The association between mixed exposure to multiple metals and the risk of abnormally elevated blood glucose among aluminum factory workers

Selenium predominance in heavy metal mixtures is associated with hyperuricemia in Chinese adults: the role of insulin resistance

Insulin resistance might be a crucial mediated pathway between Se and outcomes and three multi-pollutant models revealed positive associations between metal mixtures and SUA as well as HUA, with Se being the primary contributor.

Associations of blood and urinary heavy metals with obesity risk among children: NHANES 2015-2020.

Exposure to metal mixtures is significantly associated with obesity in U.S. children, with manganese showing the strongest association and Cd, Pb, and Co showing the strongest negative associations.

Association of Mixed Metal Exposures with Cardiovascular Disease: Insights from a Population-Based Study

Potential joint association between urinary metal mixtures and adult asthma: A matched case-control study in China.

The findings suggest an association between urinary multi-metal mixtures and adult asthma but do not establish causality and suggest potential nonlinear and pairwise patterns involving multiple metals, particularly U, Ti and vanadium (V), but these findings were exploratory and do not establish synergistic toxicity.

Associations between metals and anemia indicator: mixed exposure effects and mediation analysis.

It was found that zinc (Zn), selenium (Se) and thallium (Tl) were associated with increased hemoglobin levels in children, and copper (Cu), cobalt (Co), and lead (Pb) were associated with decreased hemoglobin levels.

Associations of Plasma Metal Exposure With the Risk and Severity of Acute Coronary Syndrome: Evidence From Epidemiological and Adverse Outcome Pathway Analyses.

BACKGROUND Evidence links environmental metal exposure to cardiovascular disease, but its association with acute coronary syndrome (ACS) risk and severity remains insufficiently characterized. METHODS This case-control study included 413 newly diagnosed patients with ACS and 413 controls matched 1:1 by sex and age (w...