Publications by authors named "Lutzen Portengen"

Article Synopsis
  • Benzene is linked to human carcinogenicity, notably causing acute myeloid leukemia, with limited evidence for lung cancer connections.
  • A systematic review and meta-analysis were conducted on occupational benzene exposure and lung cancer risk, involving 13 studies with over 366,000 participants.
  • Results indicated a slight elevation in lung cancer risk associated with occupational benzene exposure, with higher risks observed in well-exposed, high-quality studies that included both genders, concluding that there is a positive association between benzene exposure and lung cancer risk.
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Background: Asthma and allergic diseases are among the common causes of morbidity and mortality globally. Various environmental pollutants are linked to the development of asthma and allergic diseases. Evidence on the role of oxidative stress and immune markers in the association of environmental pollutants with asthma and allergy is scant.

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Article Synopsis
  • Individual participant data (IPD) meta-analysis allows for better understanding of interaction and effect modification compared to traditional studies, especially in public health contexts.
  • The text emphasizes the importance of focusing on additive interactions rather than just multiplicative ones, particularly using measures like Relative Excess Risk due to Interaction (RERI).
  • A three-step method is proposed to correctly estimate additive interaction across studies, ensuring valid results when analyzing factors like the link between depression, smoking, and cancer risk using available data.
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The domestic combustion of locally sourced smoky (bituminous) coal in Xuanwei and Fuyuan counties, China, is responsible for some of the highest lung cancer rates in the world. Recent research has pointed to methylated PAHs (mPAHs), particularly 5-methylchrysene (5MC), within coal combustion products as a driving factor. Here we describe measurements of mPAHs in Xuanwei and Fuyuan derived from controlled burnings (i.

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Background: Overweight and obesity impose a considerable individual and social burden, and the urban environments might encompass factors that contribute to obesity. Nevertheless, there is a scarcity of research that takes into account the simultaneous interaction of multiple environmental factors.

Objectives: Our objective was to perform an exposome-wide association study of body mass index (BMI) in a multicohort setting of 15 studies.

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Objective: Headache is one of the most prevalent and disabling health conditions globally. We prospectively explored the urban exposome in relation to weekly occurrence of headache episodes using data from the Dutch population-based Occupational and Environmental Health Cohort Study (AMIGO).

Material And Methods: Participants (N = 7,339) completed baseline and follow-up questionnaires in 2011 and 2015, reporting headache frequency.

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The Cohort Study of Mobile Phone Use and Health (COSMOS) has repeatedly collected self-reported and operator-recorded data on mobile phone use. Assessing health effects using self-reported information is prone to measurement error, but operator data were available prospectively for only part of the study population and did not cover past mobile phone use. To optimize the available data and reduce bias, we evaluated different statistical approaches for constructing mobile phone exposure histories within COSMOS.

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Article Synopsis
  • - This study explored how exposure to high and low levels of air pollution from traffic (TRAP) affects metabolism and gene expression in 50 individuals, including those with chronic lung or heart conditions.
  • - Researchers used advanced techniques to analyze blood samples for metabolic and mRNA changes at different times around the exposure, identifying 78 metabolic and 53 mRNA features linked to TRAP, with nitrogen dioxide (NO) being the most significant pollutant.
  • - Findings showed that even short-term exposure to TRAP can disrupt physiological functions, particularly influencing gut-related metabolism, with effects that can persist for up to 24 hours after exposure.
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  • The study investigates how health behaviors like smoking, physical inactivity, and alcohol use may mediate the relationship between depression, anxiety, and different types of cancer, including lung and breast cancer.
  • Utilizing data from 18 cohorts with a total of 319,613 participants, the researchers performed two-stage meta-analyses to analyze these associations and calculate the mediating effects.
  • Results showed that smoking and physical inactivity significantly mediated links between depression, anxiety, and lung cancer, highlighting the importance of smoking cessation programs for individuals dealing with mental health issues.
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Air pollution is a known risk factor for several diseases, but the extent to which it influences COVID-19 compared to other respiratory diseases remains unclear. We performed a test-negative case-control study among people with COVID-19-compatible symptoms who were tested for SARS-CoV-2 infection, to assess whether their long- and short-term exposure to ambient air pollution (AAP) was associated with testing positive (vs. negative) for SARS-CoV-2.

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The severity of COVID-19 is linked to an imbalanced immune response. The dysregulated metabolism of small molecules and bioactive lipids has also been associated with disease severity. To promote understanding of the disease biochemistry and provide targets for intervention, we applied a range of LC-MS platforms to analyze over 100 plasma samples from patients with varying COVID-19 severity and with detailed clinical information on inflammatory responses (>30 immune markers).

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Light exposure affects the circadian system and consequently can affect sleep quality. Only few studies examined this relationship in children. We evaluated associations between light exposure patterns and sleep metrics in children.

