Loading…
The Relationship between the Urinary Cadmium Concentration and Cause-Specific Mortality in Subjects without Severe Renal Damage: A 35-Year Follow-Up Study in a Cadmium-Polluted Area of Japan
We evaluated the association between urinary cadmium concentration (uCd, μg/g Cr) and risk of cause-specific mortality according to urinary β2-microglobulin (MG) concentration. Participants were 1383 male and 1700 female inhabitants of the Cd-polluted Kakehashi River basin. The uCd and β2-MG were ev...
Saved in:
Published in: | International journal of environmental research and public health 2021-07, Vol.18 (15), p.7747 |
---|---|
Main Authors: | , , , , , , , , , |
Format: | Article |
Language: | English |
Subjects: | |
Citations: | Items that this one cites Items that cite this one |
Online Access: | Get full text |
Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
cited_by | cdi_FETCH-LOGICAL-c461t-bb20595cd571cd18a99d954898598eadda0f504a944d4c7d9e87246cf417ea303 |
---|---|
cites | cdi_FETCH-LOGICAL-c461t-bb20595cd571cd18a99d954898598eadda0f504a944d4c7d9e87246cf417ea303 |
container_end_page | |
container_issue | 15 |
container_start_page | 7747 |
container_title | International journal of environmental research and public health |
container_volume | 18 |
creator | Sakurai, Masaru Suwazono, Yasushi Nishijo, Muneko Nogawa, Kazuhiro Watanabe, Yuuka Yoneda, Kazuka Ishizaki, Masao Morikawa, Yuko Kido, Teruhiko Nakagawa, Hideaki |
description | We evaluated the association between urinary cadmium concentration (uCd, μg/g Cr) and risk of cause-specific mortality according to urinary β2-microglobulin (MG) concentration. Participants were 1383 male and 1700 female inhabitants of the Cd-polluted Kakehashi River basin. The uCd and β2-MG were evaluated in a survey in 1981–1982, where those participants were followed-up over 35 years later. Among the participants with a urinary β2-MG < 1000, the hazard ratios (HRs) (95% confidence interval) for mortality were significantly higher in those with a uCd of ≥10.0 compared with |
doi_str_mv | 10.3390/ijerph18157747 |
format | article |
fullrecord | <record><control><sourceid>proquest_pubme</sourceid><recordid>TN_cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_8345790</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2558802179</sourcerecordid><originalsourceid>FETCH-LOGICAL-c461t-bb20595cd571cd18a99d954898598eadda0f504a944d4c7d9e87246cf417ea303</originalsourceid><addsrcrecordid>eNpdkk9vEzEQxVcIREvhytkSFy5b7NjetTkgRYHyR0Ug0hw4rSb2bONo197a3kb9cnw2NklBlNPM6P30ZvQ0RfGS0XPONX3jthiHDVNM1rWoHxWnrKpoKSrKHv_TnxTPUtpSypWo9NPihAte7afT4tfVBskP7CC74NPGDWSNeYfoSZ6EVXQe4h1ZgO3d2JNF8AZ9jgeagLeTMiYslwMa1zpDvoaYoXP5jjhPluN6iyYnsnN5E8ZMlniLcb_OQ0feQw_X-JbMCZflT4RILkLXhV25Gsgyj_ZgAX9Wl98nccxoyTwikNCSLzCAf148aaFL-OK-nhWriw9Xi0_l5bePnxfzy9KIiuVyvZ5RqaWxsmbGMgVaWy2F0kpqhWAt0FZSAVoIK0xtNap6JirTClYjcMrPindH32Fc92iPIXTNEF0_5dMEcM1DxbtNcx1uG8WFrPXe4PW9QQw3I6bc9C4Z7DrwGMbUzKTUglOmZhP66j90G8Y4RXaglKIzVuuJOj9SJoaUIrZ_j2G02b9G8_A1-G_Vca5-</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2558802179</pqid></control><display><type>article</type><title>The Relationship between the Urinary Cadmium Concentration and Cause-Specific Mortality in Subjects without Severe Renal Damage: A 35-Year Follow-Up Study in a Cadmium-Polluted Area of Japan</title><source>Publicly Available Content Database</source><source>PubMed Central</source><source>Free Full-Text