Ambient air pollution and thyroid function in Spanish adults. A nationwide population-based study (Di@bet.es study)

Abstract Background Recent reports have suggested that air pollution may impact thyroid function, although the evidence is still scarce and inconclusive. In this study we evaluated the association of exposure to air pollutants to thyroid function parameters in a nationwide sample representative of t...

Full description

Saved in:
Bibliographic Details
Main Authors: Sergio Valdés, Viyey Doulatram-Gamgaram, Cristina Maldonado-Araque, Ana Lago-Sampedro, Eva García-Escobar, Sara García-Serrano, Marta García-Vivanco, Luis Garrido Juan, Mark Richard Theobald, Victoria Gil, Fernando Martín-Llorente, Pilar Ocon, Alfonso Calle-Pascual, Luis Castaño, Elías Delgado, Edelmiro Menendez, Josep Franch-Nadal, Sonia Gaztambide, Joan Girbés, F Javier Chaves, José L Galán-García, Gabriel Aguilera-Venegas, Carolina Gutierrez-Repiso, José Carlos Fernández-García, Natalia Colomo, Federico Soriguer, Eduardo García-Fuentes, Gemma Rojo-Martínez
Format: Article
Language:English
Published: BMC 2022-08-01
Series:Environmental Health
Subjects:
Online Access:https://doi.org/10.1186/s12940-022-00889-1
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1849401904113647616
author Sergio Valdés
Viyey Doulatram-Gamgaram
Cristina Maldonado-Araque
Ana Lago-Sampedro
Eva García-Escobar
Sara García-Serrano
Marta García-Vivanco
Luis Garrido Juan
Mark Richard Theobald
Victoria Gil
Fernando Martín-Llorente
Pilar Ocon
Alfonso Calle-Pascual
Luis Castaño
Elías Delgado
Edelmiro Menendez
Josep Franch-Nadal
Sonia Gaztambide
Joan Girbés
F Javier Chaves
José L Galán-García
Gabriel Aguilera-Venegas
Carolina Gutierrez-Repiso
José Carlos Fernández-García
Natalia Colomo
Federico Soriguer
Eduardo García-Fuentes
Gemma Rojo-Martínez
author_facet Sergio Valdés
Viyey Doulatram-Gamgaram
Cristina Maldonado-Araque
Ana Lago-Sampedro
Eva García-Escobar
Sara García-Serrano
Marta García-Vivanco
Luis Garrido Juan
Mark Richard Theobald
Victoria Gil
Fernando Martín-Llorente
Pilar Ocon
Alfonso Calle-Pascual
Luis Castaño
Elías Delgado
Edelmiro Menendez
Josep Franch-Nadal
Sonia Gaztambide
Joan Girbés
F Javier Chaves
José L Galán-García
Gabriel Aguilera-Venegas
Carolina Gutierrez-Repiso
José Carlos Fernández-García
Natalia Colomo
Federico Soriguer
Eduardo García-Fuentes
Gemma Rojo-Martínez
author_sort Sergio Valdés
collection DOAJ
description Abstract Background Recent reports have suggested that air pollution may impact thyroid function, although the evidence is still scarce and inconclusive. In this study we evaluated the association of exposure to air pollutants to thyroid function parameters in a nationwide sample representative of the adult population of Spain. Methods The Di@bet.es study is a national, cross-sectional, population-based survey which was conducted in 2008-2010 using a random cluster sampling of the Spanish population. The present analyses included 3859 individuals, without a previous thyroid disease diagnosis, and with negative thyroid peroxidase antibodies (TPO Abs) and thyroid-stimulating hormone (TSH) levels of 0.1-20 mIU/L. Participants were assigned air pollution concentrations for particulate matter <2.5μm (PM2.5) and Nitrogen Dioxide (NO2), corresponding to the health examination year, obtained by means of modeling combined with measurements taken at air quality stations (CHIMERE chemistry-transport model). TSH, free thyroxine (FT4), free triiodothyronine (FT3) and TPO Abs concentrations were analyzed using an electrochemiluminescence immunoassay (Modular Analytics E170 Roche). Results In multivariate linear regression models, there was a highly significant negative correlation between PM2.5 concentrations and both FT4 (p<0.001), and FT3 levels (p<0.001). In multivariate logistic regression, there was a significant association between PM2.5 concentrations and the odds of presenting high TSH [OR 1.24 (1.01-1.52) p=0.043], lower FT4 [OR 1.25 (1.02-1.54) p=0.032] and low FT3 levels [1.48 (1.19-1.84) p=<0.001] per each IQR increase in PM2.5 (4.86 μg/m3). There was no association between NO2 concentrations and thyroid hormone levels. No significant heterogeneity was seen in the results between groups of men, pre-menopausal and post-menopausal women. Conclusions Exposures to PM2.5 in the general population were associated with mild alterations in thyroid function.
