Table 3.
Ln-transformed urine and blood concentrations of trace elements in NHANES pregnant and non-pregnant women, aged 15–44 years.
| Analyte | Pregnancy Status | N | NHANES Years | % At/Above LOD | P90 | Geometric Mean (95% CI) | Pr > F | Geometric Mean (95% CI) Adjusted | Pr > F Adjusted |
|---|---|---|---|---|---|---|---|---|---|
| Antimony, urine (ug/L) | Pregnant | 404 | 1999–2016 | 82.4 | .230 | .079 (.070–.089) | .009 | .081 (.072–.090) | .012 |
| Not Pregnant | 3174 | 1999–2016 | 77.1 | .199 | .067 (.063–070) | .069 (.065–.073) | |||
| Antimony, urine (ug/g creatinine) | Pregnant | 404 | 1999–2016 | 82.4 | .179 | .078 (.069–.087) | .183 | .078 (.069–.087) | .033 |
| Not Pregnant | 3173 | 1999–2016 | 77.1 | .187 | .072 (.069–075) | .068 (.066–.071) | |||
| Total Arsenic, urine (ug/L) | Pregnant | 259 | 2003–2016 | 99.0 | 40.3 | 8.77 (7.14–10.8) | .066 | 10.1 (8.24–12.4) | .179 |
| Not Pregnant | 2502 | 2003–2016 | 98.6 | 32.3 | 7.21 (6.69–7.78) | 8.78 (8.10–9.51) | |||
| Total Arsenic, urine (ug/g creatinine) | Pregnant | 259 | 2003–2016 | 99.0 | 39.6 | 9.10 (7.43–11.1) | .226 | 10.3 (8.47–12.4) | .229 |
| Not Pregnant | 2501 | 2003–2016 | 98.6 | 30.9 | 7.98 (7.51–8.48) | 9.11 (8.59–9.67) | |||
| Arsenic (V) acid, urine (ug/L) | Pregnant | 260 | 2003–2016 | 3.7 | * | * | * | * | * |
| Not Pregnant | 2518 | 2003–2016 | 3.1 | * | * | * | * | * | |
| Arsenic (V) acid, urine (ug/g creatinine) | Pregnant | 260 | 2003–2016 | 3.7 | * | * | * | * | * |
| Not Pregnant | 2517 | 2003–2016 | 3.1 | * | * | * | * | * | |
| Arsenobetaine, urine (ug/L) | Pregnant | 260 | 2003–2016 | 58.8 | 17.2 | 1.68 (1.23–2.28) | .985 | 1.94 (1.45–2.59) | .869 |
| Not Pregnant | 2521 | 2003–2016 | 57.0 | 18.1 | 1.67 (1.52–1.84) | 1.99 (1.79–2.22) | |||
| Arsenobetaine, urine (ug/g creatinine) | Pregnant | 260 | 2003–2016 | 58.8 | 23.0 | 1.71 (1.22–2.40) | .703 | 1.94 (1.42–2.64) | .714 |
| Not Pregnant | 2520 | 2003–2016 | 57.0 | 15.8 | 1.84 (1.66–2.03) | 2.06 (1.86–2.28) | |||
| Arsenocholine, urine (ug/L) | Pregnant | 260 | 2003–2016 | 2.7 | * | * | * | * | * |
| Not Pregnant | 2521 | 2003–2016 | 6.6 | * | * | * | * | * | |
| Arsenocholine, urine (ug/g creatinine) | Pregnant | 260 | 2003–2016 | 2.7 | * | * | * | * | * |
| Not Pregnant | 2520 | 2003–2016 | 6.6 | * | * | * | * | * | |
| Arsenous (III) acid, urine (ug/L) | Pregnant | 260 | 2003–2016 | 13.9 | * | * | * | * | * |
| Not Pregnant | 2521 | 2003–2016 | 22.3 | * | * | * | * | * | |
| Arsenous (III) acid, urine (ug/g creatinine) | Pregnant | 260 | 2003–2016 | 13.9 | * | * | * | * | * |
| Not Pregnant | 2520 | 2003–2016 | 22.3 | * | * | * | * | * | |
| Dimethylarsinic acid, urine (ug/L) | Pregnant | 260 | 2003–2016 | 87.4 | 11.8 | 4.45 (3.8–5.21) | < .001 | 5.05 (4.29–5.95) | .005 |
| Not Pregnant | 2521 | 2003–2016 | 79.8 | 9.56 | 3.35 (3.19–3.52) | 3.95 (3.73–4.19) | |||
| Dimethylarsinic acid, urine (ug/g creatinine) | Pregnant | 260 | 2003–2016 | 87.4 | 11.3 | 4.55 (3.90–5.31) | .010 | 5.04 (4.35–5.84) | .008 |
