Associations between ethylene oxide exposure and chronic bronchitis: results from the NHANES 2013-2018.

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  • Author(s): Li Y;Li Y; Wang H; Wang H; Bi X; Bi X; Zhao G; Zhao G
  • Source:
    Frontiers in public health [Front Public Health] 2024 Dec 09; Vol. 12, pp. 1424555. Date of Electronic Publication: 2024 Dec 09 (Print Publication: 2024).
  • Publication Type:
    Journal Article
  • Language:
    English
  • Additional Information
    • Source:
      Publisher: Frontiers Editorial Office Country of Publication: Switzerland NLM ID: 101616579 Publication Model: eCollection Cited Medium: Internet ISSN: 2296-2565 (Electronic) Linking ISSN: 22962565 NLM ISO Abbreviation: Front Public Health Subsets: MEDLINE
    • Publication Information:
      Original Publication: Lausanne : Frontiers Editorial Office
    • Subject Terms:
      Nutrition Surveys* ; Bronchitis, Chronic*/epidemiology ; Ethylene Oxide*; Humans ; Male ; Female ; Middle Aged ; Adult ; United States/epidemiology ; Environmental Exposure/adverse effects ; Environmental Exposure/statistics & numerical data ; Prevalence ; Aged ; Cross-Sectional Studies
    • Abstract:
      Introduction: Ethylene oxide (EtO) is a reactive gas commonly used in the production of various chemical compounds. Research has linked EtO exposure to respiratory conditions, including chronic obstructive pulmonary disease (COPD) and asthma. However, its potential effects on chronic bronchitis (CB) remain unclear, highlighting the need for further study to understand its role in respiratory health.
      Methods: Our study investigated data from 5,044 NHANES participants between 2013 and 2018 across three 2-year survey cycles. The relationship between HbEtO and CB was examined using weighted logistic regression, with HbEtO quartiles analyzed to assess the trend. A smoothed curve was fitted to verify the relationship between HbEtO and CB. Additionally, sensitivity analyses were conducted to assess the robustness of our results, while subgroup analyses explored potential effect modifiers of the HbEtO-CB association.
      Results: Compared with patients without CB, patients with CB had elevated HbEtO levels. Specifically, natural Log 2 HbEtO levels were linked to a greater prevalence of CB in a fully adjusted model (OR = 1.243, 95% CI: 1.143-1.352). Analysis of Log 2 HbEtO quartiles showed a significant trend in Q4 compared with Q1 ( p for trend < 0.001). The fitted smoothed curve indicated a U-shaped nonlinear association, with saturation and threshold analysis revealing an inflection point at Log 2 HbEtO = 4.87. Sensitivity analyses confirmed the robustness of these findings, and subgroup analyses identified consistent associations across various groups.
      Conclusion: Our study found a significant association between EtO exposure and the occurrence of CB. Given the health risks linked to EtO exposure, implementing effective control measures is essential. Such actions could help lower CB prevalence and enhance respiratory health in vulnerable populations.
      Competing Interests: The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as potential conflicts of interest.
      (Copyright © 2024 Li, Wang, Bi and Zhao.)
    • Contributed Indexing:
      Keywords: NHANES; chronic bronchitis; cross-sectional study; epidemiology; ethylene oxide
    • Accession Number:
      JJH7GNN18P (Ethylene Oxide)
    • Publication Date:
      Date Created: 20241224 Date Completed: 20241224 Latest Revision: 20241224
    • Publication Date:
      20241224
    • Accession Number:
      PMC11663886
    • Accession Number:
      10.3389/fpubh.2024.1424555
    • Accession Number:
      39717033