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Research Article
Association between urinary phthalate metabolites and obesity in adult Korean population: Korean National Environmental Health Survey (KoNEHS), 2012–2014
Yangwon Kang, Juha Park, Kanwoo Youn
Ann Occup Environ Med 2019;31:e23.   Published online September 9, 2019
DOI: https://doi.org/10.35371/aoem.2019.31.e23
AbstractAbstract PDFPubReaderePub
Background

Phthalate is a chemical that is commonly used as a plasticizer in processing plastic products and as a solvent in personal care products. Although previous experimental studies have reported that phthalate metabolites are associated with obesity, epidemiological study results have been inconsistent and insufficient. The objective of the present study was to investigate the association between urinary phthalate metabolites and obesity in adult Korean population.

Methods

The present study selected 4,752 Korean adults aged 19 years or older from the 2012–2014 Korean National Environmental Health Survey data. The concentrations of urinary di-(2-ethyl-5-carboxypentyl) phthalate (DEHP) metabolites—i.e., mono-(2-ethyl-5-hydroxyhexyl) phthalate (MEHHP), mono-(2-ethyl-5-oxohexyl) phthalate (MEOHP) and mono-(2-ethyl-5-carboxypentyl) phthalate—mono-benzyl phthalate (MBzP) and mono-n-butyl phthalate (MnBP) were adjusted using the urinary creatinine. We used logistic regression analysis to investigate the association between urinary phthalate metabolite concentration and body mass index (BMI) with respect to sex and age.

Results

Among women, urinary MEHHP and DEHP concentrations were found to have statistically significantly positive associations with obesity (Q4 versus Q1; odds ratio (OR): 1.72, 95% confidence interval (CI): 1.19–2.49 for MEHHP and OR: 1.52, 95% CI: 1.04–2.21 for DEHP). Among men, urinary MnBP concentration was found to have statistically significantly negative association with obesity (Q4 versus Q1; OR: 0.71, 95% CI: 0.50–0.99). In the analysis stratified by sex and age, women aged ≥ 50 years showed statistically significantly positive associations between the concentrations of urinary DEHP metabolites, DEHP, MBzP, and obesity (Q4 versus Q1; OR: 1.94, 95% CI: 1.28–2.94 for MEHHP, OR: 1.88, 95% CI: 1.21–2.94 for MEOHP, OR: 2.04, 95% CI: 1.31–3.18 for DEHP, and Q3 versus Q1; OR: 1.45, 95% CI: 1.02–2.05 for MBzP). Meanwhile, men aged ≥ 50 years showed no significant associations between urinary phthalate concentrations and obesity.

Conclusions

In the present study, we found differences in the associations between urinary phthalate metabolites and BMI according to sex and age. However, because the present study was cross-sectional in nature, additional support through prospective studies is needed to estimate the causal associations.


