Evidence map›Paper›PMID 34521354›Full record

ArticleEnvironmental health and preventive medicine2021

The association between urinary bisphenol A levels and nonalcoholic fatty liver disease in Korean adults: Korean National Environmental Health Survey (KoNEHS) 2015-2017.

Sang Joon An, Eun-Jung Yang, Subin Oh, Kyong Jin Park, Taehyen Kim, Yeon-Pyo Hong, Yun-Jung Yang

Open access · goldAbstract read
In one paragraph

Article in Environmental health and preventive medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 1 pooled it
2.1field-weighted citation impact, top 14% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

16 citing papers in PubMed, 1 synthesis or guideline pooled it, 34 citations in OpenAlex.

  1. Environmental Endocrine-Disrupting Chemicals and Metabolic Dysfunction-Associated Steatotic Liver Disease.Liver international : official journal of the International Association for the Study of the Liver · 2026
    Pooled it
  2. Article
  3. Article
  4. Review
  5. Article
  6. Article
  7. Review
  8. Article
  9. Article
  10. Article
  11. Review
  12. Review
  13. Review
  14. Article
  15. Hair Sample Analysis as a Method of Monitoring Exposure to Bisphenol A in Dogs.International journal of environmental research and public health · 2022
    Article
  16. Are BPA Substitutes as Obesogenic as BPA?International journal of molecular sciences · 2022
    Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 4 institutions in 1 country.

Sang Joon An *Department of Neurology, Catholic Kwandong University International St Mary's Hospital, Incheon, 22711, Republic of Korea.
Eun-Jung Yang *Department of Plastic and Reconstructive Surgery, Yonsei University College of Medicine, Seoul, 03722, Republic of Korea.
Subin OhCollege of Medicine, Catholic Kwandong University, Gangneung-si, Gangwon-do, 25601, Republic of Korea.
Kyong Jin ParkCollege of Medicine, Catholic Kwandong University, Gangneung-si, Gangwon-do, 25601, Republic of Korea.
Taehyen KimCollege of Medicine, Catholic Kwandong University, Gangneung-si, Gangwon-do, 25601, Republic of Korea.
Yeon-Pyo HongDepartment of Preventive Medicine, College of Medicine, Chung-Ang University, Seoul, 06974, Republic of Korea.
Yun-Jung YangInstitute of Biomedical Science, Catholic Kwandong University International St. Mary's Hospital, Incheon, 22711, Republic of Korea. yangyj@ish.ac.kr.ORCID http://orcid.org/0000-0001-5461-1534
Catholic Kwandong University · KRCatholic Kwandong University International St. Mary's Hospital · KRChung-Ang University · KRYonsei University · KR

Funding

national research foundation of korea NRF-2021R1I1A3046386
6 · The paper itself

Abstract

backgroundNonalcoholic fatty liver disease (NAFLD) is becoming a global health problem. Bisphenol A (BPA), one of most widely used environmental chemicals, is suspected to be a contributor to the development NAFLD. This study was performed to examine the relationship between human BPA levels and risk of NAFLD.

methodsThe data (n = 3476 adults: 1474 men and 2002 women) used in this study were obtained from the Korean National Environmental Health Survey III (2015-2017). BPA levels were measured in urine samples. NAFLD was defined using hepatic steatosis index after exclusion of other causes of hepatic diseases.

resultsThere was a significant linear relationship between the elevated urinary BPA concentrations and risk of NAFLD. In a univariate analysis, odds ratio (OR) of the highest quartile of urinary BPA level was 1.47 [95% confidence interval (CI) 1.11-1.94] compared to the lowest quartile. After adjusted with covariates, the ORs for NAFLD in the third and fourth quartiles were 1.31 [95% CI 1.03-1.67] and 1.32 [95% CI 1.03-1.70], respectively.

conclusionsUrinary BPA levels are positively associated with the risk of NAFLD in adults. Further experimental studies are needed to understand the molecular mechanisms of BPA on NAFLD prevalence.

Indexed as

Asian PeopleBenzhydryl CompoundsBisphenol A CompoundsEnvironmental ExposureEnvironmental HealthFemaleHealth SurveysHumansMaleMiddle AgedNon-alcoholic Fatty Liver DiseasePhenolsRepublic of KoreaBenzhydryl Compoundsbisphenol ABisphenol A CompoundsPhenolsBisphenol AHepatic steatosis indexKorean adultsKorean national environmental health surveyNonalcoholic fatty liver disease

Identifiers

PMID34521354
PMCPMC8442282
OpenAlexW3199779008

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.