| Not Pregnant | 2520 | 2003–2016 | 79.8 | 8.92 | 3.69 (3.55–3.84) | 4.09 (3.92–4.26) | |||
| Inorganic-related Arsenic Species, urine (ug/L) | Pregnant | 260 | 2003–2016 | n/a | 14.5 | 6.89 (6.10–7.79) | .001 | 7.52 (6.63–8.53) | .007 |
| Not Pregnant | 2518 | 2003–2016 | n/a | 12.6 | 5.63 (5.42–5.85) | 6.30 (6.01–6.59) | |||
| Inorganic-related Arsenic Species, urine (ug/g creatinine) | Pregnant | 260 | 2003–2016 | n/a | 16.3 | 7.05 (6.12–8.12) | .083 | 7.51 (6.56–8.59) | .047 |
| Not Pregnant | 2517 | 2003–2016 | n/a | 14.8 | 6.20 (5.99–6.42) | 6.51 (6.28–6.75) | |||
| Monomethylarsonic acid, urine (ug/L) | Pregnant | 260 | 2003–2016 | 26.5 | * | * | * | * | * |
| Not Pregnant | 2521 | 2003–2016 | 40.5 | 1.42 | .649 (.627–672) | .660 (.630–.691) | |||
| Monomethylarsonic acid, urine (ug/g creatinine | Pregnant | 260 | 2003–2016 | 26.5 | * | * | * | * | * |
| Not Pregnant | 2520 | 2003–2016 | 40.5 | 1.94 | .715 (.685–.746) | .683 (.653–.715) | |||
| Trimethylarsine Oxide, urine (ug/L) | Pregnant | 224 | 2003–2016 | 14.6 | * | * | * | * | * |
| Not Pregnant | 1855 | 2003–2016 | 26.9 | * | * | * | * | * | |
| Trimethylarsine Oxide, urine (ug/g creatinine) | Pregnant | 224 | 2003–2016 | 14.6 | * | * | * | * | * |
| Not Pregnant | 1855 | 2003–2016 | 26.9 | * | * | * | * | * | |
| Barium, urine (ug/L) | Pregnant | 402 | 1999–2016 | 98.1 | 7.35 | 2.01 (1.71–2.36) | < .001 | 1.90 (1.61–2.26) | < .001 |
| Not Pregnant | 3170 | 1999–2016 | 98.3 | 4.53 | 1.27 (1.21–1.34) | 1.24 (1.18–1.30) | |||
| Barium, urine (ug/g creatinine) | Pregnant | 402 | 1999–2016 | 98.1 | 7.43 | 2.00 (1.69–2.36) | < .001 | 1.86 (1.57–2.19) | < .001 |
| Not Pregnant | 3169 | 1999–2016 | 98.3 | 4.09 | 1.37 (1.31–1.44) | 1.23 (1.17–1.29) | |||
| Cadmium, blood (mg/L) | Pregnant | 1282 | 1999–2016 | 66.1 | .602 | .265 (.247–.284) | < .001 | .332 (.314–.351) | .765 |
| Not Pregnant | 8778 | 1999–2016 | 75.9 | 1.07 | .334 (.325–343) | .335 (.328–.343) | |||
| Cadmium, urine (ug/L) | Pregnant | 403 | 1999–2016 | 83.4 | .511 | .151 (.130–.174) | .138 | .188 (.162–.218) | .728 |
| Not Pregnant | 3169 | 1999–2016 | 83.8 | .627 | .169 (.159–.180) | .183 (.173–.193) | |||
| Cadmium, urine (ug/g creatinine) | Pregnant | 403 | 1999–2016 | 83.4 | .323 | .150 (.135–.167) | < .001 | .183 (.165–.203) | .857 |
| Not Pregnant | 3168 | 1999–2016 | 83.8 | .495 | .182 (.174–.191) | .181 (.174–.189) | |||
| Cesium, urine (ug/L) | Pregnant | 408 | 1999–2016 | 99.8 | 10.2 | 4.79 (4.27–5.37) | .003 | 4.99 (4.45–5.60) | .009 |
| Not Pregnant | 3195 | 1999–2016 | 99.9 | 9.71 | 4.01 (3.84–4.20) | 4.24 (4.06–4.42) | |||
| Cesium, urine (ug/g creatinine) | Pregnant | 408 | 1999–2016 | 99.8 | 7.79 | 4.75 (4.44–5.07) | .007 | 4.84 (4.55–5.14) | < .001 |
| Not Pregnant | 3194 | 1999–2016 | 99.9 | 7.65 | 4.32 (4.23–4.42) | 4.20 (4.11–4.30) | |||
| Cobalt, urine (ug/L) | Pregnant | 408 | 1999–2016 | 99.4 | 1.77 | .600 (.529–.681) | < .001 | .647 (.569–.735) | < .001 |