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Article Synopsis
  • The study investigates the role of psychosocial factors, like depression and anxiety, in how health behaviors (such as smoking and alcohol use) influence cancer incidence.
  • Utilizing data from 437,827 participants and 22 cohorts, researchers performed meta-analyses to assess potential interactions between psychosocial factors and health behaviors across various types of cancer.
  • Results showed no significant interactions or clear patterns; the risk of cancer linked to health behaviors appeared consistent regardless of the presence of psychosocial stress.
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  • The study assessed how different dimensions of the quantitative job-exposure matrix (SYN-JEM) impact the correlation between silica exposure and lung cancer risk, using data from 16,901 lung cancer cases and 20,965 controls from global studies.
  • The analysis revealed that including all dimensions of SYN-JEM resulted in the best fit for predicting lung cancer odds, while omitting job-specific estimates led to a poor model fit.
  • The findings suggest that to accurately model the exposure-response relationship between silica and lung cancer, it’s crucial to use all relevant factors, including job specifics, time, and region in the analysis.
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This longitudinal study aimed to assess the impact of COVID-19 containment measures on perceived health, health protective behavior and risk perception, and investigate whether chronic disease status and urbanicity of the residential area modify these effects. Participants (n = 5420) were followed for up to 14 months (September 2020-October 2021) by monthly questionnaires. Chronic disease status was obtained at baseline.

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Dioxin(-like) exposures are linked to adverse health effects, including cancer. However, metabolic alterations induced by these chemicals remain largely unknown. Beyond known dioxin(-like) compounds, we leveraged a chemical-wide approach to assess chlorinated co-exposures and parent compound products [termed dioxin(-like)-related compounds] among 137 occupational workers.

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Childhood exposure to endocrine-disrupting chemicals (EDCs), either alone or in mixtures, may affect metabolic outcomes, yet existing evidence remains inconclusive. In our study of 372 adolescents from the Flemish Environment and Health Study (FLEHS IV, 2017-2018), we measured 40 known and suspected EDCs and assessed metabolic outcomes, including body mass index -score (zBMI), abdominal obesity (AO), total cholesterol (TC), and triglycerides (TG). We applied Bayesian kernel machine regression (BKMR) and Bayesian penalized horseshoe regression for variable selection and then built multivariate generalized propensity score (mvGPS) models to provide an overview of the effects of selected EDCs on metabolic outcomes.

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Benzene has been classified as carcinogenic to humans, but there is limited evidence linking benzene exposure to lung cancer. We aimed to examine the relationship between occupational benzene exposure and lung cancer. Subjects from 14 case-control studies across Europe and Canada were pooled.

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Early puberty has been found to be associated with adverse health outcomes such as metabolic and cardiovascular diseases and hormone-dependent cancers. The decrease in age at menarche observed during the past decades has been linked to an increased exposure to endocrine-disrupting compounds (EDCs). Evidence for the association between PFAS and phthalate exposure and menarche onset, however, is inconsistent.

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Liquid chromatography coupled to high-resolution mass spectrometry (LC-HRMS) and untargeted metabolomics are increasingly used in exposome studies to study the interactions between nongenetic factors and the blood metabolome. To reliably and efficiently link detected compounds to exposures and health phenotypes in such studies, it is important to understand the variability in metabolome measures. We assessed the within- and between-subject variability of untargeted LC-HRMS measurements in 298 nonfasting human serum samples collected on two occasions from 157 subjects.

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Article Synopsis
  • Depression and anxiety have been studied as potential risk factors for various types of cancer, but previous research has produced inconclusive results.
  • The PSY-CA consortium analyzed data from 18 cohorts, including over 319,000 participants, to investigate the relationship between these mental health conditions and cancer incidence using detailed statistical methods.
  • The findings revealed no significant links between depression or anxiety and most cancer types, although there was a slight association with lung and smoking-related cancers, which diminished after accounting for other risk factors like smoking and alcohol consumption.
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Background: Maternal occupational exposure to pesticides has been linked to adverse birth outcomes but associations with residential pesticide exposures are inconclusive.

Objectives: To explore associations between residential exposure to specific pesticides and birth outcomes using individual level exposure and pregnancy/birth data.

Methods: From all 2009-2013 singleton births in the Dutch birth registry, we selected mothers > 16 years old living in non-urban areas, who had complete address history and changed addresses at most once during pregnancy (N = 339,947).

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Background: Household air pollution (HAP) from indoor combustion of solid fuel is a global health burden linked to lung cancer. In Xuanwei, China, lung cancer rate for nonsmoking women is among the highest in the world and largely attributed to high levels of polycyclic aromatic hydrocarbons (PAHs) that are produced from combustion of smoky (bituminous) coal used for cooking and heating. Epigenetic age acceleration (EAA), a DNA methylation-based biomarker of aging, has been shown to be highly correlated with biological processes underlying the susceptibility of age-related diseases.

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Background: Impairment of the hematopoietic system is one of the primary adverse health effects from exposure to benzene. We previously have shown that exposure to benzene at low levels (<1 ppm) affects the blood forming system and that these effects were proportionally stronger at lower versus higher levels of benzene exposure. This observation is potentially explained by saturation of enzymatic systems.

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