
Frontiers in Medicine, Год журнала: 2025, Номер 12
Опубликована: Март 26, 2025
Background The relationship between per- and polyfluoroalkyl substances (PFAS) kidney function markers remains uncertain. Methods We used PFAS detection data from 5,947 adults in NHANES 2005–2012. employed multivariable linear regression models to examine associations estimated glomerular filtration rate (eGFR), urine creatinine (UCR), albumin (UAL), albumin/creatinine ratio (UACR). To capture non-linear trends, restricted cubic splines were applied. WQS (weighted quantile sum) Q-gcomp (quantile g computation) for the mixture analysis. Subgroup analyses conducted explore potential interactions. Results Perfluorooctanoic acid (PFOA), perfluorooctane sulfonic (PFOS), perfluorohexane (PFHxS), 2-(N-methyl-perfluorooctane sulfonamido) acetic (N-MEFOSAA), perfluorononanoic (PFNA) negatively related eGFR ( β = −2.04, 95% CI −2.85, −1.23; −0.97, −1.78, −0.16; −1.50, −2.24, −0.76; −0.49, −1.25, 0.27; −0.68, −1.46, 0.10). PFOA PFOS positive associated with UCR 10.61, −1.89, 23.11; 12.98, 0.56, 25.41). PFOA, PFOS, PFHxS, PFNA, PFUA UAL −0.53, −0.73, −0.32; −0.39, −0.59, −0.18; −0.78, −0.40; −0.42, −0.65, −0.19; −0.04, −0.22, 0.14). PFDA, PFNA are significantly inversely UACR −0.01, −0.16, 0.14; −0.52, −0.69, −0.35; −0.50, −0.67, −0.33; −0.64, −0.27, −0.44, −0.10). Nonlinear relationships found all indicators. Mixed exposure showed a negative association eGFR, UACR, while UCR. Interactions PFASs most subgroups observed. Conclusion Our study revealed significant various These findings provide an epidemiological perspective on how may lead dysfunction.
Язык: Английский