with a 1.09 (95% confidence interval, 0.92~1.29) and a 1.01 fold (95% confidence interval, 0.63~1.63) greater risk for coronary artery calcification in men and women, respectively. Similarly, a 1 unit (microgram/dL) increase in blood lead level was associated with a 1.25 (95% confidence interval, 1.03~1.51) and a 1.42 fold (95% confidence interval, 0.73~2.75) greater risk for coronary artery stenosis in men and women, respectively. CONCLUSIONS The results suggest that increased blood lead levels are associated with an increased risk of coronary artery stenosis.
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Citations
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- Blood Lead Levels and Cardiovascular Disease Risk: Results from the Korean National Health and Nutrition Examination Survey
Yoonjin Park, Jungjin Han International Journal of Environmental Research and Public Health.2021; 18(19): 10315. CrossRef - Blood lead concentration and related factors in Korea from the 2008 National Survey for Environmental Pollutants in the Human Body
Seong Wook Jeong, Chae Kwan Lee, Chun Hui Suh, Kun Hyung Kim, Byung Chul Son, Jeong Ho Kim, Jong Tae Lee, Soo Woong Lee, Yeong Beom Park, Jong Wha Lee, Seung-Do Yu, Chan Seok Moon, Dae Hwan Kim, Sang Yoon Lee International Journal of Hygiene and Environmental Health.2014; 217(8): 871. CrossRef - The Effects of Blood Lead on Blood Pressure Among Non-smokers
Yun-Suk Pak, Sang-Sin Park, Tae-Hun Kim, Sang-Yoon Lee, Young-Lim Kho, Eun-Hee Lee Korean Journal of Environmental Health Sciences.2012; 38(4): 311. CrossRef - National estimates of blood lead, cadmium, and mercury levels in the Korean general adult population
Nam-Soo Kim, Byung-Kook Lee International Archives of Occupational and Environmental Health.2011; 84(1): 53. CrossRef
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Change of Urinary Trans, Trans-Muconic Acid before and after Turnaround Process in a Petrochemical Plant
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Seung Hyun Kim, Ji Ung Park, Jai Dong Moon
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Korean Journal of Occupational and Environmental Medicine 2008;20(4):335-342. Published online December 31, 2008
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DOI: https://doi.org/10.35371/kjoem.2008.20.4.335
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Abstract
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This study was performed to estimate the exposure to benzene, one of the most serious health hazards, in four phases of a turnaround in a petrochemical company, and to evaluate the suitability of trans,trans-muconic acid (tt-MA) to act as a biomarker of exposure to low benzene levels. METHODS tt-MA was determined in 152 urine samples collected in 4 phases ('before daily work', 'after daily work', 'purge', and 'inspection' of turnaround work) from 19 exposed workers involved in turnaround work and 19 clerical workers. The ambient benzene levels were monitored simultaneously during the 'purge' process of turnaround work in the exposed group. RESULTS The median urinary tt-MA for the 4 phases was 0.046 mg/L, 0.082 mg/L, 0.507 mg/L, and 0.468 mg/L in the exposed group and 0.050 mg/L, 0.065 mg/L, 0.269 mg/L, and 0.331 mg/L in the clerical workers, respectively. The median urinary tt-MA for the exposed group was significantly higher than that of the clerical workers during the purge process (P<0.05). In the exposed group, median urinary tt-MA for the 'before daily work' phase was significantly lower than that of the other three phases (P<0.05). Even in the clerical workers, the urinary tt-MA level for the 'before daily work' phase was significantly lower than that of the turnaround (P<0.05). There was a very significant correlation between urinary tt-MA levels and ambient benzene levels (r(s) = 0.795, P<0.01). CONCLUSION The turnaround process increased the benzene exposure for all workers, even the clerical workers, in a petrochemical company handling benzene. Urinary tt-MA was found to be suitable as a biomarker for the exposure to low-level benzene.
