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. 2021 Jul 19;11:14664. doi: 10.1038/s41598-021-94158-9

Table 3.

Cardiometabolic factors according to the quartiles of serum cadmium, lead, mercury, and hs-CRP levels by gender.

Variables Males (n = 4724) Females (n = 4878)
Cadmium quartiles Cadmium quartiles
Quartile 1 ≤ 0.342 (µg/L) Quartile 2 0.343–0.680 (µg/L) Quartile 3 0.680–1.432(µg/L) Quartile 4 ≥ 1.433 (µg/L) P-value Quartile 1 ≤ 0.928 (µg/dL) Quartile 2 0.929–1.505 (µg/dL) Quartile 3 1.505–2.695 (µg/dL) Quartile 4 ≥ 2.696 (µg/dL) P-value
(A) Cardiometabolic factors according to the quartiles of serum cadmium levels by gender
Age (year) 32.06 ± 11.58 41.28 ± 14.54 49.38 ± 14.48 52.18 ± 13.44  < 0.001 29.55 ± 9.93 35.61 ± 13.06 48.53 ± 14.47 54.89 ± 12.26  < 0.001
BMI (Kg/m2) 24.21 ± 3.59 24.34 ± 3.19 24.37 ± 3.13 24.03 ± 3.06 0.046 22.08 ± 4.15 22.42 ± 3.70 23.54 ± 3.52 24.15 ± 3.46  < 0.001
Waist circumference (cm) 83.48 ± 9.65 84.58 ± 8.89 85.73 ± 8.77 85.57 ± 8.68  < 0.001 73.89 ± 10.32 75.01 ± 10.10 78.83 ± 9.69 81.21 ± 9.55  < 0.001
Total cholesterol (mg/dL) 179.62 ± 34.55 186.97 ± 36.41 190.90 ± 36.73 195.36 ± 38.42  < 0.001 185.81 ± 34.92 187.16 ± 35.75 190.50 ± 37.72 194.83 ± 37.25  < 0.001
LDL-C (mg/dL) 107.32 ± 28.22 114.27 ± 31.32 114.19 ± 31.59 113.91 ± 35.35 0.042 99.23 ± 31.47 104.48 ± 30.12 114.14 ± 32.82 118.71 ± 33.22  < 0.001
Triglyceride (mg/dL) † 99.5 (44–160) 115 (48–174) 131 (53–199.5) 147 (54–216)  < 0.001 68 (33–99) 79 (38–116) 94 (41–141) 106 (46–158)  < 0.001
HDL-C (mg/dL) 47.41 ± 10.33 47.26 ± 10.70 46.18 ± 11.58 46.56 ± 12.39 0.038 56.57 ± 14.03 54.97 ± 12.33 52.99 ± 12.36 51.31 ± 12.36  < 0.001
HbA1c (%) 5.43 ± 0.66 5.72 ± 1.03 5.90 ± 1.04 6.02 ± 1.04  < 0.001 5.49 ± 0.99 5.49 ± 0.80 5.73 ± 0.80 5.85 ± 0.85  < 0.001
Fasting glucose (mg/dL) 92.89 ± 17.39 99.28 ± 25.67 102.68 ± 26.10 104.24 ± 28.28  < 0.001 91.97 ± 20.84 92.82 ± 19.44 96.58 ± 20.29 99.14 ± 22.21  < 0.001
Energy intake (Kcal) 2446.97 ± 1116.32 2428.25 ± 987.62 2362.39 ± 939.62 2347.15 ± 961.58 0.180 1706.65 ± 633.06 1764.11 ± 719.82 1715.66 ± 700.93 1655.23 ± 637.53 0.0041