Journals in Chemistry</source><creator>Sakurai, Masaru ; Suwazono, Yasushi ; Nishijo, Muneko ; Nogawa, Kazuhiro ; Watanabe, Yuuka ; Yoneda, Kazuka ; Ishizaki, Masao ; Morikawa, Yuko ; Kido, Teruhiko ; Nakagawa, Hideaki</creator><creatorcontrib>Sakurai, Masaru ; Suwazono, Yasushi ; Nishijo, Muneko ; Nogawa, Kazuhiro ; Watanabe, Yuuka ; Yoneda, Kazuka ; Ishizaki, Masao ; Morikawa, Yuko ; Kido, Teruhiko ; Nakagawa, Hideaki</creatorcontrib><description>We evaluated the association between urinary cadmium concentration (uCd, μg/g Cr) and risk of cause-specific mortality according to urinary β2-microglobulin (MG) concentration. Participants were 1383 male and 1700 female inhabitants of the Cd-polluted Kakehashi River basin. The uCd and β2-MG were evaluated in a survey in 1981–1982, where those participants were followed-up over 35 years later. Among the participants with a urinary β2-MG < 1000, the hazard ratios (HRs) (95% confidence interval) for mortality were significantly higher in those with a uCd of ≥10.0 compared with <5.0 for cardiovascular disease [HR 1.92 (1.08–3.40) for men, 1.71 (1.07–2.71) for women], pneumonia or influenza [2.10 (1.10–4.00) for men, 2.22 (1.17–4.19) for women], and digestive diseases [for men; 3.81 (1.49–9.74)]. The uCd was significantly associated with mortality from heart failure in women and digestive diseases in men, after adjustment for other causes of death using the Fine and Gray competing risk regression model. For participants with a urinary β2-MG of ≥1000, no significant association was observed between uCd and any major cause of death. In the absence of kidney damage, Cd may increase the risk of death from cardiovascular disease, pneumonia, and digestive diseases.</description><identifier>ISSN: 1660-4601</identifier><identifier>ISSN: 1661-7827</identifier><identifier>EISSN: 1660-4601</identifier><identifier>DOI: 10.3390/ijerph18157747</identifier><identifier>PMID: 34360038</identifier><language>eng</language><publisher>Basel: MDPI AG</publisher><subject>Cadmium ; Cancer ; Cardiovascular disease ; Cardiovascular diseases ; Cohort analysis ; Confidence intervals ; Death ; Digestive system diseases ; Health risks ; Heart diseases ; Heart failure ; Kidney diseases ; Mortality ; Pneumonia ; Population ; Risk ; River basins ; Statistical analysis ; Tumors ; Vital statistics ; Water pollution ; Womens health ; β2 Microglobulin</subject><ispartof>International journal of environmental research and public health, 2021-07, Vol.18 (15), p.7747</ispartof><rights>2021 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>2021 by the authors. 2021</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c461t-bb20595cd571cd18a99d954898598eadda0f504a944d4c7d9e87246cf417ea303</citedby><cites>FETCH-LOGICAL-c461t-bb20595cd571cd18a99d954898598eadda0f504a944d4c7d9e87246cf417ea303</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.proquest.com/docview/2558802179/fulltextPDF?pq-origsite=primo$$EPDF$$P50$$Gproquest$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.proquest.com/docview/2558802179?pq-origsite=primo$$EHTML$$P50$$Gproquest$$Hfree_for_read</linktohtml><link.rule.ids>230,314,723,776,780,881,25731,27901,27902,36989,36990,44566,53766,53768,74869</link.rule.ids></links><search><creatorcontrib>Sakurai, Masaru</creatorcontrib><creatorcontrib>Suwazono, Yasushi</creatorcontrib><creatorcontrib>Nishijo, Muneko</creatorcontrib><creatorcontrib>Nogawa, Kazuhiro</creatorcontrib><creatorcontrib>Watanabe, Yuuka</creatorcontrib><creatorcontrib>Yoneda, Kazuka</creatorcontrib><creatorcontrib>Ishizaki, Masao</creatorcontrib><creatorcontrib>Morikawa, Yuko</creatorcontrib><creatorcontrib>Kido, Teruhiko</creatorcontrib><creatorcontrib>Nakagawa, Hideaki</creatorcontrib><title>The