Association between blood manganese and cardiovascular diseases among U.S. adult population

Abstract Manganese (Mn) is a known toxicant and an essential trace element, and it plays an important role in various mechanisms in relation to cardiovascular health. However, epidemiological studies of the association between blood Mn and cardiovascular diseases (CVD) among U.S. adults are rare. A...

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Main Author: Boxuan Pu
Format: Article
Language:English
Published: Nature Portfolio 2024-12-01
Series:Scientific Reports
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Online Access:https://doi.org/10.1038/s41598-024-82673-4
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author Boxuan Pu
author_facet Boxuan Pu
author_sort Boxuan Pu
collection DOAJ
description Abstract Manganese (Mn) is a known toxicant and an essential trace element, and it plays an important role in various mechanisms in relation to cardiovascular health. However, epidemiological studies of the association between blood Mn and cardiovascular diseases (CVD) among U.S. adults are rare. A cross-sectional study of 12,061 participants aged ≥ 20 was conducted using data from the National Health and Nutrition Examination Survey 2011–2018. Logistic regression and restricted cubic spline were used to examine the relationship between blood Mn levels and total CVD risk and specific CVD subtypes. Bayesian kernel-machine regression (BKMR) and weighted quantile sum (WQS) analyses were performed to explore the joint effects of Mn with other metals on CVD. The results showed that individuals with the third quartile group of blood Mn levels had significantly lower risks of CVD, displaying a non-linear U-shaped dose-response relationship. A significant interaction of age on this association was observed. No significant associations were found between Mn levels and specific CVD subtypes. BKMR and WQS analyses showed a positive association between heavy metal mixtures and CVD risks, with no interaction between Mn and other metals. In conclusion, blood Mn levels were significantly associated with CVD risks with a U-shaped relationship in U.S. adults, with possible age-specific differences. Future larger prospective studies are warranted to validate these findings.
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spelling doaj-art-b27cf6d595b949f78d0e2e9b37d25db62024-12-29T12:18:41ZengNature PortfolioScientific Reports2045-23222024-12-0114111010.1038/s41598-024-82673-4Association between blood manganese and cardiovascular diseases among U.S. adult populationBoxuan Pu0National Clinical Research Center for Cardiovascular Diseases, Fuwai Hospital, Peking Union Medical College, Chinese Academy of Medical Sciences, National Center for Cardiovascular DiseasesAbstract Manganese (Mn) is a known toxicant and an essential trace element, and it plays an important role in various mechanisms in relation to cardiovascular health. However, epidemiological studies of the association between blood Mn and cardiovascular diseases (CVD) among U.S. adults are rare. A cross-sectional study of 12,061 participants aged ≥ 20 was conducted using data from the National Health and Nutrition Examination Survey 2011–2018. Logistic regression and restricted cubic spline were used to examine the relationship between blood Mn levels and total CVD risk and specific CVD subtypes. Bayesian kernel-machine regression (BKMR) and weighted quantile sum (WQS) analyses were performed to explore the joint effects of Mn with other metals on CVD. The results showed that individuals with the third quartile group of blood Mn levels had significantly lower risks of CVD, displaying a non-linear U-shaped dose-response relationship. A significant interaction of age on this association was observed. No significant associations were found between Mn levels and specific CVD subtypes. BKMR and WQS analyses showed a positive association between heavy metal mixtures and CVD risks, with no interaction between Mn and other metals. In conclusion, blood Mn levels were significantly associated with CVD risks with a U-shaped relationship in U.S. adults, with possible age-specific differences. Future larger prospective studies are warranted to validate these findings.https://doi.org/10.1038/s41598-024-82673-4Blood manganeseCardiovascular diseasesAdultsCross-sectional study
spellingShingle Boxuan Pu
Association between blood manganese and cardiovascular diseases among U.S. adult population
Scientific Reports
Blood manganese
Cardiovascular diseases
Adults
Cross-sectional study
title Association between blood manganese and cardiovascular diseases among U.S. adult population
title_full Association between blood manganese and cardiovascular diseases among U.S. adult population
title_fullStr Association between blood manganese and cardiovascular diseases among U.S. adult population
title_full_unstemmed Association between blood manganese and cardiovascular diseases among U.S. adult population
title_short Association between blood manganese and cardiovascular diseases among U.S. adult population
title_sort association between blood manganese and cardiovascular diseases among u s adult population
topic Blood manganese
Cardiovascular diseases
Adults
Cross-sectional study
url https://doi.org/10.1038/s41598-024-82673-4
work_keys_str_mv AT boxuanpu associationbetweenbloodmanganeseandcardiovasculardiseasesamongusadultpopulation