format Article
id doaj-art-48cda3b2278d4b4d9b3e37d83fb48ab0
institution Kabale University
issn 1476-069X
language English
publishDate 2022-08-01
publisher BMC
record_format Article
series Environmental Health
spelling doaj-art-48cda3b2278d4b4d9b3e37d83fb48ab02025-08-20T03:37:41ZengBMCEnvironmental Health1476-069X2022-08-012111810.1186/s12940-022-00889-1Ambient air pollution and thyroid function in Spanish adults. A nationwide population-based study (Di@bet.es study)Sergio Valdés0Viyey Doulatram-Gamgaram1Cristina Maldonado-Araque2Ana Lago-Sampedro3Eva García-Escobar4Sara García-Serrano5Marta García-Vivanco6Luis Garrido Juan7Mark Richard Theobald8Victoria Gil9Fernando Martín-Llorente10Pilar Ocon11Alfonso Calle-Pascual12Luis Castaño13Elías Delgado14Edelmiro Menendez15Josep Franch-Nadal16Sonia Gaztambide17Joan Girbés18F Javier Chaves19José L Galán-García20Gabriel Aguilera-Venegas21Carolina Gutierrez-Repiso22José Carlos Fernández-García23Natalia Colomo24Federico Soriguer25Eduardo García-Fuentes26Gemma Rojo-Martínez27Department of Endocrinology and Nutrition, Hospital Regional Universitario de Málaga/Universidad de Málaga, Instituto de Investigación Biomedica de Málaga-IBIMADepartment of Endocrinology and Nutrition, Hospital Regional Universitario de Málaga/Universidad de Málaga, Instituto de Investigación Biomedica de Málaga-IBIMADepartment of Endocrinology and Nutrition, Hospital Regional Universitario de Málaga/Universidad de Málaga, Instituto de Investigación Biomedica de Málaga-IBIMADepartment of Endocrinology and Nutrition, Hospital Regional Universitario de Málaga/Universidad de Málaga, Instituto de Investigación Biomedica de Málaga-IBIMADepartment of Endocrinology and Nutrition, Hospital Regional Universitario de Málaga/Universidad de Málaga, Instituto de Investigación Biomedica de Málaga-IBIMADepartment of Endocrinology and Nutrition, Hospital Regional Universitario de Málaga/Universidad de Málaga, Instituto de Investigación Biomedica de Málaga-IBIMACentro de Investigaciones Energéticas, Medioambientales y Tecnológicas (CIEMAT) - División de Contaminación AtmosféricaCentro de Investigaciones Energéticas, Medioambientales y Tecnológicas (CIEMAT) - División de Contaminación AtmosféricaCentro de Investigaciones Energéticas, Medioambientales y Tecnológicas (CIEMAT) - División de Contaminación AtmosféricaCentro de Investigaciones Energéticas, Medioambientales y Tecnológicas (CIEMAT) - División de Contaminación AtmosféricaCentro de Investigaciones Energéticas, Medioambientales y Tecnológicas (CIEMAT) - División de Contaminación AtmosféricaUGC de Laboratorio (Bioquímica), Hospital Regional Universitario de Málaga, Instituto de Investigación Biomédica de Málaga (IBIMA)Centro de Investigación Biomédica en Red de Diabetes y Enfermedades Metabólicas Asociadas (CIBERDEM), Instituto de Salud Carlos IIICentro de Investigación Biomédica en Red de Diabetes y Enfermedades Metabólicas Asociadas (CIBERDEM), Instituto de Salud Carlos IIIDepartment of Endocrinology and Nutrition, Hospital Universitario Central de Asturias / University of Oviedo, Instituto de Investigación Sanitaria del Principado de Asturias (ISPA)Department of Endocrinology and Nutrition, Hospital Universitario Central de Asturias / University of Oviedo, Instituto de Investigación Sanitaria del Principado de Asturias (ISPA)Centro de Investigación Biomédica en Red de Diabetes y Enfermedades Metabólicas Asociadas (CIBERDEM), Instituto de Salud Carlos IIICentro de Investigación Biomédica en Red de Diabetes y Enfermedades Metabólicas Asociadas (CIBERDEM), Instituto de Salud Carlos IIIGenomic Studies and Genetic Diagnosis Unit, Fundación de Investigación del Hospital Clínico de Valencia - INCLIVACentro de Investigación Biomédica en Red de Diabetes y Enfermedades Metabólicas Asociadas (CIBERDEM), Instituto de Salud Carlos IIIDepartment of Applied Mathematics, University