No description available.

Objectives: To examine variation in clustered metabolic risk (cMetS) in adolescents classified as not overweight/active (NOA), not overweight/not active (NONA), overweight/active (OA), and overweight/not active (ONA). Background: While studies to date have shown that children and adolescents who meet the current physical activity (PA) recommendations and maintain a healthy body weight demonstrate significantly lower cardiometabolic risk, there are some studies that suggest the relationship between PA and metabolic risk may be mediated by adiposity. Methods: The sample included adolescent participants (n=875; 12-17 years) of the 2007-2012 National Health and Nutrition Examination Survey (NHANES). The cMetS score included triglycerides, high-density lipoprotein cholesterol, fasting plasma glucose, and mean arterial pressure. Age- and sex-specific body mass index (BMI) percentiles were utilized; overweight was defined as BMI percentile ≥ 85th. Activity data included self-reported frequency of moderate-to-vigorous PA. Adolescents reporting ≥ 60 min/day of PA were considered “active”. General linear models, adjusted for age, sex, and race-ethnicity, were used. A six-year fasting sample weight was applied to the analyses in order to ensure representativeness of the data. Results: The cMetS scores were significantly (p Conclusions: The cMetS scores were higher in OA and ONA adolescents when compared to those classified as NOA. Whereas only ONA males demonstrated significantly higher cMetS score when compared to the NOA referent, both OA and ONA cMetS scores (vs NOA) were significantly higher in females.

Background: Exposure to perfluorooctanoic acid (PFOA) and perfluorooctane sulfonic acid (PFOS) have been associated with higher circulating concentrations of total cholesterol (TC) and low density lipoprotein cholesterol (LDL-C). ApoB is the primary apolipoprotein component of LDL-C, and acts as a ligand for LDL-C receptors in various cells throughout the body. Circulating concentrations of ApoB are considered to be a better indicator of heart disease risk than TC or LDL-C. Objectives: Explore associations of concentrations of PFOA and PFOS with serum ApoB in adults. Methods: We analyzed data from 2744, 20-80 years old participants in the 2005–2006 National Health and Nutrition Examination Survey (NHANES). Linear regression models were used to estimate adjusted predicted means of serum ApoB (in g/L) for quartiles of PFOA and PFOS (in ng/mL) to describe patterns of associations. Results: Adjusted predicted mean concentrations of serum ApoB did not appear to vary meaningfully with increasing concentrations of PFOA (Q1 1.11, Q2 1.02, Q3 1.01, Q4 1.02) or increasing concentrations of PFOS (Q1 1.06, Q2 1.05, Q3 1.07, Q4 0.99) in study participants. Conclusions: Exposure to PFOA or PFOS does not appear to alter Apo B concentrations in adults.

The overall objective of this dissertation was to examine exposures to the estrogenic endocrine disrupting chemicals (EEDCs), phthalates, bisphenol-A (BPA), and the metalloestrogens cadmium (Cd), arsenic (As), and manganese (Mn) in an older geriatric aged-population and examine associations with brain health. Given the evidence that EEDCs affect brain health and play a role in the development of cognitive dysfunction and neurodegenerative disease, and the constant environmental exposure through foods and everyday products has led this to becoming a great public health concern. Using a bioinformatic approach to find nuclear respiratory factor 1 (NRF1) gene targets involved in mitochondrial dysfunction, that are both estrogen and EEDC-sensitive, we found several genes involved in the gene pathways of Alzheimer’s disease (AD): APBB2, EIF2S1, ENO1, MAPT, and PAXIP1. Using the Center for Disease Control and Prevention (CDC), National Health and Nutrition Examination Survey (NHANES) 2011-2014 datasets to assess EEDC bioburden and associations with surrogate indicators of brain health, which include cognitive scores, memory questions, and taste and smell data, we found phthalate bioburden to be significantly higher in those with adverse brain health vii and significantly higher in females. In our logistic regression model when controlling for all known and suspected covariates in AD, in females, the phthalates in females ECP, MBP, MOH, MZP, and MIB in males and the phthalates COP, ECP, MBP, MC1, MEP, MHH, MOH, and MIB were significantly associated with poor cognitive test scores, poor memory, and taste and smell dysfunction. Among the metalloestrogens, Cd bioburden was higher in those with poor cognitive performance, poor memory, and taste and smell dysfunction, with the trend more significant in males. Among oral contraceptive (OC) and HRT (hormone replacement therapy) use, in our logistic regression model when controlling for all known and suspected covariates in AD, past OC and HRT use was associated with better cognitive test scores. The study provides further evidence of the complex role EEDCs play in overall brain health through other biological mechanisms and fills a gap in knowledge that demonstrates EEDCs effects on brain health in a geriatric age population.

