2022
DOI: 10.1016/j.envres.2022.113647
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Association of blood manganese, selenium with steatosis, fibrosis in the National Health and Nutrition Examination Survey, 2017-18

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Cited by 16 publications
(11 citation statements)
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“…This may be attributed to the larger proportion of Non-Hispanic white individuals within the studied population.These ndings emphasize the importance of paying special attention to the potential liver damage caused by urinary heavy metal exposure in these populations. Previous research has highlighted that Mexican Americans have the highest prevalence of NAFLD 33 , and this nding aligns with the results of Spaur M. et al, who also reported a signi cant positive association between blood manganese levels and NAFLD and liver brosis in Mexican Americans 34 . Interestingly, we discovered a negative correlation between urinary Cd levels and advanced liver brosis speci cally among individuals of Other Hispanic ethnicity.…”
Section: Discussionsupporting
confidence: 88%
See 1 more Smart Citation
“…This may be attributed to the larger proportion of Non-Hispanic white individuals within the studied population.These ndings emphasize the importance of paying special attention to the potential liver damage caused by urinary heavy metal exposure in these populations. Previous research has highlighted that Mexican Americans have the highest prevalence of NAFLD 33 , and this nding aligns with the results of Spaur M. et al, who also reported a signi cant positive association between blood manganese levels and NAFLD and liver brosis in Mexican Americans 34 . Interestingly, we discovered a negative correlation between urinary Cd levels and advanced liver brosis speci cally among individuals of Other Hispanic ethnicity.…”
Section: Discussionsupporting
confidence: 88%
“…Previous research has established that individuals with a high BMI are more susceptible to developing NAFLD and advanced liver brosis 35,36 . This notion is supported by the ndings of Spaur M. et al, who observed BMI-speci c differences, where positive associations were observed between blood manganese levels and liver steatosis among participants with a BMI of 30 or higher 34 . In our study, we consistently observed a signi cant impact of urinary heavy metal levels on the development of advanced hepatic brosis across various BMI groups.…”
Section: Discussionmentioning
confidence: 56%
“…At present, a major issue on a worldwide scale is Cd pollution. The epidemiological investigation results showed that serum Cd concentration was positively correlated with the development of nonalcoholic fatty liver disease ( NAFLD ) ( Spaur et al, 2022 ). NAFLD is the most common cause of chronic liver disease in more than 25% of the world's population.…”
Section: Introductionmentioning
confidence: 99%
“…In contrast, the roles of Se in different types of NAFLD are complex and conflicting ( 198 ). It seems that increased plasma/serum Se levels are positively associated with elevated prevalence of liver steatosis but negatively associated with that of hepatic fibrosis or HCC ( 198 201 ). Finally, exposure to toxic heavy metals (such as Pb, Cd, Hg, and Ni) was significantly associated with the onset and progression of NAFLD in different regions of the world, which is probably a causative factor of hepatic steatosis and fibrosis in some patients ( 202 208 ).…”
Section: Recent Progress In Ionomics Of Metabolic Diseasesmentioning
confidence: 99%