Citations

Citations to this article as recorded by  
  • Gender-specific abdominal fat distribution and insulin resistance associated with organophosphate esters and phthalate metabolites exposure
    Xiaoliu Shi, Wanyue Wang, Jiafan Feng, Xiaochun Ma, Mengting Xu, Cui Wang
    Environmental Pollution.2024; 349: 123959.     CrossRef
  • Phthalates’ exposure leads to an increasing concern on cardiovascular health
    Melissa Mariana, Miguel Castelo-Branco, Amadeu M. Soares, Elisa Cairrao
    Journal of Hazardous Materials.2023; 457: 131680.     CrossRef
  • Association between phthalate exposure and obesity risk: A meta-analysis of observational studies
    Qian Wu, Gang Li, Chen-Yang Zhao, Xiao-Lin Na, Yun-Bo Zhang
    Environmental Toxicology and Pharmacology.2023; 102: 104240.     CrossRef
  • Risk of Nonalcoholic Fatty Liver Disease Is Associated with Urinary Phthalate Metabolites Levels in Adults with Subclinical Hypothyroidism: Korean National Environmental Health Survey (KoNEHS) 2012–2014
    Eun-Jung Yang, Byung-Sun Choi, Yun-Jung Yang
    International Journal of Environmental Research and Public Health.2022; 19(6): 3267.     CrossRef
  • The effects of chemical mixtures on lipid profiles in the Korean adult population: threshold and molecular mechanisms for dyslipidemia involved
    Hai Duc Nguyen, Hojin Oh, Min-Sun Kim
    Environmental Science and Pollution Research.2022; 29(26): 39182.     CrossRef
  • Association of Exposure to Phthalate Metabolites With Sex Hormones, Obesity, and Metabolic Syndrome in US Women
    Pallavi Dubey, Sireesha Y. Reddy, Vishwajeet Singh, Ted Shi, Mallorie Coltharp, Deborah Clegg, Alok K. Dwivedi
    JAMA Network Open.2022; 5(9): e2233088.     CrossRef
  • Mixtures modeling identifies heavy metals and pyrethroid insecticide metabolites associated with obesity
    Hai Duc Nguyen, Hojin Oh, Won Hee Jo, Ngoc Hong Minh Hoang, Min-Sun Kim
    Environmental Science and Pollution Research.2022; 29(14): 20379.     CrossRef
  • Life-Time Environmental Chemical Exposure and Obesity: Review of Epidemiological Studies Using Human Biomonitoring Methods
    Nayan Chandra Mohanto, Yuki Ito, Sayaka Kato, Michihiro Kamijima
    Frontiers in Endocrinology.2021;[Epub]     CrossRef
  • Relationships between di-(2-ethylhexyl) phthalate exposure and lipid metabolism in adolescents: Human data and experimental rat model analyses
    Shuang Ding, Wen Qi, Qi Xu, Tianyang Zhao, Xu Li, Jianli Yin, Ruxuan Zhang, Chuanyi Huo, Liting Zhou, Lin Ye
    Environmental Pollution.2021; 286: 117570.     CrossRef
  • Association between Blood Mercury Levels and Non-Alcoholic Fatty Liver Disease in Non-Obese Populations: The Korean National Environmental Health Survey (KoNEHS) 2012–2014
    Yun-Jung Yang, Eun-Jung Yang, Kyongjin Park, Subin Oh, Taehyen Kim, Yeon-Pyo Hong
    International Journal of Environmental Research and Public Health.2021; 18(12): 6412.     CrossRef
  • The association between urinary bisphenol A levels and nonalcoholic fatty liver disease in Korean adults: Korean National Environmental Health Survey (KoNEHS) 2015-2017
    Sang Joon An, Eun-Jung Yang, Subin Oh, Kyong Jin Park, Taehyen Kim, Yeon-pyo Hong, Yun-Jung Yang
    Environmental Health and Preventive Medicine.2021;[Epub]     CrossRef
  • Urinary Phthalate Levels Associated with the Risk of Nonalcoholic Fatty Liver Disease in Adults: The Korean National Environmental Health Survey (KoNEHS) 2012–2014
    Yun-Jung Yang, Taehyen Kim, Yeon-Pyo Hong
    International Journal of Environmental Research and Public Health.2021; 18(11): 6035.     CrossRef
  • Benzyl Butyl Phthalate Induced Early lncRNA H19 Regulation in C3H10T1/2 Stem Cell Line
    Jian Zhang, Mahua Choudhury
    Chemical Research in Toxicology.2021; 34(1): 54.     CrossRef
  • Relationship between urinary phthalate metabolites and diabetes: Korean National Environmental Health Survey (KoNEHS) cycle 3 (2015–2017)
    Do Jin Nam, Yeji Kim, Eun Hye Yang, Hyo Choon Lee, Jae-Hong Ryoo
    Annals of Occupational and Environmental Medicine.2020;[Epub]     CrossRef
  • Urinary bisphenol A, phthalate metabolites, and obesity: do gender and menopausal status matter?
    Jung-eun Lim, BongKyoo Choi, Sun Ha Jee
    Environmental Science and Pollution Research.2020; 27(27): 34300.     CrossRef
  • Phthalate metabolites and biomarkers of oxidative stress in the follicular fluid of women undergoing in vitro fertilization
    Xiao-Qiong Yuan, Yao-Yao Du, Chong Liu, Na Guo, Xue-Mei Teng, Xiang Hua, Yang-Cheng Yao, Yan-Ling Deng, Qiang Zeng, Tao-Ran Deng, Yu-Feng Li
    Science of The Total Environment.2020; 738: 139834.     CrossRef
  • 59 View
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  • 14 Web of Science
  • 16 Crossref
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Research Article
Assessment of Arsenic Exposure by Measurement of Urinary Speciated Inorganic Arsenic Metabolites in Workers in a Semiconductor Manufacturing Plant
Kiwhan Byun, Yong Lim Won, Yang In Hwang, Dong-Hee Koh, Hosub Im, Eun-A Kim
Ann Occup Environ Med 2013;25:21-21.   Published online October 11, 2013
DOI: https://doi.org/10.1186/2052-4374-25-21
AbstractAbstract PDFPubReaderePub
Objectives

The purpose of this study was to evaluate the exposure to arsenic in preventive maintenance (PM) engineers in a semiconductor industry by detecting speciated inorganic arsenic metabolites in the urine.

