metal in urine

From Aaushi
Jump to navigation Jump to search

Pathology

  • metals in urine associated with risk of cardiovascular disease (CVD) dementia & death*
Metal RR of CVD RR of death RR of dementia
copper 1.42 1.50 1.16
zinc 1.21 1.38 1.35
cobalt 1.24 1.37 1.18
manganese - - 1.00
uranium 1.32 1.32 1.46
tungsten 1.20 1.16 1.15
arsenic - - 1.32
lead - - 0.92
cadmium 1.25 1.68 1.17

* copper, zinc cobalt, manganese, uranium, tungsten, cadmium, arsenic, lead

  • metals with RR if CVD are associated with coronary artery calcium[2]

* apoE4 allele may increase the relative risk of dementia[3]

More general terms

References

  1. Lou N These Metals in Urine Predict Heart Disease and Death. Exposure may come from food, water, and air MedPage Today, August 1, 2024 https://www.medpagetoday.com/cardiology/prevention/111319
    Martinez-Morata I, Schilling K, Glabonjat RA et al Association of Urinary Metals With Cardiovascular Disease Incidence and All-Cause Mortality in the Multi-Ethnic Study of Atherosclerosis (MESA). Circulation. 2024. August 1. PMID: https://www.ncbi.nlm.nih.gov/pubmed/39087344 https://www.ahajournals.org/doi/10.1161/CIRCULATIONAHA.124.069414
  2. 2.0 2.1 McGraw KE, Schilling K, Glabonjat RA et al Urinary Metal Levels and Coronary Artery Calcification: Longitudinal Evidence in the Multi-Ethnic Study of Atherosclerosis (MESA). medRxiv [Preprint]. 2023 Nov 1:2023.10.31.23297878. PMID: https://www.ncbi.nlm.nih.gov/pubmed/37961623 PMCID: PMC10635251 Free PMC article. Preprint.
    McGraw KE, Schilling K, Glabonjat RA et al Urinary Metal Levels and Coronary Artery Calcification: Longitudinal Evidence in the Multi-Ethnic Study of Atherosclerosis. J Am Coll Cardiol. 2024 Sep 12:S0735-1097(24)07961-0 PMID: https://www.ncbi.nlm.nih.gov/pubmed/39297845 Free article. https://www.jacc.org/doi/10.1016/j.jacc.2024.07.020
  3. 3.0 3.1 George J Cognitive Performance Falls as Metal Exposure Rises. Carrying at least one copy of APOE4 may modify the association. MedPage Today December 3, 2024 https://www.medpagetoday.com/neurology/dementia/113199
    Domingo-Relloso A, McGraw KE, Heckbert SR et al Urinary Metal Levels, Cognitive Test Performance, and Dementia in the Multi-Ethnic Study of Atherosclerosis. JAMA Netw Open. 2024;7(12):e2448286. PMID: https://www.ncbi.nlm.nih.gov/pubmed/39621345 PMCID: PMC11612832 Free PMC article https://jamanetwork.com/journals/jamanetworkopen/fullarticle/2827187