of MálagaDepartment of Applied Mathematics, University of MálagaUGC de Endocrinología y Nutrición. Hospital Universitario Virgen de la Victoria, Instituto de Investigación Biomedica de Málaga-IBIMADepartment of Endocrinology and Nutrition, Hospital Regional Universitario de Málaga/Universidad de Málaga, Instituto de Investigación Biomedica de Málaga-IBIMADepartment of Endocrinology and Nutrition, Hospital Regional Universitario de Málaga/Universidad de Málaga, Instituto de Investigación Biomedica de Málaga-IBIMAMálaga Academy of SciencesUnidad de Gestión Clínica de Aparato Digestivo, Hospital Universitario Virgen de la Victoria, Instituto de Investigación Biomédica de Málaga - IBIMADepartment of Endocrinology and Nutrition, Hospital Regional Universitario de Málaga/Universidad de Málaga, Instituto de Investigación Biomedica de Málaga-IBIMAAbstract Background Recent reports have suggested that air pollution may impact thyroid function, although the evidence is still scarce and inconclusive. In this study we evaluated the association of exposure to air pollutants to thyroid function parameters in a nationwide sample representative of the adult population of Spain. Methods The Di@bet.es study is a national, cross-sectional, population-based survey which was conducted in 2008-2010 using a random cluster sampling of the Spanish population. The present analyses included 3859 individuals, without a previous thyroid disease diagnosis, and with negative thyroid peroxidase antibodies (TPO Abs) and thyroid-stimulating hormone (TSH) levels of 0.1-20 mIU/L. Participants were assigned air pollution concentrations for particulate matter <2.5μm (PM2.5) and Nitrogen Dioxide (NO2), corresponding to the health examination year, obtained by means of modeling combined with measurements taken at air quality stations (CHIMERE chemistry-transport model). TSH, free thyroxine (FT4), free triiodothyronine (FT3) and TPO Abs concentrations were analyzed using an electrochemiluminescence immunoassay (Modular Analytics E170 Roche). Results In multivariate linear regression models, there was a highly significant negative correlation between PM2.5 concentrations and both FT4 (p<0.001), and FT3 levels (p<0.001). In multivariate logistic regression, there was a significant association between PM2.5 concentrations and the odds of presenting high TSH [OR 1.24 (1.01-1.52) p=0.043], lower FT4 [OR 1.25 (1.02-1.54) p=0.032] and low FT3 levels [1.48 (1.19-1.84) p=<0.001] per each IQR increase in PM2.5 (4.86 μg/m3). There was no association between NO2 concentrations and thyroid hormone levels. No significant heterogeneity was seen in the results between groups of men, pre-menopausal and post-menopausal women. Conclusions Exposures to PM2.5 in the general population were associated with mild alterations in thyroid function.https://doi.org/10.1186/s12940-022-00889-1Air pollutionThyroidSpain
spellingShingle Sergio Valdés
Viyey Doulatram-Gamgaram
Cristina Maldonado-Araque
Ana Lago-Sampedro
Eva García-Escobar
Sara García-Serrano
Marta García-Vivanco
Luis Garrido Juan
Mark Richard Theobald
Victoria Gil
Fernando Martín-Llorente
Pilar Ocon
Alfonso Calle-Pascual
Luis Castaño
Elías Delgado
Edelmiro Menendez
Josep Franch-Nadal
Sonia Gaztambide
Joan Girbés
F Javier Chaves
José L Galán-García
Gabriel Aguilera-Venegas
Carolina Gutierrez-Repiso
José Carlos Fernández-García
Natalia Colomo
Federico Soriguer
Eduardo García-Fuentes
Gemma Rojo-Martínez
Ambient air pollution and thyroid function in Spanish adults. A nationwide population-based study (Di@bet.es study)
Environmental Health
Air pollution
Thyroid
Spain
title Ambient air pollution and thyroid function in Spanish adults. A nationwide population-based study (Di@bet.es study)
title_full Ambient air pollution and thyroid function in Spanish adults. A nationwide population-based study (Di@bet.es study)