No description available.

No description available.

Les ignifuges sont ajoutés à divers produits afin de les rendre conformes aux normes d’inflammabilité. Les plus communs sont les polybromodiphényléthers (PBDE) et les esters d’organophosphorés (OPE), qui sont détectés en forte proportion dans la population générale. Quelques industries, comme celle du recyclage électronique, peuvent exposer les travailleurs à des niveaux élevés de ces ignifuges, dont certains sont soupçonnés d’être des perturbateurs endocriniens. L’objectif de cette thèse était d’évaluer l’exposition à des ignifuges chez les travailleurs et d’étudier les effets endocriniens associés. Trois types de données ont été utilisés. D’abord, deux bases de données populationnelles ont permis de déterminer les valeurs biologiques de base des PBDE chez les travailleurs des populations générales canadienne et états-unienne, et d’identifier les secteurs industriels les plus exposés. Ensuite, une revue systématique de littérature a recensé les niveaux d’exposition professionnelle aux ignifuges dans diverses industries en portant un regard critique sur les méthodes de prélèvement. Finalement, des prélèvements d’air en poste personnel, d’urine et de sang ont été réalisés auprès de 100 travailleurs dans six entreprises de recyclage électronique et une de recyclage commercial. Des modèles Tobit et des régressions de Cox inversées ont identifié les tâches les plus exposantes. L’association entre les mesures biologiques d’exposition et les niveaux d’hormones thyroïdiennes et sexuelles a été explorée avec des modèles Tobit et des régressions sur composantes principales. L’analyse des données populationnelles a révélé que les travailleurs canadiens, tous secteurs confondus, avaient des concentrations sériques de PBDE 10 à 20% plus élevées que celles des non-travailleurs. La revue systématique a identifié les milieux du recyclage électronique, de la fabrication de câbles, du transport aérien et des casernes d’incendie comme étant parmi les plus exposants aux ignifuges, particulièrement au BDE209. Cependant, les méthodes de prélèvement utilisées dans ces études étaient généralement peu appropriées pour les ignifuges. L’analyse des données de l’étude terrain a mis en évidence des concentrations d’ignifuges dans l’air plus élevées dans le recyclage électronique que dans le recyclage commercial, avec une concentration en BDE209 plus élevée que toutes les valeurs publiées à ce jour (moyenne géométrique [MG] : 5100 ng/m³). Les tâches de démantèlement et de compactage étaient respectivement associées à des expositions en moyenne 2,2 et 1,4 fois plus élevées que celle de supervision. Finalement, les concentrations sanguines de BDE209 (MG : 18 ng/g lipides) chez les travailleurs du recyclage électronique étaient plus élevées que dans le recyclage commercial (MG : 1,7 ng/g lipides), mais moins élevées que celles rapportées dans la fabrication de câbles (moyenne : 54 ng/g lipides). On a estimé chez l’homme des diminutions de 18% de la testostérone libre et totale pour un doublement de la concentration de tb-TPhP (métabolite OPE), et une augmentation de 16% de l’estradiol pour un doublement de la concentration de o-iPr-DPhP (métabolite OPE). Cette thèse montre que l’exposition aux ignifuges est très répandue, particulièrement chez les travailleurs de quelques industries. Les concentrations plus élevées de certains ignifuges dans le recyclage électronique par rapport aux autres industries, et l’association entre l’exposition aux OPE et les niveaux d’hormones sexuelles chez l’homme ont été identifiées pour la première fois. Bien que devant être reproduits, ces résultats justifient des efforts préventifs de maîtrise de l’exposition aux ignifuges dans cette industrie. / Flame retardants are added to various products to comply to flammability standards. The most common are polybrominated diphenyl ethers (PBDEs) and organophosphate esters (OPEs), which are detected in high proportion in the general population. A few industries, such as electronic recycling, can expose workers to high levels of flame retardants, some of which are suspected of being endocrine disruptors. The objective of this thesis was to evaluate the exposure to flame retardants in workers and to study the associated endocrine effects. Three types of data were used. First, two population databases were used to determine baseline PBDE levels for workers in the general population in Canada and the United States, and to identify the major industrial sectors that are exposed the most. Then, a systematic literature review identified levels of occupational exposure to flame retardants in various industries while critically examining sampling methods. Finally, personal air, urine and blood samples were collected from 100 workers in six electronic recycling and one commercial recycling companies. Tobit models and reverse Cox regressions identified the most exposing tasks. The association between biological concentrations of flame retardants and thyroid and sex hormone levels was explored with Tobit models and principal component regressions. The analysis of the population data revealed that Canadian workers, taking all sectors into consideration, had serum PBDE levels 10 to 20% higher than those of non-workers. The systematic review identified electronic recycling, cable manufacturing, air transport and fire stations as some of the workplaces where flame retardants were found in the highest concentrations, particularly BDE209. However, the sampling methods used in these studies were generally not optimal for flame retardants. Analysis of the field study data revealed higher air concentrations of flame retardants in electronic recycling than in commercial recycling, with a higher BDE209 concentration than all values published to date (geometric mean [MG]: 5100 ng/m³). Dismantling and bailing tasks were associated with exposures averaging 2.2 and 1.4 times higher than supervisory tasks, respectively. Finally, blood concentrations of BDE209 (MG: 18 ng/g lipid) in electronic recycling workers were higher than in commercial recycling (MG: 1.7 ng/g lipid), but lower than those reported in cable manufacturing (average: 54 ng/g lipid). Decreases of 18% in free and total testosterone were estimated in humans for a doubling of the concentration of tb-TPhP (OPE metabolite), and a 16% increase in estradiol for a doubling of the concentration of o-iPr-DPhP (OPE metabolite). This thesis shows that exposure to flame retardants is widespread, particularly among workers in a few industries. The higher concentrations of some flame retardants in electronic recycling compared with other industries, and the association between exposure to OPEs and sex hormone levels in humans were identified for the first time. Although these results must be reproduced, they justify preventive efforts to control exposure to flame retardants in this industry.