Relationship between the Urinary Cadmium Concentration and Cause-Specific Mortality in Subjects without Severe Renal Damage: A 35-Year Follow-Up Study in a Cadmium-Polluted Area of Japan</title><title>International journal of environmental research and public health</title><description>We evaluated the association between urinary cadmium concentration (uCd, μg/g Cr) and risk of cause-specific mortality according to urinary β2-microglobulin (MG) concentration. Participants were 1383 male and 1700 female inhabitants of the Cd-polluted Kakehashi River basin. The uCd and β2-MG were evaluated in a survey in 1981–1982, where those participants were followed-up over 35 years later. Among the participants with a urinary β2-MG < 1000, the hazard ratios (HRs) (95% confidence interval) for mortality were significantly higher in those with a uCd of ≥10.0 compared with <5.0 for cardiovascular disease [HR 1.92 (1.08–3.40) for men, 1.71 (1.07–2.71) for women], pneumonia or influenza [2.10 (1.10–4.00) for men, 2.22 (1.17–4.19) for women], and digestive diseases [for men; 3.81 (1.49–9.74)]. The uCd was significantly associated with mortality from heart failure in women and digestive diseases in men, after adjustment for other causes of death using the Fine and Gray competing risk regression model. For participants with a urinary β2-MG of ≥1000, no significant association was observed between uCd and any major cause of death. In the absence of kidney damage, Cd may increase the risk of death from cardiovascular disease, pneumonia, and digestive diseases.</description><subject>Cadmium</subject><subject>Cancer</subject><subject>Cardiovascular disease</subject><subject>Cardiovascular diseases</subject><subject>Cohort analysis</subject><subject>Confidence intervals</subject><subject>Death</subject><subject>Digestive system diseases</subject><subject>Health risks</subject><subject>Heart diseases</subject><subject>Heart failure</subject><subject>Kidney diseases</subject><subject>Mortality</subject><subject>Pneumonia</subject><subject>Population</subject><subject>Risk</subject><subject>River basins</subject><subject>Statistical analysis</subject><subject>Tumors</subject><subject>Vital statistics</subject><subject>Water pollution</subject><subject>Womens health</subject><subject>β2 Microglobulin</subject><issn>1660-4601</issn><issn>1661-7827</issn><issn>1660-4601</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><sourceid>PIMPY</sourceid><recordid>eNpdkk9vEzEQxVcIREvhytkSFy5b7NjetTkgRYHyR0Ug0hw4rSb2bONo197a3kb9cnw2NklBlNPM6P30ZvQ0RfGS0XPONX3jthiHDVNM1rWoHxWnrKpoKSrKHv_TnxTPUtpSypWo9NPihAte7afT4tfVBskP7CC74NPGDWSNeYfoSZ6EVXQe4h1ZgO3d2JNF8AZ9jgeagLeTMiYslwMa1zpDvoaYoXP5jjhPluN6iyYnsnN5E8ZMlniLcb_OQ0feQw_X-JbMCZflT4RILkLXhV25Gsgyj_ZgAX9Wl98nccxoyTwikNCSLzCAf148aaFL-OK-nhWriw9Xi0_l5bePnxfzy9KIiuVyvZ5RqaWxsmbGMgVaWy2F0kpqhWAt0FZSAVoIK0xtNap6JirTClYjcMrPindH32Fc92iPIXTNEF0_5dMEcM1DxbtNcx1uG8WFrPXe4PW9QQw3I6bc9C4Z7DrwGMbUzKTUglOmZhP66j90G8Y4RXaglKIzVuuJOj9SJoaUIrZ_j2G02b9G8_A1-G_Vca5-</recordid><startdate>20210721</startdate><enddate>20210721</enddate><creator>Sakurai, Masaru</creator><creator>Suwazono, Yasushi</creator><creator>Nishijo, Muneko</creator><creator>Nogawa, Kazuhiro</creator><creator>Watanabe, Yuuka</creator><creator>Yoneda, Kazuka</creator><creator>Ishizaki, Masao</creator><creator>Morikawa, Yuko</creator><creator>Kido, Teruhiko</creator><creator>Nakagawa, Hideaki</creator><general>MDPI