Hemoglobin (g/dL) 15.34 ± 1.00 15.23 ± 1.08 15.29 ± 1.16 15.39 ± 1.36 0.027 13.09 ± 1.55 13.04 ± 1.60 13.03 ± 1.54 13.12 ± 1.29 0.054
Hematocrit (%) 45.74 ± 2.98 45.43 ± 3.09 45.54 ± 3.33 45.54 ± 3.33 0.117 39.87 ± 2.63 39.78 ± 2.83 39.81 ± 3.01 40.16 ± 3.43 0.004
BUN (mmol/L) 14.04 ± 3.46 14.63 ± 4.22 14.93 ± 4.15 15.05 ± 4.62 0.001 11.90 ± 3.45 12.11 ± 3.52 13.43 ± 3.97 14.14 ± 4.20  < 0.001
Serum creatinine (μmol/L) 0.99 ± 0.43 0.98 ± 0.23 0.96 ± 0.17 0.97 ± 0.26 0.017 0.69 ± 0.09 0.70 ± 0.10 0.71 ± 0.11 0.71 ± 0.16 0.002
ALT (U/L) † 18 (10–27) 21 (11–29) 22 (11–32) 24 (13–35)  < 0.001 11 (6–15) 12 (7–17) 15 (8–20) 16 (9–22)  < 0.001
AST (U/L) † 20 (13–23) 21 (14–25) 22 (15–27) 24 (16–31)  < 0.001 16 (12–19) 16.5 (12–19) 19 (13–27) 20 (14–24)  < 0.001
SBP (mmHg) 116.09 ± 12.13 119.05 ± 14.06 122.06 ± 15.09 124.31 ± 16.46  < 0.001 106.54 ± 11.88 107.95 ± 12.60 116.14 ± 17.09 121.82 ± 18.22  < 0.001
DBP (mmHg) 77.07 ± 8.77 79.00 ± 10.01 79.89 ± 10.27 80.42 ± 11.61  < 0.001 69.66 ± 8.58 70.96 ± 8.80 74.21 ± 9.37 76.75 ± 10.10  < 0.001
Serum cotinine (ng/mL)† 2.27 (0.19–10.51) 3.76 (0.18–69.97) 29.73 (0.24–1200.65) 1156.65 (0.45–1961.12)  < 0.001 1.59 (0.09–8.24) 1.29 (0.08–5.92) 1.4 (0.04–6.73) 1.60 (0.01–9.71)  < 0.001
Variables Males (n = 4724) Females (n = 4878 )
Mercury quartiles Mercury quartiles
Quartile 1 ≤ 0.984 (µg/L) Quartile 2 0.985- 1.508 (µg/L) Quartile 3 1.509–2.698 (µg/L) Quartile 4 ≥ 2.699 (µg/L) p-value Quartile 1 ≤ 0.984 (µg/L) Quartile 2 0.985- 1.508 (µg/L) Quartile 3 1.509–2.698 (µg/L) Quartile 4 ≥ 2.699 (µg/L) p-value
(B) Cardiometabolic factors according to the quartiles of serum mercury levels by gender
Age (year) 54.40 ± 19.90 45.02 ± 19.86 45.64 ± 17.73 47.11 ± 14.24 0.0003 50.74 ± 19.84 48.47 ± 17.15 46.61 ± 15.71 48.20 ± 14.53 0.001
BMI (Kg/m2) 22.79 ± 3.62 23.50 ± 3.61 23.51 ± 3.25 24.50 ± 3.09  < 0.001 22.74 ± 3.83 22.78 ± 3.50 23.25 ± 3.56 23.74 ± 3.59  < 0.001
Waist circumference (cm) 81.85 ± 9.98 83.41 ± 10.30 83.23 ± 9.23 85.82 ± 8.63  < 0.001 78.13 ± 11.15 77.19 ± 10.05 78.06 ± 10.03 79.38 ± 9.88  < 0.001
Total cholesterol (mg/dL) 181.60 ± 30.00 178.71 ± 34.39 181.59 ± 35.84 192.01 ± 36.89  < 0.001 185.06 ± 34.71 188.02 ± 38.07 190.10 ± 38.64 193.14 ± 36.66 0.004