| Not Pregnant | 3195 | 1999–2016 | 98.9 | 1.19 | .407 (0.39–.424) | .451 (.433–0.47) | |||
| Cobalt, urine (ug/g creatinine) | Pregnant | 408 | 1999–2016 | 99.4 | 1.52 | .595 (.542–.654) | < .001 | .627 (.573–.685) | < .001 |
| Not Pregnant | 3194 | 1999–2016 | 98.9 | 1.03 | .438 (.425–.451) | .447 (.433–.461) | |||
| Copper, Serum (ug/dL) | Pregnant | 52 | 2011–2016 | 100.0 | 270 | 198 (184–213) | < .001 | 191 (178–205) | < .001 |
| Not Pregnant | 971 | 2011–2016 | 100.0 | 179 | 128 (125–132) | 127 (124–130) | |||
| Iodine, urine (ug/L) | Pregnant | 413 | 2001–2016 | 100.0 | 360 | 137 (118–159) | .033 | 138 (119–160) | .127 |
| Not Pregnant | 3622 | 2001–2016 | 100.0 | 374 | 115 (110–121) | 121 (116–127) | |||
| Iodine, urine (ug/g creatinine) | Pregnant | 413 | 2001–2016 | 100.0 | 438 | 152 (134–172) | .019 | 154 (137–173) | .003 |
| Not Pregnant | 3621 | 2001–2016 | 100.0 | 328 | 131 (126–135) | 127 (122–132) | |||
| Lead, blood (ug/dL) | Pregnant | 1282 | 1999–2016 | 96.2 | 1.30 | .624 (.576–.676) | < .001 | .717 (.666–.771) | .007 |
| Not Pregnant | 8778 | 1999–2016 | 98.8 | 1.61 | .781 (.762–.800) | .797 (.777–.818) | |||
| Lead, urine (ug/L) | Pregnant | 408 | 1999–2016 | 94.9 | 1.27 | .517 (.443–.604) | < .001 | .600 (.518–.695) | < .001 |
| Not Pregnant | 3195 | 1999–2016 | 93.6 | 1.14 | .357 (0.34–.376) | .400 (.380–.422) | |||
| Lead, urine (ug/g creatinine) | Pregnant | 408 | 1999–2016 | 94.9 | 1.32 | .512 (.452–.581) | < .001 | .582 (.519–.651) | < .001 |
| Not Pregnant | 3194 | 1999–2016 | 93.6 | .930 | .385 (.372–.398) | .397 (.381–.413) | |||
| Mercury (total), blood (ug/L) | Pregnant | 1280 | 1999–2016 | 86.4 | 2.2 | .704 (.638–.776) | .007 | .787 (.716–.866) | .048 |
| Not Pregnant | 8638 | 1999–2016 | 88.5 | 3.09 | .804 (.769–0.84) | .863 (.829–.899) | |||
| Mercury (inorganic), Blood (ug/L) | Pregnant | 98 | 2011–2016 | 31.1 | * | * | * | * | * |
| Not Pregnant | 1940 | 2011–2016 | 23.5 | * | * | * | * | * | |
| Mercury (ethyl), Blood (ug/L) | Pregnant | 98 | 2011–2016 | 1.0 | * | * | * | * | * |
| Not Pregnant | 1940 | 2011–2016 | 2.0 | * | * | * | * | * | |
| Mercury (methyl), Blood (ug/L) | Pregnant | 98 | 2011–2016 | 75.7 | 2.03 | .365 (0.26–.511) | .310 | .408 C.286–.582) | .226 |
| Not Pregnant | 1940 | 2011–2016 | 85.8 | 2.58 | .440 C396–.489) | .510 (.473–.549) | |||
| Mercury (inorganic), urine (ug/L) | Pregnant | 764 | 1999–2016 | 88.1 | 2.44 | .491 (.414–.582) | .043 | .534 (.450–.634) | .013 |
| Not Pregnant | 4557 | 1999–2016 | 86.4 | 2.08 | .411 (.387–.437) | .425 (.402–.449) | |||
| Mercury (inorganic), urine (ug/g creatinine) | Pregnant | 511 | 1999–2016 | 88.1 | 1.85 | .459 (.380–.555) | .396 | .485 (.402–.586) | .068 |
| Not Pregnant | 3583 | 1999–2016 | 86.4 | 1.72 | .422 (.401–.445) | .403 (.384–.424) | |||
| Molybdenum, urine (ug/L) | Pregnant | 405 | 1999–2016 | 100.0 | 125 | 49.3 (43.1–56.3) | < .001 | 50.3 (43.6–58.0) | .003 |
| Not Pregnant | 3176 | 1999–2016 | 100.0 | 104 | 36.1 (34.4–37.9) | 39.8 (37.8–41.9) | |||