Indiana University-Purdue University Indianapolis (IUPUI) / Epidemiological studies suggest that depression may be an independent risk factor for cardiovascular disease (CVD). Although several possible mediators of this association have been proposed, the precise mechanisms are yet unknown. Accordingly, we examined periodontal disease as a novel mediator of the depression-CVD association, given its separate links with both depression and CVD. Data from the National Health and Nutrition Examination Survey (NHANES) I and its Epidemiologic Follow-up Study (NHEFS) were analyzed. Participants were 3,346 individuals aged 25-74 years free of CVD at baseline (53% female, 16% non-white). Depression was assessed by the, depressed mood subscale of the General Well-Being Schedule Based on the Russell Periodontal Index, periodontal disease (43%) was defined as the presence of four or more periodontal pockets identified by a licensed dentist during an examination. The primary outcome was incident CVD (n=727, 22%), defined as nonfatal or fatal coronary artery disease or cerebrovascular disease, identified during the follow-up period by interviews and death certificate records. All analyses were adjusted for demographic and cardiovascular risk factors. Logistic regression analyses revealed no association between the GWBS depressed mood score and periodontal disease (OR=1.05, 95% CI: 0.96-1.14, p=.24). Cox proportional hazard models revealed that both periodontal disease (HR=1.24, 95% CI: 1.06-1.46, p=.009) and depressed mood (HR=1.08, 95% CI: 1.01-1.17, p=.03) were significant predictors of incident CVD. However, Sobel analyses found that periodontal disease was not a partial mediator of the depressed mood-incident CVD association (t=1.01, p=.31). Overall, these mediation results suggest that (a) both periodontal disease and depressed mood are independent predictors of incident CVD and that (b) the effect of depressive symptoms on incident CVD is not mediated by periodontal disease.