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. 2022 Jun 22;130(6):067007. doi: 10.1289/EHP10393

Table 2.

Baseline characteristics [n (%)] of participants in the NHANES follow-up study from 1999–2014 to 31 December 2015 (n=11,747).

Characteristics Total (n=11,747) Total serum PFAS Serum PFOA concentration Serum PFOS concentration
Low (n=3,913) Medium (n=5,491) High (n=2,343) p-Value Tertile 1 <2.4 ng/mL (n=3,913) Tertile 2 2.44.3 ng/mL (n=3,842) Tertile 3 4.3 ng/mL (n=3,992) p-Value Tertile 1 <7.9 ng/mL (n=3,886) Tertile 2 7.917.1 ng/mL (n=3,917) Tertile 3 17.1 ng/mL (n=3,944) p-Value
Deaths 1,251 (7.0) 313 (4.4) 532 (6.4) 406 (13.2) <0.001 322 (4.6) 418 (7.2) 511 (9.1) <0.001 199 (2.7) 372 (6.0) 680 (12.2) <0.001
 Heart disease 372 (2.1) 81 (1.0) 184 (2.2) 107 (3.5) <0.001 100 (1.4) 128 (2.2) 144 (2.6) 0.158 62 (0.7) 129 (2.2) 181 (3.3) <0.001
 Cancer 248 (1.4) 43 (0.4) 135 (1.7) 70 (2.2) 0.002 59 (0.7) 74 (1.2) 115 (2.3) 0.008 39 (0.4) 79 (1.3) 130 (2.5) <0.001
PFAS excluding PFOA (exposure)
 Low 4,160 (36.2) 2,802 (74.1) 1,124 (32.7) 234 (5.9) <0.001
 Medium 5,327 (44.0) 808 (19.6) 2,113 (52.5) 2,406 (57.9) <0.001
 High 2,260 (19.8) 303 (6.3) 605 (14.8) 1,352 (36.2) <0.001
PFAS excluding PFOS (exposure)
 Low 4,133 (35.4) 3,028 (76.6) 979 (23.3) 126 (2.9) <0.001
 Medium 5,180 (42.7) 666 (18.3) 2,076 (52.9) 2,438 (58.5) <0.001
 High 2,434 (21.9) 192 (5.1) 862 (23.8) 1,380 (38.5) <0.001
Sex
 Male 5,681 (48.5) 1,401 (36.4) 2,924 (53.7) 1,356 (56.6) <0.001 1,391 (34.8) 1,927 (50.1) 2,363 (59.3) <0.001 1,382 (35.2) 1,918 (50.3) 2,381 (61.3) <0.001
 Female 6,066 (51.5) 2,512 (63.6) 987 (46.3) 2,567 (43.4) <0.001 2,522 (65.2) 1,915 (49.9) 1,629 (40.7) <0.001 2,504 (64.8) 1,999 (49.7) 1,563 (38.7) <0.001
Age (y)a 42.5 39.6 43.2 45.7 <0.001 40.3 43.2 43.8 <0.001 39.3 42.6 46.2 <0.001
Race/ethnicity
 Non-Hispanic White 5,274 (69.4) 1,426 (60.8) 2,877 (77.0) 971 (66.5) <0.001 1,357 (58.3) 1,722 (71.1) 2,195 (77.9) <0.001 1,527 (63.1) 1,794 (71.8) 1,953 (73.9) <0.001
 Non-Hispanic Black 2,427 (10.8) 730 (11.1) 1,002 (9.1) 695 (14.2) 0.001 852 (13.3) 782 (10.6) 793 (8.8) 0.005 674 (10.0) 761 (10.1) 992 (12.4) 0.148
 Mexican American 2,219 (8.5) 895 (13.1) 1,111 (6.9) 213 (4.4) <0.001 875 (12.7) 776 (8.2) 568 (4.9) <0.001 821 (12.2) 788 (8.3) 610 (4.6) <0.001
 Other 1,827 (11.3) 862 (14.9) 501 (7.0) 464 (14.9) <0.001 829 (15.7) 562 (10.1) 436 (8.4) <0.001 864 (14.7) 574 (9.8) 389 (9.1) <0.001
Education