title_fullStr Ambient air pollution and thyroid function in Spanish adults. A nationwide population-based study (Di@bet.es study)
title_full_unstemmed Ambient air pollution and thyroid function in Spanish adults. A nationwide population-based study (Di@bet.es study)
title_short Ambient air pollution and thyroid function in Spanish adults. A nationwide population-based study (Di@bet.es study)
title_sort ambient air pollution and thyroid function in spanish adults a nationwide population based study di bet es study
topic Air pollution
Thyroid
Spain
url https://doi.org/10.1186/s12940-022-00889-1
work_keys_str_mv AT sergiovaldes ambientairpollutionandthyroidfunctioninspanishadultsanationwidepopulationbasedstudydibetesstudy
AT viyeydoulatramgamgaram ambientairpollutionandthyroidfunctioninspanishadultsanationwidepopulationbasedstudydibetesstudy
AT cristinamaldonadoaraque ambientairpollutionandthyroidfunctioninspanishadultsanationwidepopulationbasedstudydibetesstudy
AT analagosampedro ambientairpollutionandthyroidfunctioninspanishadultsanationwidepopulationbasedstudydibetesstudy
AT evagarciaescobar ambientairpollutionandthyroidfunctioninspanishadultsanationwidepopulationbasedstudydibetesstudy
AT saragarciaserrano ambientairpollutionandthyroidfunctioninspanishadultsanationwidepopulationbasedstudydibetesstudy
AT martagarciavivanco ambientairpollutionandthyroidfunctioninspanishadultsanationwidepopulationbasedstudydibetesstudy
AT luisgarridojuan ambientairpollutionandthyroidfunctioninspanishadultsanationwidepopulationbasedstudydibetesstudy
AT markrichardtheobald ambientairpollutionandthyroidfunctioninspanishadultsanationwidepopulationbasedstudydibetesstudy
AT victoriagil ambientairpollutionandthyroidfunctioninspanishadultsanationwidepopulationbasedstudydibetesstudy
AT fernandomartinllorente ambientairpollutionandthyroidfunctioninspanishadultsanationwidepopulationbasedstudydibetesstudy
AT pilarocon ambientairpollutionandthyroidfunctioninspanishadultsanationwidepopulationbasedstudydibetesstudy
AT alfonsocallepascual ambientairpollutionandthyroidfunctioninspanishadultsanationwidepopulationbasedstudydibetesstudy
AT luiscastano ambientairpollutionandthyroidfunctioninspanishadultsanationwidepopulationbasedstudydibetesstudy
AT eliasdelgado ambientairpollutionandthyroidfunctioninspanishadultsanationwidepopulationbasedstudydibetesstudy
AT edelmiromenendez ambientairpollutionandthyroidfunctioninspanishadultsanationwidepopulationbasedstudydibetesstudy
AT josepfranchnadal ambientairpollutionandthyroidfunctioninspanishadultsanationwidepopulationbasedstudydibetesstudy
AT soniagaztambide ambientairpollutionandthyroidfunctioninspanishadultsanationwidepopulationbasedstudydibetesstudy
AT joangirbes ambientairpollutionandthyroidfunctioninspanishadultsanationwidepopulationbasedstudydibetesstudy
AT fjavierchaves ambientairpollutionandthyroidfunctioninspanishadultsanationwidepopulationbasedstudydibetesstudy
AT joselgalangarcia ambientairpollutionandthyroidfunctioninspanishadultsanationwidepopulationbasedstudydibetesstudy
AT gabrielaguileravenegas ambientairpollutionandthyroidfunctioninspanishadultsanationwidepopulationbasedstudydibetesstudy
AT carolinagutierrezrepiso ambientairpollutionandthyroidfunctioninspanishadultsanationwidepopulationbasedstudydibetesstudy
AT josecarlosfernandezgarcia ambientairpollutionandthyroidfunctioninspanishadultsanationwidepopulationbasedstudydibetesstudy
AT nataliacolomo ambientairpollutionandthyroidfunctioninspanishadultsanationwidepopulationbasedstudydibetesstudy
AT federicosoriguer ambientairpollutionandthyroidfunctioninspanishadultsanationwidepopulationbasedstudydibetesstudy
AT eduardogarciafuentes ambientairpollutionandthyroidfunctioninspanishadultsanationwidepopulationbasedstudydibetesstudy
AT gemmarojomartinez ambientairpollutionandthyroidfunctioninspanishadultsanationwidepopulationbasedstudydibetesstudy