LDL-C (mg/dL) 120.28 ± 35.37 106.10 ± 27.70 108.94 ± 31.18 114.84 ± 32.39 0.0002 103.26 ± 30.68 111.66 ± 31.06 112.94 ± 34.94 114.34 ± 32.07 0.151
Triglyceride (mg/dL) † 114.5 (45–149) 121 (51–184) 113 (49–170) 133 (52–201)  < 0.001 86 (44–158) 99 (41–138) 94 (40–140) 95 (40–141) 0.607
HDL-C (mg/dL) 44.93 ± 11.47 46.25 ± 12.95 46.57 ± 11.45 46.62 ± 11.41 0.790 53.73 ± 15.10 52.54 ± 12.65 52.64 ± 12.52 53.07 ± 12.37 0.590
HbA1c (%) 5.85 ± 0.92 5.73 ± 1.01 5.80 ± 1.07 5.87 ± 1.02 0.285 5.66 ± 0.77 5.76 ± 0.97 5.66 ± 0.77 5.76 ± 0.84 0.031
Fasting glucose (mg/dL) 98.10 ± 19.92 101.88 ± 29.17 99.92 ± 27.26 101.89 ± 25.77 0.220 98.06 ± 21.59 98.01 ± 27.14 95.22 ± 18.54 97.14 ± 21.21 0.013
Energy intake (Kcal) 1784.09 ± 680.97 2213.05 ± 886.77 2267.59 ± 945.03 2419.37 ± 973.98  < 0.001 1504.31 ± 573.10 1639.54 ± 633.07 1723.52 ± 692.11 1707.36 ± 686.35 0.013
Hemoglobin (g/dL) 14.51 ± 1.61 14.94 ± 1.41 15.04 ± 1.28 15.37 ± 1.12  < 0.001 12.46 ± 1.63 12.75 ± 1.28 12.90 ± 1.15 13.21 ± 1.05  < 0.001
Hematocrit (%) 43.93 ± 4.37 44.70 ± 3.78 44.99 ± 3.68 45.74 ± 3.20  < 0.001 38.90 ± 4.40 39.27 ± 3.38 39.43 ± 3.13 40.29 ± 2.96  < 0.001
BUN (mmol/L) 14.36 ± 4.25 13.71 ± 4.55 14.54 ± 5.30 14.93 ± 3.94 0.0006 13.63 ± 4.90 13.04 ± 3.95 13.01 ± 4.09 13.62 ± 3.95  < 0.001
Serum creatinine (μmol/L) 0.98 ± 0.18 0.99 ± 0.24 0.99 ± 0.41 0.96 ± 0.17 0.004 0.78 ± 0.22 0.71 ± 0.12 0.71 ± 0.12 0.70 ± 0.13  < 0.001
ALT (U/L) † 16.5 (10–23) 18 (9–26) 19 (10–27) 23 (11–33)  < 0.001 13 (8–17) 14 (7–19) 14 (8–19) 15 (8–21)  < 0.001
AST (U/L) † 20 (15–25) 20 (13–25) 20 (13–25) 22 (15–27) 0.076 19 (13–21) 18 (12–23) 18 (13–22) 19 (13–23)  < 0.001
SBP (mmHg) 123.45 ± 16.77 120.46 ± 15.96 119.42 ± 15.47 121.80 ± 14.94 0.001 117.80 ± 19.02 115.98 ± 18.26 114.97 ± 17.14 116.93 ± 17.30 0.003
DBP (mmHg) 74.26 ± 11.68 77.58 ± 10.15 76.86 ± 10.18 80.30 ± 10.36  < 0.001 73.46 ± 9.15 73.10 ± 10.09 73.39 ± 9.44 74.99 ± 9.79  < 0.001
Serum cotinine (ng/mL) † 5.61 (0.21–967) 8.61 (0.21–1108.25) 12.58 (0.24–1180.58) 17.76 (0.25–1170.28) 0.350 0.53 (0.06–2.09) 0.82 (0.12–4.55) 1.29 (0.09–6.27) 1.77 (0.01–8.74) 0.002