 With high school education 5,266 (56.1) 1,790 (56.3) 2,346 (54.8) 1,130 (58.6) 0.225 1,703 (54.5) 1,765 (57.6) 1,798 (56.3) 0.374 1,814 (57.0) 1,804 (57.5) 1,648 (53.4) 0.131
 Without high school education 5,606 (40.2) 1,828 (39.3) 2,648 (41.2) 1,130 (39.5) 0.635 1,927 (41.1) 1,780 (38.8) 1,899 (40.6) 0.544 1,772 (38.5) 1,813 (38.8) 2,021 (43.7) 0.029
 Missing 875 (3.7) 295 (4.4) 497 (4.0) 83 (1.8) 0.004 283 (4.4) 297 (3.6) 295 (3.1) 0.299 300 (7.5) 300 (7.2) 275 (7.6) 0.939
Income
$20,000 8,443 (80.7) 2,826 (79.7) 3,863 (80.2) 1,754 (83.5) 0.062 2,785 (78.9) 2,718 (80.3) 2,940 (82.7) 0.094 2,811 (79.0) 2,828 (82.0) 2,804 (81.1) 0.218
<$20,000 2,654 (15.3) 874 (16.0) 1,318 (16.0) 462 (12.7) 0.057 926 (17.4) 890 (15.1) 838 (13.8) 0.078 868 (16.7) 892 (14.7) 894 (14.6) 0.339
 Missing 650 (3.9) 213 (4.3) 310 (3.8) 127 (3.8) 0.803 202 (3.8) 234 (4.6) 214 (3.5) 0.428 207 (4.3) 197 (3.3) 246 (4.3) 0.417
Smoking status
 Never 5,989 (52.4) 2,211 (57.2) 2,557 (48.3) 1,221 (53.7) <0.001 2,242 (57.8) 1,881 (51.0) 1,866 (48.9) <0.001 2,152 (55.9) 1,985 (52.3) 1,852 (48.7) 0.005
 Former smoker 2,739 (23.5) 753 (20.0) 1,354 (25.0) 632 (26.0) 0.003 776 (19.7) 938 (25.0) 1,025 (25.6) 0.003 713 (19.2) 935 (24.3) 1,091 (27.5) <0.001
 Current smoker 2,264 (21.0) 749 (20.1) 1,101 (22.9) 414 (18.6) 0.054 699 (19.6) 753 (20.9) 812 (22.4) 0.306 819 (22.2) 715 (19.9) 730 (21.0) 0.451
 Missing 755 (3.0) 200 (2.7) 479 (3.8) 76 (1.7) 0.016 196 (2.8) 270 (3.1) 289 (3.0) 0.922 202 (2.7) 282 (3.4) 271 (2.7) 0.563
Alcohol intake (d/wk)
<1 5,594 (47.4) 1,904 (49.7) 2,675 (48.3) 1,015 (41.4) <0.001 1,900 (49.1) 1,856 (47.8) 1,838 (45.4) 0.243 1,844 (49.2) 1,868 (47.9) 1,882 (44.6) 0.409
1 3,011 (32.2) 863 (27.9) 1,410 (32.6) 738 (38.1) <0.001 811 (26.1) 992 (33.1) 1,208 (36.6) <0.001 968 (31.4) 995 (32.6) 1,048 (32.8) 0.769
 Missing 3,142 (20.5) 1,146 (22.4) 1,406 (19.0) 590 (20.5) 0.170 1,202 (24.8) 994 (19.0) 946 (18.0) <0.001 1,074 (19.4) 1,054 (19.5) 1,014 (22.6) 0.237
Physical activity (times/month)
<15 1,789 (15.7) 218 (4.9) 1,234 (22.5) 337 (17.9) <0.001 297 (6.9) 555 (13.9) 937 (25.0) <0.001 167 (3.5) 539 (14.4) 1,083 (30.7) <0.001
15 1,115 (9.4) 148 (3.4) 750 (12.9) 217 (11.7) <0.001 218 (5.3) 356 (8.9) 541 (13.6) <0.001 114 (2.8) 350 (8.9) 651 (17.5) <0.001
 Missing 8,843 (74.9) 3,547 (91.7) 3,507 (64.6) 1,789 (70.4) <0.001 3,398 (87.8) 2,931 (77.1) 2,514 (61.4) <0.001 3,605 (93.7) 3,028 (76.7) 2,210 (51.8) <0.001
Hypertension
