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. 2014 Dec 5;73:10.3402/ijch.v73.25808. doi: 10.3402/ijch.v73.25808

Table IV.

Studies of cardiology, endocrinology, bone health, oncology and oxidative stress in adults

Study Contaminant Outcome Poulation Results*
Cardiology
Valera (64) PCBs and OCPs Hypertension (≥140/90 mm Hg or taking anti-hypertensive medication) Men and women ≥18 years of age (n=1,614)
(participation rate: 52% from larger population)
ΣDL-PCBs
  • Hypertension: Positive association in youngest age category (18–39 years) (OR=1.34, 95% CI: 1.03–1.74)


Σnon-DL-PCBs
  • Hypertension: Inverse association in oldest age category (≥40 years) (OR=0.81, 95% CI: 0.66–0.99)


DDT
  • Hypertension: Positive association in youngest age category (18–39 years) (OR=1.42, 95% CI: 1.08–1.85)


Aldrin, α-chlordane, γ-chlordane
  • Hypertension: Inverse associations in youngest age category (18–39 years) (OR=0.39, 95% CI: 0.20–0.78; OR=0.38, 95% CI: 0.19–0.75; OR=0.10, 95% CI: 0.03–0.38 respectively)


Mirex
  • Hypertension: Inverse association in oldest age category (≥40 years) (OR=0.80, 95% CI: 0.69–0.93)


No association across all age categories
Valera (65) Hg Blood pressure, resting heart rate and pulse pressure Men and women ≥18 years of age (n=313)
(participation rate: 41%)
Resting heart rate: Positive association
Diastolic blood pressure: Inverse association
No association with systolic blood pressure or pulse pressure
Nielsen (66) Hg Blood pressure Men and women 30–69 years of age (n=1,861)
(participation rate: 67.5%)
Diastolic blood pressure: Inverse association in men (β=−0.04)
Hypertension: Inverse association in men (OR=0.99, 95% CI: 0.98–0.99)
No association in women
Valera (67) Hg Blood pressure Men and women ≥18 years of age (n=732)
(participation rate: 55%)
Systolic blood pressure: Positive association (β=2.14, 95% CI: 0.94–3.33)
Diastolic blood pressure: No association
Château-Degat (70) PFOS Plasma lipids Men and women 18–74 years of age (n=723)
(participation rate: 68%)
Triacylglycerol: Inverse association in women (β=−0.0014)
HDL-C: Positive association (β=0.0042 and 0.0016 for women and men respectively)
Ratio TC/HDL-C: Inverse association (β=−0.0035)
No association with LDL-C or non-HDL-C
Valera (68) Hg Blood pressure and cardiac autonomic activity Men and women ≥40 years of age (n=280)
(participation rate: 59%)
SDANN: Inverse association (β=−0.086, 95% CI: −0.16 to −0.01)
Systolic blood pressure: Positive association (β=4.77, 95% CI: 1.12–8.42)
Pulse pressure: Positive association (β=3.40, 95% CI: 1.11–5.69)
No association with diastolic blood pressure or other measures of cardiac autonomic activity
Luoma (69) Cd Blood pressure and arterial hypertensive disease Reindeer herders 20–82 years of age in Arctic Finland (n=230)
(participation rate: 14%)
Systolic blood pressure: Positive association
Diastolic blood pressure: No association
Endocrinology
Jørgensen (71) PCBs and OCPs Glucose intolerance Men and women (mean age 49 years) (n=692)
(participation rate: 67%)
PCBs and OCPs
2-hour insulin: Inverse association
DL-PCBs and non-DL-PCBs
HOMA-B: Inverse association.
No association with mean fasting glucose, mean 2-hour glucose, or mean fasting insulin. No association with IGT or diabetes.
Dallaire (72) PCBs, OCPs, PBDEs, PFOS and dioxin-like compounds Thyroid function Men and women ≥18 years of age (n=623)
(participation rate: 50%)
PCBs
T3: Inverse association (β=−0.020) (inverse association also for PCB metabolites)
TBG: Inverse association (β=−0.037) (inverse association also for PCB metabolites)
HCB
T3: Inverse association (β=−0.030)
fT4: Inverse association (β=−0.017)
TBG: Inverse association (β=−0.054)
β-HCH
T3: Inverse association (β=−0.028)
TBG: Inverse association (β=−0.051)
PFOS
T3: Inverse association (β=−0.017)
fT4: Positive association (β=0.014)
TBG: Inverse association (β=−0.034)
TSH: Inverse association (β=−0.102)
No associations with p,p′-DDE or PBDEs after full adjustment for confounders
Bone health
Paunescu (73) DL-PCBs (evaluated as effects on AhR) Bone strength Women 35–72 years of age (n=194) No association
Côté (74) PCBs and OCPs Bone ultrasound Peri- and post-menopausal women 49–64 years of age (n=153) PCB-156
  • Broadband ultrasound attenuation (indication of bone density and architecture): Inverse association (β=−8.12)

