TY  - BOOK
AU  - Howard, Barbara V
AU  - Umans, Jason G
TI  - Body composition and arsenic metabolism: a cross-sectional analysis in the Strong Heart Study
SN  - 1476-069X
KW  - *Adiposity/de [Drug Effects]
KW  - *Arsenic/ur [Urine]
KW  - *Arsenicals/ur [Urine]
KW  - *Environmental Exposure
KW  - *Water Pollutants, Chemical/ur [Urine]
KW  - Aged
KW  - Arizona
KW  - Chromatography, High Pressure Liquid
KW  - Cross-Sectional Studies
KW  - Environmental Monitoring
KW  - Female
KW  - Humans
KW  - Indians, North American
KW  - Male
KW  - Mass Spectrometry
KW  - Middle Aged
KW  - Midwestern United States
KW  - MedStar Health Research Institute
KW  - Journal Article
KW  - Research Support, N.I.H., Extramural
N1  - Available online through MWHC library: 2002 - present
N2  - CONCLUSION: Measures of body size, especially body mass index, are associated with arsenic metabolism biomarkers. The association may be related to adiposity, fat free mass or body size. Future epidemiologic studies of arsenic should consider body mass index as a potential modifier for arsenic-related health effects; METHODS: We evaluated 3,663 Strong Heart Study participants with urine arsenic species above the limit of detection and no missing data on body mass index, % body fat and fat free mass measured by bioelectrical impedance, waist circumference and other variables. We summarized urine arsenic species patterns as the relative contribution of inorganic (iAs), methylarsonate (MMA) and dimethylarsinate (DMA) species to their sum. We modeled the associations of % arsenic species biomarkers with body mass index, % body fat, fat free mass, and waist circumference categories in unadjusted regression models and in models including all measures of body composition. We also considered adjustment for arsenic exposure and demographics; OBJECTIVE: The objective of this study was to evaluate the association between measures of body composition and patterns of urine arsenic metabolites in the 1989-1991 baseline visit of the Strong Heart Study, a cardiovascular disease cohort of adults recruited from rural communities in Arizona, Oklahoma, North Dakota and South Dakota; RESULTS: Increasing body mass index was associated with higher mean % DMA and lower mean % MMA before and after adjustment for sociodemographic variables, arsenic exposure, and for other measures of body composition. In unadjusted linear regression models, % DMA was 2.4 (2.1, 2.6) % higher per increase in body mass index category (< 25, >25 & <30, >30 & <35, >35 kg/m2), and % MMA was 1.6 (1.4, 1.7) % lower. Similar patterns were observed for % body fat, fat free mass, and waist circumference measures in unadjusted models and in models adjusted for potential confounders, but the associations were largely attenuated or disappeared when adjusted for body mass index
UR  - http://dx.doi.org/10.1186/1476-069X-12-107
ER  -