Variables Males (n = 4724) Females (n = 4878 )
Lead quartiles Lead quartiles
Quartile 1 ≤ 0.984 (µg/dL) Quartile 2 0.984–1.509 (µg/dL) Quartile 3 1.509–2.698 (µg/dL) Quartile 4 ≥ 2.699 (µg/dL) p-values Quartile 1 ≤ 0.984 (µg/dL) Quartile 2 0.984–1.509 (µg/dL) Quartile 3 1.509–2.698 (µg/dL) Quartile 4 ≥ 2.699 (µg/dL) p-values
(C) Cardiometabolic factors according to the quartiles of serum lead levels by gender
Age (year) 35.53 ± 15.82 39.46 ± 15.33 45.56 ± 15.24 51.66 ± 13.20  < 0.001 37.35 ± 13.94 44.04 ± 15.53 49.49 ± 14.69 54.93 ± 12.09  < 0.001
BMI (Kg/m2) 24.29 ± 3.86 24.37 ± 3.45 24.35 ± 3.22 24.18 ± 2.95 0.343 22.80 ± 3.69 23.16 ± 3.69 23.65 ± 3.51 24.04 ± 3.31  < 0.001
Waist circumference (cm) 84.19 ± 10.61 84.90 ± 9.44 85.32 ± 9.00 85.42 ± 8.38 0.430 76.66 ± 10.96 77.53 ± 10.24 79.29 ± 9.74 80.66 ± 9.29  < 0.001
Total cholesterol (mg/dL) 181.31 ± 30.45 185.89 ± 34.47 189.18 ± 37.61 192.27 ± 36.67 0.002 187.84 ± 35.04 187.69 ± 36.53 191.83 ± 37.63 201.15 ± 38.03  < 0.001
LDL-C (mg/dL) 108.81 ± 29.29 111.76 ± 28.78 113.85 ± 32.57 114.14 ± 32.48 0.558 106.80 ± 31.20 109.00 ± 32.77 113.03 ± 32.50 123.23 ± 32.99  < 0.001
Triglyceride (mg/dL) † 110.5 (37.5–191) 109 (44–168) 126 (52–190) 139 (54–210)  < 0.001 81 (36–122) 88 (40–130) 96 (42–142) 112 (45–164.5)  < 0.001
HDL-C (mg/dL) 46.68 ± 10.92 46.54 ± 10.85 46.28 ± 11.27 47.02 ± 11.95 0.245 55.37 ± 13.07 53.53 ± 12.30 52.67 ± 12.64 51.08 ± 11.64  < 0.001
HbA1c (%) 5.65 ± 1.00 5.71 ± 0.99 5.86 ± 1.06 5.92 ± 0.99 0.0007 5.52 ± 0.79 5.66 ± 0.82 5.77 ± 0.85 5.86 ± 0.79  < 0.001
Fasting glucose (mg/dL) 100.68 ± 31.07 98.85 ± 26.08 101.74 ± 27.49 102.21 ± 23.79 0.055 93.03 ± 19.67 96.01 ± 20.16 97.25 ± 21.26 97.54 ± 21.58 0.001
Energy intake (Kcal) 2151.62 ± 978.46 2385.41 ± 981.32 2369.51 ± 961.48 2404.58 ± 969.45 0.177 1781.22 ± 729.61 1726.66 ± 713.00 1701.55 ± 665.56 1622.86 ± 652.54 0.002
Hemoglobin (g/dL) 15.17 ± 1.25 15.22 ± 1.22 15.29 ± 1.13 15.33 ± 1.21 0.156 12.71 ± 1.24 12.89 ± 1.19 13.13 ± 1.07 13.39 ± 1.04  < 0.001
Hematocrit (%) 45.69 ± 3.61 45.73 ± 3.53 45.62 ± 3.25 45.45 ± 3.37 0.235 39.21 ± 3.33 39.60 ± 3.27 40.01 ± 3.00 40.63 ± 2.90  < 0.001