Methods

The exposed group included 8 PM engineers from the clean process area and 13 PM engineers from the ion implantation process area; the non-exposed group consisted of 14 office workers from another company who were not occupationally exposed to arsenic. A spot urine specimen was collected from each participant for the detection and measurement of speciated inorganic arsenic metabolites. Metabolites were separated by high performance liquid chromatography-inductively coupled plasma spectrometry-mass spectrometry.

Results

Urinary arsenic metabolite concentrations were 1.73 g/L, 0.76 g/L, 3.45 g/L, 43.65 g/L, and 51.32 g/L for trivalent arsenic (As3+), pentavalent arsenic (As5+), monomethylarsonic acid (MMA), dimethylarsinic acid (DMA), and total inorganic arsenic metabolites (As3+ + As5+ + MMA + DMA), respectively, in clean process PM engineers. In ion implantation process PM engineers, the concentrations were 1.74 g/L, 0.39 g/L, 3.08 g/L, 23.17 g/L, 28.92 g/L for As3+, As5+, MMA, DMA, and total inorganic arsenic metabolites, respectively. Levels of urinary As3+, As5+, MMA, and total inorganic arsenic metabolites in clean process PM engineers were significantly higher than that in the non-exposed group. Urinary As3+ and As5+ levels in ion implantation process PM engineers were significantly higher than that in non-exposed group.

Conclusion

Levels of urinary arsenic metabolites in PM engineers from the clean process and ion implantation process areas were higher than that in office workers. For a complete assessment of arsenic exposure in the semiconductor industry, further studies are needed.


Citations

Citations to this article as recorded by  
  • Examining carcinogenic and noncarcinogenic health risks related to arsenic exposure in Ethiopia: A longitudinal study
    Solomon Demissie, Seblework Mekonen, Tadesse Awoke, Birhanu Teshome, Bezatu Mengistie
    Toxicology Reports.2024; 12: 100.     CrossRef
  • Arsenic Exposure and Methylation Efficiency in Relation to Oxidative Stress in Semiconductor Workers
    Chih-Hong Pan, Ching-Yu Lin, Ching-Huang Lai, Hueiwang Anna Jeng
    Atmosphere.2020; 11(5): 464.     CrossRef
  • Arsenic burden in e-waste recycling workers – A cross-sectional study at the Agbogbloshie e-waste recycling site, Ghana
    Jennie Yang, Jens Bertram, Thomas Schettgen, Peter Heitland, Damian Fischer, Fatima Seidu, Michael Felten, Thomas Kraus, Julius N. Fobil, Andrea Kaifie
    Chemosphere.2020; 261: 127712.     CrossRef
  • Early Environmental Exposures and Contaminants: a Design Framework for Biospecimen Collection and Analysis for a Prospective National Birth Cohort
    Julie M. Croff, Ryan Bogdan, Sara B. Johnson, Ludmila N. Bakhireva
    Adversity and Resilience Science.2020; 1(4): 269.     CrossRef
  • Occupational Characteristics of Semiconductor Workers with Cancer and Rare Diseases Registered with a Workers' Compensation Program in Korea
    Dong-Uk Park, Sangjun Choi, Seunghee Lee, Dong-Hee Koh, Hyoung-Ryoul Kim, Kyong-Hui Lee, Jihoon Park
    Safety and Health at Work.2019; 10(3): 347.     CrossRef
  • Exposure assessment of process by-product nanoparticles released during the preventive maintenance of semiconductor fabrication facilities
    Bo-Xi Liao, Neng-Chun Tseng, Ziyi Li, Yingshu Liu, Jen-Kun Chen, Chuen-Jinn Tsai
    Journal of Nanoparticle Research.2018;[Epub]     CrossRef
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    The Annals of Occupational Hygiene.2015;[Epub]     CrossRef
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    Ari S. Lewis, Leslie A. Beyer, Ke Zu
    Environment International.2015; 74: 258.     CrossRef
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    Inah Kim, Myoung-Hee Kim, Sinye Lim, Roger C. Young
    PLOS ONE.2015; 10(5): e0123679.     CrossRef
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    Jin-Yong Chung, Hyoun-Ju Lim, Young-Jin Kim, Ki-Hoon Song, Byoung-Gwon Kim, Young-Seoub Hong
    Environmental Health and Toxicology.2014; 29: e2014018.     CrossRef
  • 66 View
  • 0 Download
  • 12 Web of Science
  • 10 Crossref
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