Table 2.
Associations of serum PFAS concentrations with trajectories of total cholesterol, LDL cholesterol, HDL cholesterol, and triglycerides in the SWAN-MPS cohort (1999–2016, ).
PFAS | Total cholesterol | LDL cholesterol | HDL cholesterol | Triglycerides | ||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|
Trajectory | OR (95% CI)a | p-Valueb | Trajectory | OR (95% CI)a | p-Valueb | Trajectory | OR (95% CI)a | p-Valueb | Trajectory | OR (95% CI)a | p-Valueb | |
n- PFOA | Low () | 1.00 | — | Low () | 1.00 | — | Low () | 1.00 | — | Low () | 1.00 | — |
Middle () | 0.99 (0.84, 1.18) | 0.95 | Middle () | 1.03 (0.87, 1.22) | 0.74 | Middle () | 0.99 (0.84, 1.17) | 0.96 | High () | 0.86 (0.73, 1.02) | 0.16 | |
High () | 0.96 (0.78, 1.18) | 0.70 | High () | 1.00 (0.82, 1.23) | 0.99 | High () | 1.02 (0.82, 1.26) | 0.95 | — | — | — | |
PFNA | Low () | 1.00 | — | Low () | 1.00 | — | Low () | 1.00 | — | Low () | 1.00 | — |
Middle () | 1.07 (0.91, 1.25) | 0.58 | Middle () | 1.10 (0.94, 1.29) | 0.27 | Middle () | 1.13 (0.96, 1.34) | 0.65 | High () | 0.84 (0.72, 0.98) | 0.12 | |
High () | 1.21 (0.98, 1.49) | 0.11 | High () | 1.18 (0.96, 1.44) | 0.17 | High () | 1.13 (0.92, 1.39) | 0.62 | — | — | — | |
n-PFOS | Low () | 1.00 | — | Low () | 1.00 | — | Low () | 1.00 | — | Low () | 1.00 | — |
Middle () | 1.08 (0.92, 1.27) | 0.57 | Middle () | 1.14 (0.97, 1.34) | 0.17 | Middle () | 1.04 (0.88, 1.22) | 0.96 | High () | 0.86 (0.74, 1.01) | 0.16 | |
High () | 1.22 (0.99, 1.49) | 0.11 | High () | 1.28 (1.04, 1.57) | 0.04 | High () | 0.99 (0.80, 1.23) | 0.95 | — | — | — | |
Sm-PFOS | Low () | 1.00 | — | Low () | 1.00 | — | Low () | 1.00 | — | Low () | 1.00 | — |
Middle () | 1.10 (0.96, 1.26) | 0.46 | Middle () | 1.19 (1.03, 1.36) | 0.15 | Middle () | 0.96 (0.83, 1.11) | 0.96 | High () | 0.97 (0.84, 1.10) | 0.72 | |
High () | 1.20 (1.00, 1.44) | 0.11 | High () | 1.25 (1.05, 1.49) | 0.04 | High () | 0.95 (0.79, 1.13) | 0.91 | — | — | — | |
PFHxS | Low () | 1.00 | — | Low () | 1.00 | — | Low () | 1.00 | — | Low () | 1.00 | — |
Middle () | 1.16 (1.02, 1.31) | 0.12 | Middle () | 1.12 (0.99, 1.26) | 0.15 | Middle () | 1.07 (0.94, 1.21) | 0.85 | High () | 0.97 (0.86, 1.10) | 0.72 | |
High () | 1.17 (1.00, 1.36) | 0.11 | High () | 1.11 (0.96, 1.30) | 0.20 | High () | 1.15 (0.98, 1.34) | 0.45 | — | — | — |
Note: —, no data; CI, confidence interval; HDL, high-density lipoprotein; LDL, low-density lipoprotein; n-PFOA, linear perfluorooctanoic acid; n-PFOS, linear perfluorooctanesulfonic acid; OR, odds ratio; PFAS, per- and polyfluoroalkyl substances; PFHxS, perfluorohexanesulfonic acid; PFNA, perfluorononanoic acid; Sm-PFOS, sum of perfluoromethylheptane sulfonic acid isomers; SWAN-MPS, SWAN-Multi-Pollutant Study: .
ORs and their 95% CIs per doubling of each PFAS concentration.
Adjusted -value based on false discovery rate. The models were adjusted for , age, education, menopausal status, smoking status, alcohol consumption, BMI, physical activity, and total energy intake.