AG</general><general>MDPI</general><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8C1</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20210721</creationdate><title>The Relationship between the Urinary Cadmium Concentration and Cause-Specific Mortality in Subjects without Severe Renal Damage: A 35-Year Follow-Up Study in a Cadmium-Polluted Area of Japan</title><author>Sakurai, Masaru ; Suwazono, Yasushi ; Nishijo, Muneko ; Nogawa, Kazuhiro ; Watanabe, Yuuka ; Yoneda, Kazuka ; Ishizaki, Masao ; Morikawa, Yuko ; Kido, Teruhiko ; Nakagawa, Hideaki</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c461t-bb20595cd571cd18a99d954898598eadda0f504a944d4c7d9e87246cf417ea303</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2021</creationdate><topic>Cadmium</topic><topic>Cancer</topic><topic>Cardiovascular disease</topic><topic>Cardiovascular diseases</topic><topic>Cohort analysis</topic><topic>Confidence intervals</topic><topic>Death</topic><topic>Digestive system diseases</topic><topic>Health risks</topic><topic>Heart diseases</topic><topic>Heart failure</topic><topic>Kidney diseases</topic><topic>Mortality</topic><topic>Pneumonia</topic><topic>Population</topic><topic>Risk</topic><topic>River basins</topic><topic>Statistical analysis</topic><topic>Tumors</topic><topic>Vital statistics</topic><topic>Water pollution</topic><topic>Womens health</topic><topic>β2 Microglobulin</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Sakurai, Masaru</creatorcontrib><creatorcontrib>Suwazono, Yasushi</creatorcontrib><creatorcontrib>Nishijo, Muneko</creatorcontrib><creatorcontrib>Nogawa, Kazuhiro</creatorcontrib><creatorcontrib>Watanabe, Yuuka</creatorcontrib><creatorcontrib>Yoneda, Kazuka</creatorcontrib><creatorcontrib>Ishizaki, Masao</creatorcontrib><creatorcontrib>Morikawa, Yuko</creatorcontrib><creatorcontrib>Kido, Teruhiko</creatorcontrib><creatorcontrib>Nakagawa, Hideaki</creatorcontrib><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Public Health Database</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni)</collection><collection>ProQuest Central</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Publicly Available Content Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>International journal of environmental research and public health</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Sakurai, Masaru</au><au>Suwazono, Yasushi</au><au>Nishijo, Muneko</au><au>Nogawa, Kazuhiro</au><au>Watanabe, Yuuka</au><au>Yoneda, Kazuka</au><au>Ishizaki, Masao</au><au>Morikawa, Yuko</au><au>Kido, Teruhiko</au><au>Nakagawa, Hideaki</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The Relationship between the Urinary Cadmium Concentration and Cause-Specific Mortality in Subjects without Severe Renal Damage: A 35-Year Follow-Up Study in a Cadmium-Polluted Area of Japan</atitle><jtitle>International journal of environmental research and public health</jtitle><date>2021-07-21</date><risdate>2021</risdate><volume>18</volume><issue>15</issue><spage>7747</spage><pages>7747-</pages><issn>1660-4601</issn><issn>1661-7827</issn><eissn>1660-4601</eissn><abstract>We