BUN (mmol/L) 13.95 ± 3.95 14.19 ± 4.18 14.70 ± 4.12 15.25 ± 4.34  < 0.001 11.49 ± 3.42 12.89 ± 3.72 13.59 ± 3.95 14.76 ± 4.61  < 0.001
Serum creatinine (μmol/L) 0.95 ± 0.16 0.97 ± 0.36 0.97 ± 0.20 0.97 ± 0.21 0.976 0.67 ± 0.10 0.70 ± 0.11 0.71 ± 0.11 0.73 ± 0.20  < 0.001
ALT (U/L) † 18 (10–31) 21 (10–33) 22 (11–32) 22 (11–31) 0.699 12 (7–18) 14 (7–19) 15 (8–21) 16 (9–22) 0.009
AST (U/L) † 19.5 (13–24) 21 (13–26) 22 (15–27) 22 (15–28) 0.076 17 (13–20) 18 (13–21) 19 (13–23) 20 (14–24)  < 0.001
SBP (mmHg) 118.25 ± 13.33 118.00 ± 13.33 120.05 ± 14.01 124.46 ± 16.57  < 0.001 109.70 ± 13.95 112.95 ± 16.21 117.55 ± 17.72 121.92 ± 17.72  < 0.001
DBP (mmHg) 75.91 ± 9.48 77.42 ± 9.54 79.20 ± 10.20 81.03 ± 10.85  < 0.001 71.51 ± 8.98 72.51 ± 9.23 74.90 ± 9.76 77.43 ± 9.86  < 0.001
Serum cotinine (ng/mL) † 2.50 (0.27–512.02) 4.39 (0.18–817) 13.20 (0.24–1135.96) 97.82 (0.33–1330.00)  < 0.001 0.674 (0.06–3.08) 0.84 (0.07–4.56) 1.79 (0.01–8.49) 3.15 (0.01–10.83) 0.002
Males (n = 4724) Females (n = 4878 )
hs-CRP quartiles hs-CRP quartiles
Quartile 1 ≤ 0.21 (µg/L) Quartile 0.22–0.38 (µg/L) Quartile 0.39- 1.124 (µg/L) Quartile 4 ≥ 1.125 (µg/L) P-values Quartile 1 ≤ 0.21 (µg/L) Quartile 0.22–0.38 (µg/L) Quartile 0.39–1.124 (µg/L) Quartile 4 ≥ 1.125 (µg/L) P-values
(D) Cardiometabolic factors according to the quartiles of serum hs-CRP levels by gender
Age (year) 43.39 ± 14.13 46.06 ± 16.43 49.46 ± 15.29 46.23 ± 14.93  < 0.001 43.16 ± 14.68 47.00 ± 15.02 51.62 ± 14.88 46.87 ± 15.21  < 0.001
BMI (Kg/m2) 22.34 ± 2.30 23.04 ± 2.77 24.57 ± 2.99 24.35 ± 3.22  < 0.001 21.08 ± 2.56 22.08 ± 2.91 23.99 ± 3.44 23.66 ± 3.67  < 0.001
Waist circumference (cm) 80.54 ± 6.10 81.84 ± 7.64 86.38 ± 7.99 85.34 ± 9.14  < 0.001 72.29 ± 7.15 75.15 ± 8.00 80.47 ± 9.57 79.06 ± 10.25  < 0.001
Total cholesterol (mg/dL) 186.11 ± 31.73 185.89 ± 33.27 192.66 ± 36.35 189.33 ± 37.33 0.016 187.35 ± 30.20 190.47 ± 3386 196.31 ± 39.49 196.31 ± 39.49 0.001
LDL-C (mg/dL) 97.25 ± 47.26 105.53 ± 27.10 114.91 ± 32.74 113.78 ± 32.18 0.277 118.33 ± 38.04 113.13 ± 33.38 115.23 ± 38.34 113.57 ± 32.67 0.931
Triglyceride (mg/dL) † 102 (49–135) 107 (46–152) 134 (53–203) 130 (50–199) 0.001 72 (37–99) 81 (37–112) 105 (47–151) 95 (40–144)  < 0.001
