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. 2023 Aug 8;131(8):087004. doi: 10.1289/EHP12351

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, n=1130).

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 (n=361) 1.00 Low (n=368) 1.00 Low (n=427) 1.00 Low (n=716) 1.00
Middle (n=557) 0.99 (0.84, 1.18) 0.95 Middle (n=546) 1.03 (0.87, 1.22) 0.74 Middle (n=468) 0.99 (0.84, 1.17) 0.96 High (n=414) 0.86 (0.73, 1.02) 0.16
High (n=212) 0.96 (0.78, 1.18) 0.70 High (n=216) 1.00 (0.82, 1.23) 0.99 High (n=235) 1.02 (0.82, 1.26) 0.95
PFNA Low (n=361) 1.00 Low (n=368) 1.00 Low (n=427) 1.00 Low (n=716) 1.00
Middle (n=557) 1.07 (0.91, 1.25) 0.58 Middle (n=546) 1.10 (0.94, 1.29) 0.27 Middle (n=468) 1.13 (0.96, 1.34) 0.65 High (n=414) 0.84 (0.72, 0.98) 0.12
High (n=212) 1.21 (0.98, 1.49) 0.11 High (n=216) 1.18 (0.96, 1.44) 0.17 High (n=235) 1.13 (0.92, 1.39) 0.62
n-PFOS Low (n=361) 1.00 Low (n=368) 1.00 Low (n=427) 1.00 Low (n=716) 1.00
Middle (n=557) 1.08 (0.92, 1.27) 0.57 Middle (n=546) 1.14 (0.97, 1.34) 0.17 Middle (n=468) 1.04 (0.88, 1.22) 0.96 High (n=414) 0.86 (0.74, 1.01) 0.16
High (n=212) 1.22 (0.99, 1.49) 0.11 High (n=216) 1.28 (1.04, 1.57) 0.04 High (n=235) 0.99 (0.80, 1.23) 0.95
Sm-PFOS Low (n=361) 1.00 Low (n=368) 1.00 Low (n=427) 1.00 Low (n=716) 1.00
Middle (n=557) 1.10 (0.96, 1.26) 0.46 Middle (n=546) 1.19 (1.03, 1.36) 0.15 Middle (n=468) 0.96 (0.83, 1.11) 0.96 High (n=414) 0.97 (0.84, 1.10) 0.72
High (n=212) 1.20 (1.00, 1.44) 0.11 High (n=216) 1.25 (1.05, 1.49) 0.04 High (n=235) 0.95 (0.79, 1.13) 0.91
PFHxS Low (n=361) 1.00 Low (n=368) 1.00 Low (n=427) 1.00 Low (n=716) 1.00
Middle (n=557) 1.16 (1.02, 1.31) 0.12 Middle (n=546) 1.12 (0.99, 1.26) 0.15 Middle (n=468) 1.07 (0.94, 1.21) 0.85 High (n=414) 0.97 (0.86, 1.10) 0.72
High (n=212) 1.17 (1.00, 1.36) 0.11 High (n=216) 1.11 (0.96, 1.30) 0.20 High (n=235) 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: .

a

ORs and their 95% CIs per doubling of each PFAS concentration.

b

Adjusted p-value based on false discovery rate. The models were adjusted for site×race/ethnicity, age, education, menopausal status, smoking status, alcohol consumption, BMI, physical activity, and total energy intake.