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KMID : 0371020100430010001
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Journal of Preventive Medicine and Public Health
2010 Volume.43 No. 1 p.1 ~ p.8
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Relationship Between Serum Concentrations of Organochlorine Pesticides and Metabolic Syndrome Among Non-Diabetic Adults
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Park Sun-Kyun
Son Hyo-Kyung
Lee Sung-Kook
Kang Jung-Ho
Chang Yoon-Seok
Jr David R Jacobs
Lee Duk-Hee
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Abstract
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Objectives: This study was performed to investigate if organochlorine pesticides (OCPs) were associated with metabolic syndrome and insulin resistance among non-diabetes.
Methods: Among subjects who participated in a community-based health survey, 50 non-diabetic subjects with metabolic syndrome and 50 normal controls were selected. Insulin resistance was measured by the homeostasis model assessment (HOMA-IR). Eight OCPs were selected.
Results: After adjusting for confounders except for body mass index (BMI), beta-hexachlorocyclohexane (β-HCH) and heptachlor epoxide were positively associated with metabolic syndrome. Odds ratios across tertiles of β-HCH and heptachlor epoxide were 1.0, 3.2 and 4.4, and 1.0, 4.0 and 6.0, respectively (p for trend = 0.01 and <0.01). After additional adjustment for body mass index (BMI), heptachlor epoxide still showed an increasing trend with adjusted odds ratios of 1.0, 4.1, and 4.6 (p for trend = 0.10). When the five components of metabolic syndrome (with the definition of high fasting glucose (≥100 mg/dL)) were separately analyzed, all components were positively, but not significantly, associated with heptachlor epoxide. As the serum concentration of heptachlor epoxide increased, HOMA-IR increased significantly in subjects with metabolic syndrome even after adjusting for BMI (p value <0.05 and <0.01).
Conclusions: Despite the small sample size, this study suggests that the background exposure to some OCPs may be associated with metabolic syndrome.
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KEYWORD
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Organochlorine compounds, Environmental pollutants, Persistent organic pollutants, Metabolic syndrome X, Insulin resistance, Obesity
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