Associations Between Brominated Flame Retardant Exposure and Depression in Adults: A Cross-Sectional Study

Background: Brominated flame retardants (BFRs) are a type of widespread pollutant that can be transmitted through particulate matter, such as dust in the air, and have been associated with various adverse health effects, such as diabetes, metabolic syndrome, and cardiovascular disease. However, ther...

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Main Authors: Yulan Cheng, Yue Fei, Zemin Xu, Ruiyao Huang, Yuling Jiang, Lihan Sun, Xuehai Wang, Shali Yu, Yonghua Luo, Xiaobo Mao, Xinyuan Zhao
Format: Article
Language:English
Published: MDPI AG 2024-12-01
Series:Toxics
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Online Access:https://www.mdpi.com/2305-6304/12/12/918
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author Yulan Cheng
Yue Fei
Zemin Xu
Ruiyao Huang
Yuling Jiang
Lihan Sun
Xuehai Wang
Shali Yu
Yonghua Luo
Xiaobo Mao
Xinyuan Zhao
author_facet Yulan Cheng
Yue Fei
Zemin Xu
Ruiyao Huang
Yuling Jiang
Lihan Sun
Xuehai Wang
Shali Yu
Yonghua Luo
Xiaobo Mao
Xinyuan Zhao
author_sort Yulan Cheng
collection DOAJ
description Background: Brominated flame retardants (BFRs) are a type of widespread pollutant that can be transmitted through particulate matter, such as dust in the air, and have been associated with various adverse health effects, such as diabetes, metabolic syndrome, and cardiovascular disease. However, there is limited research on the link between exposure to mixtures of BFRs and depression in the general population. Methods: To analyze the association between exposure to BFRs and depression in the population, nationally representative data from the National Health and Nutrition Examination Survey (NHANES; 2005–2016) were used. In the final analysis, a total of 8138 adults aged 20 years and older were included. To investigate the potential relationship between BFRs and outcomes, we used binary logistic regression, restricted cubic spline (RCS), quantile-based g computation (QGC), and weighted quantile sum (WQS) regression. Results: The findings showed that serum BFR concentrations were associated with depressive symptoms over a broad spectrum. Binary logistic regression and RCS analysis showed that certain BFRs, particularly PBB153, were significantly and positively associated with the incidence of depression, even after adjustment for various confounders (<i>p</i> < 0.05). Mixed exposure to BFRs was also found to be associated with depression in the population, with a stronger association in men. The two most influential BFRs, PBB153 and PBDE85, were identified in both mixed exposure models and are potential risk factors of concern. Conclusion: Our study identified new insights into the relationship between BFRs and depression, but sizable population-based cohort studies and toxicology mechanism studies will be needed to establish causality.
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spelling doaj-art-a51a43a0d8624f2ab3906009d59c17022024-12-27T14:56:47ZengMDPI AGToxics2305-63042024-12-01121291810.3390/toxics12120918Associations Between Brominated Flame Retardant Exposure and Depression in Adults: A Cross-Sectional StudyYulan Cheng0Yue Fei1Zemin Xu2Ruiyao Huang3Yuling Jiang4Lihan Sun5Xuehai Wang6Shali Yu7Yonghua Luo8Xiaobo Mao9Xinyuan Zhao10Affiliated Haimen Hospital of Xinglin College, Nantong University, Nantong 226019, ChinaNantong Key Laboratory of Environmental Toxicology, Department of Occupational Medicine and Environmental Toxicology, School of Public Health, Nantong University, Nantong 226019, ChinaNantong Key Laboratory of Environmental Toxicology, Department of Occupational Medicine and Environmental Toxicology, School of Public Health, Nantong University, Nantong 226019, ChinaDepartment of Clinical Medicine, Nantong University Xinglin College, Nantong 226000, ChinaNantong Key Laboratory of Environmental Toxicology, Department of Occupational Medicine and Environmental Toxicology, School of Public Health, Nantong University, Nantong 226019, ChinaSchool of Medicine, Nantong University, Nantong 226001, ChinaNantong Key Laboratory of Environmental Toxicology, Department of Occupational Medicine and Environmental Toxicology, School of Public Health, Nantong University, Nantong 226019, ChinaNantong Key Laboratory of Environmental Toxicology, Department of Occupational Medicine and Environmental Toxicology, School of Public Health, Nantong University, Nantong 226019, ChinaNantong Fourth People’s Hospital, Nantong 226019, ChinaAffiliated Haimen Hospital of Xinglin College, Nantong University, Nantong 226019, ChinaNantong Key Laboratory of Environmental Toxicology, Department of Occupational Medicine and Environmental Toxicology, School of Public Health, Nantong University, Nantong 226019, ChinaBackground: Brominated flame retardants (BFRs) are a type of widespread pollutant that can be transmitted through particulate matter, such as dust in the air, and have been associated with various adverse health effects, such as diabetes, metabolic syndrome, and cardiovascular disease. However, there is limited research on the link between exposure to mixtures of BFRs and depression in the general population. Methods: To analyze the association between exposure to BFRs and depression in the population, nationally representative data from the National Health and Nutrition Examination Survey (NHANES; 2005–2016) were used. In the final analysis, a total of 8138 adults aged 20 years and older were included. To investigate the potential relationship between BFRs and outcomes, we used binary logistic regression, restricted cubic spline (RCS), quantile-based g computation (QGC), and weighted quantile sum (WQS) regression. Results: The findings showed that serum BFR concentrations were associated with depressive symptoms over a broad spectrum. Binary logistic regression and RCS analysis showed that certain BFRs, particularly PBB153, were significantly and positively associated with the incidence of depression, even after adjustment for various confounders (<i>p</i> < 0.05). Mixed exposure to BFRs was also found to be associated with depression in the population, with a stronger association in men. The two most influential BFRs, PBB153 and PBDE85, were identified in both mixed exposure models and are potential risk factors of concern. Conclusion: Our study identified new insights into the relationship between BFRs and depression, but sizable population-based cohort studies and toxicology mechanism studies will be needed to establish causality.https://www.mdpi.com/2305-6304/12/12/918NHANESbrominated flame retardantsdepressionchemical mixture exposurequantile-based g computation
spellingShingle Yulan Cheng
Yue Fei
Zemin Xu
Ruiyao Huang
Yuling Jiang
Lihan Sun
Xuehai Wang
Shali Yu
Yonghua Luo
Xiaobo Mao
Xinyuan Zhao
Associations Between Brominated Flame Retardant Exposure and Depression in Adults: A Cross-Sectional Study
Toxics
NHANES
brominated flame retardants
depression
chemical mixture exposure
quantile-based g computation
title Associations Between Brominated Flame Retardant Exposure and Depression in Adults: A Cross-Sectional Study
title_full Associations Between Brominated Flame Retardant Exposure and Depression in Adults: A Cross-Sectional Study
title_fullStr Associations Between Brominated Flame Retardant Exposure and Depression in Adults: A Cross-Sectional Study
title_full_unstemmed Associations Between Brominated Flame Retardant Exposure and Depression in Adults: A Cross-Sectional Study
title_short Associations Between Brominated Flame Retardant Exposure and Depression in Adults: A Cross-Sectional Study
title_sort associations between brominated flame retardant exposure and depression in adults a cross sectional study
topic NHANES
brominated flame retardants
depression
chemical mixture exposure
quantile-based g computation
url https://www.mdpi.com/2305-6304/12/12/918
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