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- Estimating Benzene Exposure Level over Time and by Industry Type through a Review of Literature on Korea
Donguk Park, Sangjun Choi, Kwonchul Ha, Hyejung Jung, Chungsik Yoon, Dong-Hee Koh, Seunghun Ryu, Soogeun Kim, Dongmug Kang, Kyemook Yoo Safety and Health at Work.2015; 6(3): 174. CrossRef - The Relationship between Exposure to Benzene and the Excretion of Urinary Trans, Trans-muconic Acid in Petrochemical Factory Turnaround Process Workers
Seung Min Lee, Jong Uk Won, Chi Nyon Kim, Jaehoon Roh Journal of Korean Society of Occupational and Environmental Hygiene.2014; 24(1): 52. CrossRef
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A Study on the Association between Blood Lead Levels and Habitual Tobacco and Alcohol Use in Koreans with No Occupational Lead Exposure
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Ji Ung Park, Se Won Oh, Seung Hyun Kim, Yang Hyun Kim, Ryoung Jin Park, Jai Dong Moon
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Korean Journal of Occupational and Environmental Medicine 2008;20(3):165-173. Published online September 30, 2008
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DOI: https://doi.org/10.35371/kjoem.2008.20.3.165
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Abstract
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The purpose of this study was to estimate the normal blood lead (PbB) levels in a group of Korean subjects and to evaluate the association between PbB levels and habitual tobacco and alcohol use. METHODS We recruited 532 adults (320 males and 212 females) with no history of occupational exposure to lead, as study subjects. RESULTS PbB levels ranged between 0.43 microgram/dl and 9.45 microgram/dl. The adjusted geometric mean PbB in men was 3.19 microgram/dl, which was significantly higher than that seen in women: 2.66 microgram/dl (P=0.017). Geometric mean PbBs were not significantly different between urban and rural patients. The adjusted geometric mean PbB in smokers was 3.31 microgram/dl, which was significantly higher than that seen in nonsmokers: 2.64 microgram/dl (P=0.035). The adjusted geometric mean PbB in drinkers was 3.10 microgram/dl, which was significantly higher than that seen in non-drinkers: 2.75 microgram/dl (P=0.049). CONCLUSIONS The PbB levels of some Korean adults seem to be comparable to those seen in foreign countries. Our results suggest that tobacco and alcohol cessation will be helpful in decreasing the harmful effect of lead.
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Citations
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- Prenatal Exposure to Lead and Chromium is Associated with IL-13 Levels in Umbilical Cord Blood and Severity of Atopic Dermatitis: COCOA Study
Jihyun Kim, Seonwoo Kim, Sook-young Woo, Jin-Yong Chung, Young-Seoub Hong, Se-Young Oh, Suk-Joo Choi, Soo-Young Oh, Kyung Won Kim, Youn Ho Shin, Hye-Sung Won, Kyung-Ju Lee, Soo Hyun Kim, Ja Young Kwon, Si Hyeon Lee, Soo-Jong Hong, Kangmo Ahn Immune Network.2019;[Epub] CrossRef - Level of Blood Lead and Urine Cotinine of Residents by Area
Yu-Jin Oh, Hyoung-Wook Kim, Yun-Jae Kim, Yoon-Deok Han, Sung-Hyeon Jung, Jong-Dae Lee, Bong-Ki Jang, Jin-Heon Lee, Bu-Soon Son Journal of Environmental Science International.2019; 28(3): 329. CrossRef - Association of Blood Pressure with Blood Lead and Cadmium Levels in Korean Adolescents: Analysis of Data from the 2010–2016 Korean National Health and Nutrition Examination Survey
Jaeouk Ahn, Nam-Soo Kim, Byung-Kook Lee, Jungsun Park, Yangho Kim Journal of Korean Medical Science.2018;[Epub] CrossRef - The association between cadmium and lead exposure and blood pressure among workers of a smelting industry: a cross-sectional study
