Reproductive endocrinology

Metabolomic evaluation of air pollution-related bone damage and potential mediation in Women’s Health Initiative participants

J Bone Miner ResPublished Cohort study with metabolomic and mediation analyses

Authors' conclusion

This is the first study suggesting phospholipids may partially mediate air pollution-related bone damage in postmenopausal women.

Study context

Population
Postmenopausal women, Women's Health Initiative (WHI) participants with plasma samples; BMD by DXA at enrollment and Y1, Y3, Y6, Y9
Outcome
Air pollutants, metabolites and BMD
Methodological detailsmultivariable-adjusted linear mixed models, pathway analyses, mediation modeling
  • Multivariable-adjusted linear mixed models
  • Pathway analyses
  • Mediation modeling

Main finding

As reported in the abstract

Partial potential mediation of C38:4 phosphatidylethanolamine (PE) in the association between 1-yr average nitrogen oxide (NO) and LS BMD
p-value: .032

Observational data: associations, not effects.

Original publication

Metabolomic evaluation of air pollution-related bone damage and potential mediation in Women’s Health Initiative participants. J Bone Miner Res. Published 24 April 2025. doi:10.1093/jbmr/zjaf059

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