Evidence map›Paper›PMID 40329240›Full record

ArticleBMC public health2025

The mediating roles of obesity indicators and serum albumin in the association of DEET exposure with depression and sleep disorders in adults: evidence from NHANES 2007-2016.

Huangxin Zhu, Ruyi Tao, Qingyun Yu, Miao Yu, Yue Zhou, Qingan Fu

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Article in BMC public health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

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7citing papers in PubMed
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1 · What the graph read from it

What it found

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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

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3 · Its place in the literature

Who cites it

7 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

6 authors.

Huangxin ZhuCardiovascular Medicine Department, The Second Affiliated Hospital of Nanchang University, Nanchang, 330006, Jiangxi, China.
Ruyi TaoCardiovascular Medicine Department, The Second Affiliated Hospital of Nanchang University, Nanchang, 330006, Jiangxi, China.
Qingyun YuCardiovascular Medicine Department, The Second Affiliated Hospital of Nanchang University, Nanchang, 330006, Jiangxi, China.
Miao YuCardiovascular Medicine Department, The Second Affiliated Hospital of Nanchang University, Nanchang, 330006, Jiangxi, China.
Yue ZhouCardiovascular Medicine Department, The Second Affiliated Hospital of Nanchang University, Nanchang, 330006, Jiangxi, China. zhouyue2024@yeah.net.
Qingan FuCardiovascular Medicine Department, The Second Affiliated Hospital of Nanchang University, Nanchang, 330006, Jiangxi, China. 413007220022@email.ncu.edu.cn.

Funding

National Natural Science Foundation of China - Regional Program 82360083
6 · The paper itself

Abstract

backgroundDEET (N, N-diethyl-m-toluamide) is a widely used insect repellent with potential neurotoxic effects. However, its impact on mental health in the general population remains unclear. This study investigates the association between DEET exposure and depression and sleep disorders, exploring the mediating roles of obesity indicators and serum albumin.

methodsData from the National Health and Nutrition Examination Survey (NHANES) 2007-2016 were analyzed. Urinary levels of 3-(diethylaminoformyl) benzoic acid (DCBA), a DEET metabolite, were used as an exposure marker. Depression was defined according to the scores of Patient Health questionnaire-9 (PHQ-9), and sleep disorders were diagnosed according to participants' self-reports. Multivariate logistic regression and restricted cubic spline analysis were employed to assess the associations of DCBA with depression and sleep disorders. Mediating analyses explored the roles of obesity indicators and serum albumin. Subgroup analysis further explored the differences among different populations.

resultsHigher DCBA levels were positively associated with depression and sleep disorders. Mediating analysis revealed that body mass index (BMI), waist circumference (WC), and serum albumin mediated 11.16%, 12.66%, and 7.04% of the association between DEET exposure and depression, respectively. Subgroup analysis identified increased susceptibility among women and individuals of other races. Sensitivity analysis enhanced the robustness of the results.

conclusionDEET exposure is associated with an increased risk of depression and sleep disorders, mediated by obesity and liver function indicators. These findings highlight the need for public health measures to reduce DEET exposure and further research into its mechanisms of action on mental health.

Indexed as

DepressionObesitySerum AlbuminSleep Wake DisordersAdultBiomarkersCross-Sectional StudiesFemaleHumansMaleMiddle AgedNutrition SurveysUnited StatesYoung AdultBiomarkersSerum AlbuminDEETDepressionNHANESObesitySerum albuminSleep disorders

Identifiers

PMID40329240
PMCPMC12054269

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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.