Association between glycosylated hemoglobin and blood lead: A cross-sectional study.

<h4>Background</h4>Diabetes is the most common chronic metabolic disease, affecting many people's health. Previous studies have shown a close relationship between trace elements and metabolic diseases. This study investigated the interrelationship between glycosylated hemoglobin (Hb...

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Main Authors: Wei Wang, Pengfei Jing, Hongsen Zhao, Jibo Cheng, Zewei Yang, Fan He, Shuquan Lv
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2025-01-01
Series:PLoS ONE
Online Access:https://doi.org/10.1371/journal.pone.0318580
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author Wei Wang
Pengfei Jing
Hongsen Zhao
Jibo Cheng
Zewei Yang
Fan He
Shuquan Lv
author_facet Wei Wang
Pengfei Jing
Hongsen Zhao
Jibo Cheng
Zewei Yang
Fan He
Shuquan Lv
author_sort Wei Wang
collection DOAJ
description <h4>Background</h4>Diabetes is the most common chronic metabolic disease, affecting many people's health. Previous studies have shown a close relationship between trace elements and metabolic diseases. This study investigated the interrelationship between glycosylated hemoglobin (HbA1c) and blood lead (BPb) in adults.<h4>Method</h4>This research was carried out involving 12,049 eligible individuals aged 20 years or above from the National Health and Nutrition Examination Survey (NHANES) spanning from 2011 to 2020. Weighted linear regression models and smoothed curve fitting were employed to investigate the association between HbA1c and blood lead. Analyses were stratified based on age, sex, race, and body mass index, and threshold effects were explored using two-stage segmented linear regression models.<h4>Result</h4>Among all 12049 participants, through comprehensive adjustment of the model, this study discovered a negative association between HbA1c and blood lead. In addition, when stratified by sex, age, race, and BMI status in subgroup analysis in this study, this correlation still had specific statistical significance. In performing subgroup analyses, we found that the relationship between HbA1c and blood lead may yield distinct outcomes arise from gender disparities. In women, a significant U-shaped association exists between HbA1c and BPb. At approximately 6.6% of HbA1c value, the relationship between the two shifts from negative to positive.<h4>Conclusion</h4>This investigation proposes a "U" form association between HbA1c and BPb in American adults.
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spelling doaj-art-535d42217c8e4ec6ba9504a1d020cb4c2025-08-20T02:28:23ZengPublic Library of Science (PLoS)PLoS ONE1932-62032025-01-01202e031858010.1371/journal.pone.0318580Association between glycosylated hemoglobin and blood lead: A cross-sectional study.Wei WangPengfei JingHongsen ZhaoJibo ChengZewei YangFan HeShuquan Lv<h4>Background</h4>Diabetes is the most common chronic metabolic disease, affecting many people's health. Previous studies have shown a close relationship between trace elements and metabolic diseases. This study investigated the interrelationship between glycosylated hemoglobin (HbA1c) and blood lead (BPb) in adults.<h4>Method</h4>This research was carried out involving 12,049 eligible individuals aged 20 years or above from the National Health and Nutrition Examination Survey (NHANES) spanning from 2011 to 2020. Weighted linear regression models and smoothed curve fitting were employed to investigate the association between HbA1c and blood lead. Analyses were stratified based on age, sex, race, and body mass index, and threshold effects were explored using two-stage segmented linear regression models.<h4>Result</h4>Among all 12049 participants, through comprehensive adjustment of the model, this study discovered a negative association between HbA1c and blood lead. In addition, when stratified by sex, age, race, and BMI status in subgroup analysis in this study, this correlation still had specific statistical significance. In performing subgroup analyses, we found that the relationship between HbA1c and blood lead may yield distinct outcomes arise from gender disparities. In women, a significant U-shaped association exists between HbA1c and BPb. At approximately 6.6% of HbA1c value, the relationship between the two shifts from negative to positive.<h4>Conclusion</h4>This investigation proposes a "U" form association between HbA1c and BPb in American adults.https://doi.org/10.1371/journal.pone.0318580
spellingShingle Wei Wang
Pengfei Jing
Hongsen Zhao
Jibo Cheng
Zewei Yang
Fan He
Shuquan Lv
Association between glycosylated hemoglobin and blood lead: A cross-sectional study.
PLoS ONE
title Association between glycosylated hemoglobin and blood lead: A cross-sectional study.
title_full Association between glycosylated hemoglobin and blood lead: A cross-sectional study.
title_fullStr Association between glycosylated hemoglobin and blood lead: A cross-sectional study.
title_full_unstemmed Association between glycosylated hemoglobin and blood lead: A cross-sectional study.
title_short Association between glycosylated hemoglobin and blood lead: A cross-sectional study.
title_sort association between glycosylated hemoglobin and blood lead a cross sectional study
url https://doi.org/10.1371/journal.pone.0318580
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AT jibocheng associationbetweenglycosylatedhemoglobinandbloodleadacrosssectionalstudy
AT zeweiyang associationbetweenglycosylatedhemoglobinandbloodleadacrosssectionalstudy
AT fanhe associationbetweenglycosylatedhemoglobinandbloodleadacrosssectionalstudy
AT shuquanlv associationbetweenglycosylatedhemoglobinandbloodleadacrosssectionalstudy