Osteoporosis, bone & mineral

The association between blood cadmium levels and bone mineral density in U.S. adolescents aged 12–19 years

Osteoporos IntPublished Cross-sectional study

Authors' conclusion

The findings revealed a negative association between B-Cd levels and BMD in multivariable adjusted models.

Study context

Population
Adolescents in the US National Health and Nutrition Examination Survey (NHANES) database, 2011–2018; 52% male, 48% female
Participants
2,427 adolescents
Exposure
Blood cadmium levels vs bone mineral density (BMD)
Outcome
Association between B-Cd levels and BMD
Methodological detailsNHANES 2011–2018, weighted multiple regression, generalized weighted model, smoothed curve methods, multivariable adjusted
  • NHANES 2011–2018
  • Weighted multiple regression
  • Generalized weighted model
  • Smoothed curve methods
  • Multivariable adjusted

Main finding

As reported in the abstract

  • Positive association between blood cadmium (B-Cd) and BMD shifted to a negative association after adjustment for age, sex and race
  • Multivariable adjusted models

Observational data: associations, not effects.

Further findings

Association with BMD, subgroup: females

β (95% CI: - 0.09, - 0.04), P < 0.001
- 0.07
  • More pronounced association

Association with BMD, subgroup: other Hispanic individuals

β (95% CI: - 0.14, - 0.02), P = 0.012
- 0.08
  • More pronounced association

Association with BMD, subgroup: individuals exposed to tobacco

β (95% CI: - 0.06, - 0.01), P = 0.016
- 0.04
  • More pronounced association

Original publication

The association between blood cadmium levels and bone mineral density in U.S. adolescents aged 12–19 years. Osteoporos Int. Published 8 January 2025. doi:10.1007/s00198-024-07349-1

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