Association between Serum Cotinine Levels and Bone Mineral Density: An Analysis of the National Health and Nutrition Examination Survey (NHANES)

Purpose. To investigate the relationship between serum cotinine and lumbar bone mineral density (BMD) among 7905 participants aged 30 years and over. Method. A total of 3945 men and 3960 women from the National Health and Nutrition Examination Survey 2011–2018 were included in this cross-sectional a...

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Main Authors: Jian-Guo Fang, Duo-Jun Wang, Hao-Yu Yang, Hui Zhang, Jin-Yu Tong, Zai-Jun Lin
Format: Article
Language:English
Published: Wiley 2022-01-01
Series:International Journal of Endocrinology
Online Access:http://dx.doi.org/10.1155/2022/6830705
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author Jian-Guo Fang
Duo-Jun Wang
Hao-Yu Yang
Hui Zhang
Jin-Yu Tong
Zai-Jun Lin
author_facet Jian-Guo Fang
Duo-Jun Wang
Hao-Yu Yang
Hui Zhang
Jin-Yu Tong
Zai-Jun Lin
author_sort Jian-Guo Fang
collection DOAJ
description Purpose. To investigate the relationship between serum cotinine and lumbar bone mineral density (BMD) among 7905 participants aged 30 years and over. Method. A total of 3945 men and 3960 women from the National Health and Nutrition Examination Survey 2011–2018 were included in this cross-sectional analysis. Independent variable was serum cotinine, which is a biomarker of cigarette exposure. The outcome variable was lumbar BMD. We investigated the associations of serum cotinine levels and lumbar BMD using multivariable linear regression models. Results. Serum cotinine concentration was negatively associated with lumbar BMD after adjustment of relevant covariables (β = −0.039, 95% CI: −0.078 to −0.014, P=0.005). However, in the subgroup analysis stratified by gender, this negative association remained only in women (β = −0.072, 95% CI: −0.132 to −0.012, P=0.019). Conclusion. Our study suggested that elevated serum cotinine level correlated with decreased lumbar BMD, especially in women. This finding indicated that reducing cigarette exposure and maintaining serum cotinine at a low level may be beneficial to bone health for adults.
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spelling doaj-art-8c04cc6abdaa4c85b6b2e25249f6f5842025-08-20T02:09:11ZengWileyInternational Journal of Endocrinology1687-83452022-01-01202210.1155/2022/6830705Association between Serum Cotinine Levels and Bone Mineral Density: An Analysis of the National Health and Nutrition Examination Survey (NHANES)Jian-Guo Fang0Duo-Jun Wang1Hao-Yu Yang2Hui Zhang3Jin-Yu Tong4Zai-Jun Lin5Department of Spine SurgeryDepartment of Spine SurgerySchool of Basic MedicineDepartment of Spine SurgeryDepartment of Spine SurgeryDepartment of Spine SurgeryPurpose. To investigate the relationship between serum cotinine and lumbar bone mineral density (BMD) among 7905 participants aged 30 years and over. Method. A total of 3945 men and 3960 women from the National Health and Nutrition Examination Survey 2011–2018 were included in this cross-sectional analysis. Independent variable was serum cotinine, which is a biomarker of cigarette exposure. The outcome variable was lumbar BMD. We investigated the associations of serum cotinine levels and lumbar BMD using multivariable linear regression models. Results. Serum cotinine concentration was negatively associated with lumbar BMD after adjustment of relevant covariables (β = −0.039, 95% CI: −0.078 to −0.014, P=0.005). However, in the subgroup analysis stratified by gender, this negative association remained only in women (β = −0.072, 95% CI: −0.132 to −0.012, P=0.019). Conclusion. Our study suggested that elevated serum cotinine level correlated with decreased lumbar BMD, especially in women. This finding indicated that reducing cigarette exposure and maintaining serum cotinine at a low level may be beneficial to bone health for adults.http://dx.doi.org/10.1155/2022/6830705
spellingShingle Jian-Guo Fang
Duo-Jun Wang
Hao-Yu Yang
Hui Zhang
Jin-Yu Tong
Zai-Jun Lin
Association between Serum Cotinine Levels and Bone Mineral Density: An Analysis of the National Health and Nutrition Examination Survey (NHANES)
International Journal of Endocrinology
title Association between Serum Cotinine Levels and Bone Mineral Density: An Analysis of the National Health and Nutrition Examination Survey (NHANES)
title_full Association between Serum Cotinine Levels and Bone Mineral Density: An Analysis of the National Health and Nutrition Examination Survey (NHANES)
title_fullStr Association between Serum Cotinine Levels and Bone Mineral Density: An Analysis of the National Health and Nutrition Examination Survey (NHANES)
title_full_unstemmed Association between Serum Cotinine Levels and Bone Mineral Density: An Analysis of the National Health and Nutrition Examination Survey (NHANES)
title_short Association between Serum Cotinine Levels and Bone Mineral Density: An Analysis of the National Health and Nutrition Examination Survey (NHANES)
title_sort association between serum cotinine levels and bone mineral density an analysis of the national health and nutrition examination survey nhanes
url http://dx.doi.org/10.1155/2022/6830705
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