2021
DOI: 10.1007/s11356-021-15732-2
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Increased serum levels of cadmium are associated with an elevated risk of cardiovascular disease in adults

Abstract: Previous studies have determined the effects of exposure to some heavy metals on cardiovascular disease (CVD); however, the association between exposure to cadmium and CVD in adults remains unclear. The relationship between serum levels of cadmium and the risk of CVD was studied by analysing available data from 38,223 participants who participated in the National Health and Nutrition Examination Survey (NHANES) from 1999 to 2016. After adjusting for all covariates, we found that higher serum cadmium concentrat… Show more

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Cited by 22 publications
(8 citation statements)
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“…In turn, cadmium-induced COX-2 elevation increases the production of inflammatory prostaglandin E2, leading to damage to endothelial vascular cells [ 67 ]. An analysis of data from 38,223 participants in the National Health and Nutrition Examination Survey (NHANES) conducted by Ma et al [ 69 ] also indicates that cadmium may increase the risk of cardiovascular disease by elevating blood lipids and promoting inflammation. The authors demonstrated that raised cadmium concentrations increased the levels of inflammatory factors, such as white blood cells and C-reactive protein.…”
Section: Discussionmentioning
confidence: 99%
“…In turn, cadmium-induced COX-2 elevation increases the production of inflammatory prostaglandin E2, leading to damage to endothelial vascular cells [ 67 ]. An analysis of data from 38,223 participants in the National Health and Nutrition Examination Survey (NHANES) conducted by Ma et al [ 69 ] also indicates that cadmium may increase the risk of cardiovascular disease by elevating blood lipids and promoting inflammation. The authors demonstrated that raised cadmium concentrations increased the levels of inflammatory factors, such as white blood cells and C-reactive protein.…”
Section: Discussionmentioning
confidence: 99%
“…At high doses, cadmium is known to cause the so-called itai-itai disease whose dominant symptom is back pain [36]. Like isotretinoin [37], cadmium is also known to be positively associated with homocysteine [38,39], alkaline phosphatase [40], white blood cell count [41], triglycerides and monocyte elevation [42], HDL-cholesterol [43][44][45] and total protein reduction [44,46]. Triglycerides are positively associated with retinol and α-tocopherol but negatively associated with β-carotene [45], which is partly consistent with our findings.…”
Section: Plos Onementioning
confidence: 99%
“…Numerous medical investigations have determined that it is inclined to accumulate in the vasculature’s intima. Cd has been associated with the formation of carotid plaques [ 27 ], carotid atherosclerosis [ 23 , 28 , 29 , 30 , 31 ], increased risks of CVD [ 14 , 32 , 32 , 33 , 34 , 35 , 36 ] and stroke [ 5 , 11 , 14 , 25 , 32 , 37 , 38 , 39 , 40 , 41 , 42 , 43 ], hypertension [ 44 , 45 , 46 ], peripheral arterial disease [ 47 ], myocardial infarction [ 48 , 49 ] and inflammation [ 50 , 51 ]. It has also been proved that exposure to Cd and obesity may have significant synergistic results on the onset of diabetes [ 52 , 53 ].…”
Section: Introductionmentioning
confidence: 99%