 With 2,088 (14.8) 528 (12.2) 1,075 (16.1) 485 (16.1) 0.018 568 (12.2) 714 (15.4) 806 (16.5) 0.019 3,223 (11.6) 3,085 (14.4) 2,862 (18.8) <0.001
 Without 9,170 (81.2) 3,219 (83.8) 4,207 (80.1) 1,744 (79.2) 0.021 3,150 (83.2) 2,988 (81.0) 3,032 (79.5) 0.103 503 (84.4) 679 (82.0) 906 (76.6) <0.001
 Missing 489 (4.1) 166 (4.0) 209 (3.8) 114 (4.7) 0.572 195 (4.6) 140 (3.6) 154 (3.9) 0.506 160 (4.0) 154 (3.7) 175 (4.6) 0.586
Diabetes
 With 1,282 (8.8) 438 (9.6) 575 (8.3) 269 (8.4) 0.520 501 (10.6) 429 (9.1) 352 (6.7) 0.008 400 (9.1) 434 (8.3) 448 (8.9) 0.805
 Without 10,236 (89.5) 3,397 (88.3) 4,822 (90.3) 2,017 (89.7) 0.328 3,339 (87.6) 3,336 (88.9) 3,561 (91.8) 0.070 3,415 (89.1) 3,406 (90.1) 3,415 (89.3) 0.742
 Missing 229 (1.7) 78 (2.1) 93 (1.4) 57 (1.9) 0.479 73 (1.8) 77 (1.9) 79 (1.5) 0.775 71 (1.8) 77 (1.6) 81 (1.8) 0.925
Healthy eating index (tertile)
 First 2,332 (18.9) 594 (14.2) 1,179 (20.5) 559 (22.9) <0.001 694 (17.0) 723 (17.7) 915 (22.0) 0.008 636 (15.6) 764 (19.4) 932 (22.7) <0.001
 Second 2,350 (18.9) 846 (20.5) 1,081 (18.6) 423 (17.2) 0.531 834 (20.4) 779 (19.5) 737 (17.7) 0.296 898 (22.2) 776 (18.7) 676 (16.1) 0.002
 Third 2,344 (18.9) 930 (22.6) 1,094 (19.0) 320 (12.7) <0.001 835 (20.1) 869 (21.5) 640 (15.0) <0.001 842 (20.7) 795 (17.8) 707 (17.1) 0.089
 Missing 4,721 (43.2) 1,543 (42.7) 2,137 (41.9) 1,041 (47.2) 0.036 1,550 (42.5) 1,471 (41.3) 1,700 (45.3) 0.179 1,510 (41.5) 1,582 (44.1) 1,629 (44.1) 0.399
BMI (kg/m2)
 Normal (<25.0) 3,672 (31.9) 1,166 (30.1) 1,746 (32.3) 760 (33.9) 0.188 1,224 (31.4) 1,221 (32.7) 1,227 (31.6) 0.798 1,228 (32.5) 1,236 (32.7) 1,208 (30.2) 0.411
 Overweight (25.0–29.9) 3,867 (33.4) 1,191 (30.0) 1,855 (34.7) 821 (36.1) 0.011 1,190 (30.9) 1,274 (33.3) 1,403 (35.5) 0.090 1,175 (30.8) 1,310 (34.4) 1,382 (35.2) 0.080
 Obese (30.0) 4,039 (33.5) 1,482 (38.3) 1,819 (32.0) 738 (29.3) <0.001 1,411 (35.6) 1,303 (33.0) 1,325 (32.2) 0.243 1,416 (35.1) 1,319 (31.9) 1,304 (33.6) 0.317
 Missing 169 (1.2) 74 (1.7) 71 (1.0) 24 (0.7) 0.095 88 (2.0) 44 (0.9) 37 (0.7) 0.016 67 (1.6) 52 (1.0) 50 (0.9) 0.288
Ccr (mL/min)
70 9,826 (87.2) 3,431 (89.9) 4,505 (86.0) 1,890 (85.5) 0.006 3,319 (87.9) 3,222 (87.3) 3,285 (86.5) 0.642 3,425 (90.0) 3,282 (87.7) 3,119 (83.5) <0.001
 50–70 1,101 (7.6) 238 (5.1) 582 (8.6) 281 (9.6) <0.001 295 (5.9) 372 (8.3) 434 (8.6) 0.044 237 (5.4) 377 (7.6) 487 (10.2) <0.001
 30–49.9 543 (3.3) 122 (2.5) 290 (3.8) 131 (3.7) 0.197 151 (3.1) 183 (3.2) 209 (3.7) 0.726 111 (2.3) 177 (3.2) 255 (4.7) 0.011
<30 126 (0.7) 60 (1.0) 47 (0.6)

