Association between maternal urinary speciated arsenic concentrations and gestational diabetes in a cohort of Canadian women

Autor: Jillian Ashley-Martin, Linda Dodds, Tye E. Arbuckle, Maryse F. Bouchard, Gabriel D. Shapiro, Mandy Fisher, Patricia Monnier, Anne-Sophie Morisset, Adrienne S. Ettinger
Jazyk: angličtina
Rok vydání: 2018
Předmět:
Zdroj: Environment International, Vol 121, Iss , Pp 714-720 (2018)
Druh dokumentu: article
ISSN: 0160-4120
DOI: 10.1016/j.envint.2018.10.008
Popis: Background: Epidemiological and toxicological evidence suggests that maternal total arsenic (As) levels are associated with an elevated risk of gestational diabetes (GDM). Uncertainty remains regarding the metabolic toxicity of specific arsenic species, comprised of both organic and inorganic sources of arsenic exposure. Objectives: We assessed associations between speciated As and GDM using data from the Maternal-Infant Research on Environmental Chemicals (MIREC) Study. Methods: Concentrations of speciated As [(inorganic (trivalent, pentavalent)), methylated arsenic species metabolites (monomethylarsonic acid (MMA), dimethylarsinic acid (DMA)), and organic (arsenobetaine)] were measured in first trimester maternal urine samples. GDM cases were identified in accordance with Canadian guidelines. Multivariable regression models were used to estimate associations between speciated As and GDM, evaluate potential interaction between speciated As exposures, and assess fetal sex-specific findings. Results: Among 1243 women who had a live, singleton birth and no previous history of diabetes, 4% met the diagnostic criteria for GDM. Our analyses focused on DMA and arsenobetaine as these were the subtypes with detectable concentrations in at least 40% of samples. Compared to women in the lowest tertile of DMA (
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