| Molybdenum, urine (ug/g creatinine) | Pregnant | 405 | 1999–2016 | 100.0 | 95.6 | 49.0 (44.5–54.0) | < .001 | 49.0 (44.6–53.9) | < .001 |
| Not Pregnant | 3175 | 1999–2016 | 100.0 | 80.1 | 38.9 (37.8–40.0) | 39.5 (38.2–40.8) | |||
| Selenium, Serum (ug/L) | Pregnant | 52 | 2011–2016 | 100.0 | 135 | 114 (109–119) | < .001 | 113 (108–118) | < .001 |
| Not Pregnant | 970 | 2011–2016 | 100.0 | 146 | 124 (123–126) | 123 (121–125) | |||
| Thallium, urine (ug/L) | Pregnant | 408 | 1999–2016 | 99.6 | .340 | .168 (.152–.186) | .073 | .176 (.159–.196) | .352 |
| Not Pregnant | 3189 | 1999–2016 | 99.6 | .386 | .153 (.147–0.16) | .167 (.161–.174) | |||
| Thallium, urine (ug/g creatinine) | Pregnant | 408 | 1999–2016 | 99.6 | .314 | .167 (.157–.178) | .748 | .171 (.161–.181) | .367 |
| Not Pregnant | 3188 | 1999–2016 | 99.6 | .304 | .165 (.161–.169) | .166 (.162–.171) | |||
| Tungsten, urine (ug/L) | Pregnant | 405 | 1999–2016 | 83.2 | .300 | .087 (.075–.100) | .004 | .088 (.076–.101) | .031 |
| Not Pregnant | 3179 | 1999–2016 | 82.0 | .247 | .070 (.066–.074) | .074 (.070–.079) | |||
| Tungsten, urine (ug/g creatinine) | Pregnant | 405 | 1999–2016 | 83.2 | .255 | .086 (.076–.097) | .027 | .085 (.076–.096) | .018 |
| Not Pregnant | 3178 | 1999–2016 | 82.0 | .215 | .075 (.072–.078) | .074 (.070–.077) | |||
| Uranium, urine (ug/L) | Pregnant | 348 | 2001–2016 | 79.0 | .030 | .007 (.006–.008) | .118 | .007 (.006–.009) | .244 |
| Not Pregnant | 2943 | 2001–2016 | 80.6 | .020 | .006 (.006–.006) | .007 (.006–.007) | |||
| Uranium, urine (ug/g creatinine) | Pregnant | 348 | 2001–2016 | 79.0 | .026 | .007 (.006–.008) | .448 | .007 (.006–.009) | .277 |
| Not Pregnant | 2942 | 2001–2016 | 80.6 | .020 | .006 (.006–.007) | .007 (.006–.007) | |||
| Zinc, Serum (ug/dL) | Pregnant | 52 | 2011–2016 | 100.0 | 89.3 | 69.4 (66.1–72.8) | < .001 | 70.2 (66.8–73.8) | .001 |
| Not Pregnant | 971 | 2011–2016 | 100.0 | 95.4 | 76.8 (75.5–78.1) | 76.6 (75.4–77.9) |
Abbreviations: LOD, limit of detection; GM, geometric mean; LCL & UCL, lower and upper confidence limits of geometric mean; P90, 90th percentile; Pr, probability.
< 40% above LOD.
Regression calculations are based on ln-transformed analytes. Adjusted least squares geometric means were adjusted for age, race/ethnicity, household poverty-to-income ratio, BMI, and serum ln-cotinine. For urinary analytes, both ratio creatine-adjusted and non-creatinine-adjusted estimates were calculated. Ratio adjustments were calculated as analyte concentration/creatinine concentration.
F-tests test for difference in least squares geometric means by pregnancy status, adjusted for all covariates in the model.
All analytical results were weighted and design-adjusted according to NHANES analytic guidelines.
Inorganic-related Arsenic Species is the sum of arsenic acid, arsenous acid, dimethylarsinic acid, and monomethylarsonic acid as reported in (41). Imputed values were used when observed values in the sum were below LOD.