19

(0.4)

0.244 69 (1.2) 28 (0.5) 29 (0.4) 0.065 55 (0.9) 33 (0.6) 38 (0.6) 0.649
 Missing 151 (1.2) 62 (1.5) 67 (1.1) 22 (0.7) 0.230 79 (1.9) 37 (0.8) 35 (0.8) 0.030 58 (1.4) 48 (1.0) 45 (1.1) 0.687
Total cholesterol (mg/dL)
 Concentrationa,b 11,744 (191.2) 3,912 (186.9) 5,489 (192.3) 2,343 (195.9) <0.001 3,912 (185.9) 3,842 (191.4) 3,990 (195.7) <0.001 3,886 (187.3) 3,916 (189.7) 3,942 (197.3) <0.001
 Missing 3 (—) 1 (—) 2 (—) 0 (—) 1 (—) 0 (—) 2 (—) 0 (—) 1 (—) 2 (—)
Serum cotinine (ng/dL)
 Concentrationa,b 11,705 (0.37) 3,907 (0.26) 5,457 (0.50) 2,341 (0.32) <0.001 3,901 (0.26) 3,835 (0.35) 3,969 (0.53) <0.001 3,882 (0.32) 3,912 (0.34) 3,911 (0.48) <0.001
 Missing 42 (—) 6 (—) 34 (—) 2 (—) 12 (—) 7 (—) 23 (—) 4 (—) 5 (—) 33 (—)

Note: Percentages, means, and cut points were weight-adjusted using NHANES-specified sampling weights. For categorical variables, p-values were calculated using chi-square test, and for continuous variables, p-values were calculated using one-way ANOVA (normal distribution) or Kruskal–Wallis H test (non-normal distribution). Samples with test values below the LOQ were substituted with the value of the LOQ divided by the square root of 2. —, not applicable; ANOVA, analysis of variance; BMI, body mass index; Ccr, creatinine clearance rate; GM, geometric mean; LOQ, limit of quantification; NHANES, National Health and Nutrition Examination Survey; PFAS, per- and polyfluoroalkyl substances; PFOA, perfluorooctanoic acid; PFOS, perfluorooctane sulfonic acid.

aAge, total cholesterol, and cotinine were treated as continuous variables.

bNon-normal distribution data presented as GMs.