Hyun Chan An, Joo Hyun Sung, Jiho Lee, Chang Sun Sim, Sang Hoon Kim, Yangho Kim Annals of Occupational and Environmental Medicine.2017;[Epub] CrossRef - Health Effect and Blood Lead Concentration among Residents in Gwangyang and Yeosu
Heejin Park, Myung-Kyu Park, Tack-Shin Kang, Geun-Bae Kim, Jong-Wha Lee, Bong-Ki Jang, Bu-Soon Son Korean Journal of Environmental Health Sciences.2016; 42(3): 205. CrossRef - Association of Blood Pressure with Exposure to Lead and Cadmium: Analysis of Data from the 2008–2013 Korean National Health and Nutrition Examination Survey
Byung-Kook Lee, Jaeouk Ahn, Nam-Soo Kim, Chan Boo Lee, Jungsun Park, Yangho Kim Biological Trace Element Research.2016; 174(1): 40. CrossRef - A Case of Lead Poisoning with Drug-induced Liver Injury after Ingestion of Herbal Medicine
Gi Jung Jeon, Jongha Park, Min Sung Kim, Jong Won Yu, Jae Hyun Park, Min Sik Kim The Korean Journal of Gastroenterology.2015; 65(6): 375. CrossRef - Probit analysis of comparative assays on toxicities of lead chloride and lead acetate to in vitro cultured human umbilical cord blood lymphocytes
Rajashree Patnaik, Rabindra N. Padhy Interdisciplinary Toxicology.2015; 8(1): 35. CrossRef - Association of among alcohol consumption and blood vitamin D and lead concentrations: Based on 2010-2012 Korea national health and nutrition examination survey
Ho-Ki An, Jae-Yong Park, Hee-Jung Yoon Journal of the Korea Academia-Industrial cooperation Society.2015; 16(1): 498. CrossRef - Blood lead concentration and related factors in Korea from the 2008 National Survey for Environmental Pollutants in the Human Body
Seong Wook Jeong, Chae Kwan Lee, Chun Hui Suh, Kun Hyung Kim, Byung Chul Son, Jeong Ho Kim, Jong Tae Lee, Soo Woong Lee, Yeong Beom Park, Jong Wha Lee, Seung-Do Yu, Chan Seok Moon, Dae Hwan Kim, Sang Yoon Lee International Journal of Hygiene and Environmental Health.2014; 217(8): 871. CrossRef - Environmental Exposure to Lead (Pb) and Variations in Its Susceptibility
Jina Kim, Youngeun Lee, Mihi Yang Journal of Environmental Science and Health, Part C.2014; 32(2): 159. CrossRef - Blood cadmium, mercury, and lead and metabolic syndrome in South Korea: 2005–2010 Korean National Health and Nutrition Examination Survey
Byung‐Kook Lee, Yangho Kim American Journal of Industrial Medicine.2013; 56(6): 682. CrossRef - Monitoring Study on Exposure Levels of Environmental Pollutants in Residents of a Non-Industrial Area, Korea
Dae-Seon Kim, Seung Chul Ahn, Jung Min Ryu, Seung Do Yu Korean Journal of Environmental Health Sciences.2012; 38(6): 482. CrossRef - Associations of blood lead, cadmium, and mercury with estimated glomerular filtration rate in the Korean general population: Analysis of 2008–2010 Korean National Health and Nutrition Examination Survey data
Yangho Kim, Byung-Kook Lee Environmental Research.2012; 118: 124. CrossRef - National estimates of blood lead, cadmium, and mercury levels in the Korean general adult population
Nam-Soo Kim, Byung-Kook Lee International Archives of Occupational and Environmental Health.2011; 84(1): 53. CrossRef - Blood Lead Concentration and Hypertension in Korean Adults Aged 40 and Over According to KNHANES IV (2008)
Sun-Young Kim, Duk-Hee Lee Korean Journal of Environmental Health Sciences.2011; 37(6): 418. CrossRef - A Study of Working Environment for Automotive Painting in Auto Repair Shops and Workers' Exposure to Hazardous Chemicals
Sang-Hyo Sim, Chun-Hwa Jeoung, Jin-Suk Lim, Hyung-Gu Lee, Yoon-Shin Kim Korean Journal of Environmental Health Sciences.2009; 35(3): 153. CrossRef
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