Evidence map›Paper›PMID 40785795›Full record

ArticleTobacco induced diseases2025

Polycyclic aromatic hydrocarbons exposure as a potential risk factor for miscarriage among women in the United States: A secondary dataset analysis of NHANES data for the period 2005-2014.

Xiaoxing Liu, Yanmei Li, Na Chen, Jianshuang Ma, Yujuan Xing, Fengxia Miao

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Article in Tobacco induced diseases, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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5 · Who and what money

Authors and funding

6 authors.

Xiaoxing LiuDepartment of Obstetrics, Dongying People's Hospital, Dongying, China.
Yanmei LiDepartment of Obstetrics, Dongying People's Hospital, Dongying, China.
Na ChenDepartment of Obstetrics, Dongying People's Hospital, Dongying, China.
Jianshuang MaDepartment of Obstetrics, Guangrao People's Hospital, Dongying, China.
Yujuan XingDepartment of Gynecology, Dongying People's Hospital, Dongying, China.
Fengxia MiaoDepartment of Obstetrics, Dongying People's Hospital, Dongying, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionNumerous studies have shown that polycyclic aromatic hydrocarbons (PAHs) are endocrine disruptors associated with reproduction, with tobacco smoke identified as a major non-occupational source of PAH exposure. However, there is still a lack of information on the relationship between PAH exposure - particularly from tobacco-related sources - and miscarriage.

methodsThe data for this study were obtained from the National Health and Nutrition Examination Survey (NHANES) 2005-2014. Excluding populations with missing PAH, miscarriage, or baseline information, a total of 2573 individuals were included in this study. Logistic regression, linear regression, restricted cubic spline (RCS) analysis and subgroup analysis were used to analyze the effects of PAHs.

resultsFollowing logistic and linear regression analyses, we found that higher concentrations of 2-hydroxynaphthalene, 3-hydroxyfluorene, 2-hydroxyfluorene, 1-hydroxyphenanthrene, and 1-hydroxypyrene were associated with miscarriage (p<0.05, OR>1). Moreover, after RCS, we found a nonlinear relationship between 1-hydroxynaphthalene and miscarriage (p=0.01). The relationship between 1-hydroxynaphthalene and miscarriage could be described as an 'n-shaped' curve, with a cutoff value (4705 ng/L). At concentrations lower than the cutoff, there was a positive correlation between 1-hydroxynaphthalene and miscarriage. Conversely, at concentrations higher than the cutoff, there was a negative correlation between the two variables. Finally, a subgroup analysis was performed to explore the interaction effect of confounders with the outcome variables, to further demonstrate the robustness of the results.

conclusionsThe probability of miscarriage increases with increasing concentration of certain PAHs in the body. Enhancing monitoring of tobacco-related PAHs exposure is highly important for the prevention of miscarriage.

Indexed as

miscarriageNational Health and Nutrition Examination Surveypolycyclic aromatic hydrocarbonstobacco

Identifiers

PMID40785795
PMCPMC12332853

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