  • Speed of sound (indication of bone density and elasticity): Inverse association (β=−22.68)

  • Stiffness index (indication of rigidity of bone structure): Inverse association (β=−11.95)


PCB-153: No association
Oncology
Bonefeld-Jorgensen (75) PCBs, OCPs, PFCs and heavy metals Breast cancer Cases (n=31) and controls (n=115) PCBs
  • Highest quartile of exposure significantly higher for cases than controls. Otherwise no association.

        PFCs
  • Positive association with breast cancer (OR=1.03, 95% CI: 1.001–1.07 for PFOS and 1.03, 95% CI: 1.00–1.05 for Σperfluorosulfonated acids)


ΣPOPs
  • Positive association (OR=1.02, 95% CI: 1.01–1.04)


OCPs: No association
Heavy metals: No association
Rusiecki (76) PCBs and OCPs DNA methylation
(Alu and LINE-1 assays)
Mostly males 19–67 years of age (n=70) ΣPCBs
  • Inverse association on Alu assay (β=−0.56) (i.e. DNA hypomethylation)


p,p′-DDE, DDT, other pesticides
  • Inverse associations on Alu assay (β=−0.26 to −0.75)


ΣPOPs
  • Inverse association on Alu assay (β=−0.48)


No association on LINE-1 assays
Other
Bélanger (78) PCBs and Hg Oxidative stress (redox status of CoQ10 and vitamin E) Men and women (majority women) (n=99) ΣPCBs
  • Total tocopherols: Positive association (β=2.68)

  • α-Tocopherol: Positive association (β=4.12)

  • Ratio α-tocopheryl quinone/α-tocopherol: Inverse association (β=−0.41)

  • Overall, no evidence of oxidative stress


Hg
  • α-Tocopheryl quinone: Inverse association (β=−0.30)

  • Overall, no evidence of oxidative stress


No association with ubiquinol-10 or ubiquinone-10 and PCBs or Hg
Bélanger (77) PCBs and Hg Oxidative stress (plasma oxidized LDL-C, homocysteine, glutathione peroxidase, glutathione reductase and glutathione) Men and women (majority women) (n=99) PCBs
  • Oxidized LDL-C: Positive association (β=0.11)


Hg: No association

AhR=aryl hydrocarbon receptor; Cd=cadmium; CI=confidence interval; DDE=dichlorodiphenyldichloroethylene; DDT=dichlorodiphenyltrichloroethane; DL-PCBs=dioxin-like polychlorinated biphenyls; DNA=deoxyribonucleic acid; fT4=free thyroxine; HCB=hexachlorobenzene; HCH=hexachlorocyclohexane; HDL-C=high density lipoprotein cholesterol; Hg=mercury; HOMA-B=homeostasis model assessment of beta cell function; IGT=impaired glucose tolerance; LDL-C=low density lipoprotein cholesterol; OCPs=organochlorine pesticides; OR=odds ratio; PBDEs=polybrominated diphenyl ethers; PCBs=polychlorinated biphenyls; PFCs=perfluorinated compounds; PFOS=perfluorooctanesulfonate; POPs=persistent organic pollutants; SDANN=standard deviation of the average RR intervals calculated over 5 minute periods; T3=triiodothyronine; TBG=thyroxine-binding globulin; TC=total cholesterol; TSH=thyroid-stimulating hormone.

*

Adjusted estimates are presented where available. Presented estimates are statistically significant at p≤0.05 level.