Detrimental association between quadriceps strength and exposure to polycyclic aromatic hydrocarbons in elderly adults

Appl Physiol Nutr Metab. 2020 Aug;45(8):829-834. doi: 10.1139/apnm-2019-0808. Epub 2020 Jan 18.

Abstract

Polycyclic aromatic hydrocarbons (PAHs) are environmental pollutants primarily from the incomplete combustion of organic materials. Myriads of studies have reported the associations between PAH exposure with several adverse health outcomes. However, no previous study had explored the relationship between PAH exposure with muscle strength in the elderly population. In the present study, we included 473 elderly adults who were obtained from the US National Health and Nutrition Examination Survey (NHANES) (2001-2006). PAH metabolites were measured in urine samples. Muscle strength was determined as the isokinetic strength of the quadriceps. Pertinent variables were analyzed by various standard measurements. The association between PAH exposure and muscle strength was examined using multivariable linear regression models. After fully adjusting for covariables, PAH metabolites had a negative relationship with muscle strength, especially 3-fluorene (β = -0.021, 95% CI: -0.042, 0.000) and 2-fluorene (β = -0.020, 95% CI: -0.034, -0.005). Notably, the relationship remained significant in males, but not in females. PAH exposure is associated with decreased muscle strength in the US elderly population. Further studies are needed to bring to light the underlying mechanisms for these findings. In addition, it is important to provide interventions and determine strategies for treating the adverse impact of PAH exposure on dynapenia. Novelty PAH exposure is associated with decreased muscle strength in elderly adults. The adverse impact remains in males.

Keywords: Enquête nationale d’examen de santé et de nutrition; National Health and Nutrition Examination Survey; dynapenia; dynapénie; elderly population; exposition; exposure; force musculaire; hydrocarbures aromatiques polycycliques; muscle strength; polycyclic aromatic hydrocarbons; population âgée.

MeSH terms

  • Aged
  • Cross-Sectional Studies
  • Environmental Exposure / adverse effects*
  • Environmental Pollutants / adverse effects*
  • Environmental Pollutants / urine
  • Female
  • Fluorenes
  • Humans
  • Male
  • Middle Aged
  • Muscle Strength*
  • Nutrition Surveys
  • Polycyclic Aromatic Hydrocarbons / adverse effects*
  • Polycyclic Aromatic Hydrocarbons / urine
  • Quadriceps Muscle / physiology*
  • Sex Factors

Substances

  • Environmental Pollutants
  • Fluorenes
  • Polycyclic Aromatic Hydrocarbons
  • fluorene