HDL-C (mg/dL) 52.44 ± 10.05 50.79 ± 12.10 47.67 ± 11.95 45.82 ± 11.15  < 0.001 58.79 ± 12.97 58.33 ± 13.31 53.34 ± 12.44 51.73 ± 12.07  < 0.001
HbA1c (%) 5.52 ± 0.91 5.51 ± 0.65 5.71 ± 0.80 6.00 ± 1.17  < 0.001 5.37 ± 0.36 5.49 ± 0.57 5.67 ± 0.73 5.86 ± 0.96  < 0.001
Fasting glucose (mg/dL) 99.14 ± 23.81 98.88 ± 21.61 104.22 ± 24.86 101.03 ± 26.78 0.002 92.30 ± 12.41 95.06 ± 17.90 100.10 ± 22.66 95.94 ± 20.93  < 0.001
Energy intake (Kcal) 2344.50 ± 876.17 2339.90 ± 882.38 2340.94 ± 991.29 2395.93 ± 969.35 0.476 1700.97 ± 676.59 1741.26 ± 694.23 1707.16 ± 718.47 1697.80 ± 671.34 0.673
Hemoglobin (g/dL) 15.16 ± 1.26 15.23 ± 1.13 15.30 ± 1.15 15.30 ± 1.18 0.671 12.91 ± 1.31 12.95 ± 1.14 13.18 ± 1.14 13.05 ± 1.11 0.0004
Hematocrit (%) 46.06 ± 3.27 46.22 ± 3.27 46.57 ± 3.30 45.21 ± 3.29  < 0.001 40.04 ± 3.26 40.25 ± 3.07 40.96 ± 3.19 39.54 ± 3.01  < 0.001
BUN (mmol/L) 15.16 ± 4.30 14.78 ± 3.77 15.01 ± 4.22 14.77 ± 4.26 0.436 12.31 ± 3.36 13.34 ± 3.88 13.81 ± 4.34 13.31 ± 3.96 0.001
Serum creatinine (μmol/L) 1.00 ± 0.28 0.96 ± 0.15 0.96 ± 0.19 0.97 ± 0.24 0.558 0.71 ± 0.10 0.70 ± 0.10 0.71 ± 0.13 0.71 ± 0.13 0.868
ALT (U/L) † 17 (11–24.5) 19 (10–24) 23 (11–33) 22 (11–32) 0.001 13 (8–17) 13 (8–19) 16 (8–21) 15 (8–21)  < 0.001
AST (U/L) † 19 (14–22) 20 (14–24) 22 (15–27) 22 (14–27) 0.007 17 (13–20) 18 (13–22) 19 (13–23) 19 (13–22)  < 0.001
SBP (mmHg) 115.25 ± 12.67 117.29 ± 12.53 121.10 ± 14.43 121.91 ± 15.46  < 0.001 111.22 ± 14.43 112.71 ± 15.65 116.94 ± 17.28 116.77 ± 17.66  < 0.001
DBP (mmHg) 75.84 ± 9.23 77.02 ± 9.33 78.28 ± 10.08 80.26 ± 10.56  < 0.001 71.62 ± 7.58 72.12 ± 8.74 73.87 ± 9.57 74.89 ± 9.91  < 0.001
Serum cotinine (ng/mL) † 0.84 (0.26–278.5) 1.16 (0.21–1836) 1.59 (0.25–1064) 26.91 (0.25–1215.37)  < 0.001 0.56 (0.12–1.00) 0.47 (0.14–0.92) 0.51 (0.14–1.05) 3.21 (0.01–10.36) 0.120

BUN blood urea nitrogen, HDL-C high-density lipoprotein cholesterol, ALT alanine aspartate aminotransferase, AST aspartate aminotransferase, LDL-C low-density lipoprotein cholesterol, SBP systolic blood pressure, DBP diastolic blood pressure.

Median (IQR) and p-value using Kruskal Wallis test.