Perfluoroalkyl acids, hyperuricemia and gout in adults: Analyses of NHANES 2009–2014

Details

• Alternative Title:
  Chemosphere
• Personal Author:
  Scinicariello, Franco ; Buser, Melanie C. ; Balluz, Lina ; Gehle, Kimberly ; Murray, H. Edward ; Abadin, Henry G. ; Attanasio, Roberta
• Description:
  Background:
  
  Previous studies have reported a positive association of perfluoralkyl acids (PFAAs), including perfluorooctanoic acid (PFOA) and perfluorooctane sulfonate (PFOS), with hyperuricemia. The objective of the study is to investigate whether there is an association between concurrent serum levels of several PFAAs and gout, serum uric acid (SUA) or hyperuricemia in the U.S. adult population as represented by the National Health and Nutrition Examination Survey (NHANES) 2009–2014 sample (n = 4917). The PFAAs investigated include PFOA, perfluorononanoic acid (PFNA), perfluorodecanoic acid (PFDA), perfluorohexane sulfonic acid (PFHxS) and PFOS.
  
  Methods:
  
  This cross-sectional study used multivariate logistic regressions to analyze the association of single PFAAs with hyperuricemia and self-reported gout; the association with SUA was analyzed by multivariate linear regression. Analyses were adjusted for race/ethnicity, age, sex, education, alcohol consumption, smoking, serum cotinine, BMI, diabetes, hypertension, chronic kidney disease, and SUA (for gout only).
  
  Results:
  
  Higher quartile values of serum PFOA and PFHxS were associated with increased odds of self-reported gout. There was a positive association of SUA with increased levels of PFOA, PFNA, PFOS, PFHxS and PFDA. Higher quartile values of PFOA, PFNA, and PFHxS were associated with higher odds of hyperuricemia.
  
  Conclusions:
  
  In this population-based cross-sectional analysis, we found an association between selected PFAAs and self-reported gout. We also confirmed previous reports of an association between several PFAAs and hyperuricemia. Our study suggests that exposure to PFAAs may be a risk factor for hyperuricemia and gout.
  
  
• Subjects:
  Adult Alkanesulfonic Acids Caprylates Cotinine Cross-Sectional Studies Decanoic Acids Environmental Exposure Female Fluorocarbons Humans Male Middle Aged Nutrition Surveys Sulfonic Acids Uric Acid Young Adult

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• Source:
  Chemosphere. 259:127446
• Pubmed ID:
  32590180
• Pubmed Central ID:
  PMC8114790
• Document Type:
  Journal Article
• Funding:
  CC999999/ImCDC/Intramural CDC HHS/United States
• Name as Subject:
  National Health and Nutrition Examination Survey (U.S.)
• Place as Subject:
  United States
• Volume:
  259
• Collection(s):
  CDC Public Access
• Main Document Checksum:
  urn:sha256:b86d71b73f8cd35d167c30ef32b4fb9de1601ee884063296eb852a05a83f01db
• Download URL:
  https://stacks.cdc.gov/view/cdc/106217/cdc_106217_DS1.pdf
• File Type:
  [PDF - 368.89 KB ]