evaluated the association between urinary cadmium concentration (uCd, μg/g Cr) and risk of cause-specific mortality according to urinary β2-microglobulin (MG) concentration. Participants were 1383 male and 1700 female inhabitants of the Cd-polluted Kakehashi River basin. The uCd and β2-MG were evaluated in a survey in 1981–1982, where those participants were followed-up over 35 years later. Among the participants with a urinary β2-MG < 1000, the hazard ratios (HRs) (95% confidence interval) for mortality were significantly higher in those with a uCd of ≥10.0 compared with <5.0 for cardiovascular disease [HR 1.92 (1.08–3.40) for men, 1.71 (1.07–2.71) for women], pneumonia or influenza [2.10 (1.10–4.00) for men, 2.22 (1.17–4.19) for women], and digestive diseases [for men; 3.81 (1.49–9.74)]. The uCd was significantly associated with mortality from heart failure in women and digestive diseases in men, after adjustment for other causes of death using the Fine and Gray competing risk regression model. For participants with a urinary β2-MG of ≥1000, no significant association was observed between uCd and any major cause of death. In the absence of kidney damage, Cd may increase the risk of death from cardiovascular disease, pneumonia, and digestive diseases.</abstract><cop>Basel</cop><pub>MDPI AG</pub><pmid>34360038</pmid><doi>10.3390/ijerph18157747</doi><oa>free_for_read</oa></addata></record> |
fulltext | fulltext |
identifier | ISSN: 1660-4601 |
ispartof | International journal of environmental research and public health, 2021-07, Vol.18 (15), p.7747 |
issn | 1660-4601 1661-7827 1660-4601 |
language | eng |
recordid | cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_8345790 |
source | Publicly Available Content Database; PubMed Central; Free Full-Text Journals in Chemistry |
subjects | Cadmium Cancer Cardiovascular disease Cardiovascular diseases Cohort analysis Confidence intervals Death Digestive system diseases Health risks Heart diseases Heart failure Kidney diseases Mortality Pneumonia Population Risk River basins Statistical analysis Tumors Vital statistics Water pollution Womens health β2 Microglobulin |
title | The Relationship between the Urinary Cadmium Concentration and Cause-Specific Mortality in Subjects without Severe Renal Damage: A 35-Year Follow-Up Study in a Cadmium-Polluted Area of Japan |
url | http://sfxeu10.hosted.exlibrisgroup.com/loughborough?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-02-06T22%3A50%3A39IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_pubme&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=The%20Relationship%20between%20the%20Urinary%20Cadmium%20Concentration%20and%20Cause-Specific%20Mortality%20in%20Subjects%20without%20Severe%20Renal%20Damage:%20A%2035-Year%20Follow-Up%20Study%20in%20a%20Cadmium-Polluted%20Area%20of%20Japan&rft.jtitle=International%20journal%20of%20environmental%20research%20and%20public%20health&rft.au=Sakurai,%20Masaru&rft.date=2021-07-21&rft.volume=18&rft.issue=15&rft.spage=7747&rft.pages=7747-&rft.issn=1660-4601&rft.eissn=1660-4601&rft_id=info:doi/10.3390/ijerph18157747&rft_dat=%3Cproquest_pubme%3E2558802179%3C/proquest_pubme%3E%3Cgrp_id%3Ecdi_FETCH-LOGICAL-c461t-bb20595cd571cd18a99d954898598eadda0f504a944d4c7d9e87246cf417ea303%3C/grp_id%3E%3Coa%3E%3C/oa%3E%3Curl%3E%3C/url%3E&rft_id=info:oai/&rft_pqid=2558802179&rft_id=info:pmid/34360038&rfr_iscdi=true |