Publications by authors named "Persky V"

Background: Previous studies have demonstrated associations of persistent organic pollutants (POPs) with sex-related hormones; however, findings were inconsistent. Sex-specific impacts and pathways through which adiposity influences associations are not completely understood. We sought to evaluate sex-specific associations of POPs serum concentration with sex-related hormones and to explore pathways through which adiposity may modify associations.

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Background: Coronary heart disease (CHD) is a leading cause of death for Hispanic/Latino populations in the United States. We evaluated polygenic risk scores (PRS) with incident myocardial infarction (MI) in a Hispanic/Latino study sample.

Methods: We leveraged data from the Hispanic Community Health Study/Study of Latinos (HCHS/SOL) to assess four CHD-PRS from the PGS catalog, derived using multiple methods (LDpred, AnnoPred, stacked clumping and thresholding, and LDPred2).

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Article Synopsis
  • The study investigates the impact of persistent organic pollutants (POPs) on cognitive changes in Hispanic/Latino adults in the U.S., as previous research has not focused on this demographic.
  • Using data from 1837 participants, researchers measured levels of various POPs and administered neurocognitive tests at two different time points, between 2008-2011 and 2015-2018.
  • Findings indicate that higher levels of certain polychlorinated biphenyls (PCBs) are linked to significant declines in cognition, particularly affecting verbal learning abilities over a seven-year period.
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Introduction: The intersection between perinatal mental health and the coronavirus disease 2019 (COVID-19) pandemic remains of significant public health importance. The current study examined the emotional and financial well-being and predictors of elevated depressive symptoms among pregnant women during the COVID-19 pandemic.

Methods: This online survey was conducted with 2118 women ≥18 years old who were pregnant at the time of the survey and living in the United States or Puerto Rico.

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Background: Exposure to polychlorinated biphenyls (PCBs) has been linked to risk factors for cardiovascular disease such as increased inflammation, accelerated atherosclerosis, diabetes, and sex hormone dysregulation. Furthermore, there is increasing evidence suggesting associations between internal dose of PCBs and cardiovascular outcomes.

Objectives: The purpose of this study is to investigate longitudinal associations of PCBs with coronary heart disease (CHD)-related outcomes in a cohort of Great Lakes sport fish consumers.

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Background: Thyroid-related hormones act to regulate metabolic pathways and blood pressure (BP). However, the relationship of TSH and peripheral thyroid hormones and the role of the hypothalamic-pituitary-thyroid axis on hypertension development is not fully understood. We assessed sex-specific associations of thyroid-related hormones with BP and hypertension in Hispanic/Latino adults followed for 6 years.

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Context: Previous studies have demonstrated associations of endogenous thyroid hormones with diabetes; less is known about stages of diabetes development at which they are operative, mechanisms of associations, and the role of the hypothalamic-pituitary-thyroid axis.

Objective: This study examined associations of thyroid hormones with incident prediabetes and diabetes and with changes in glycemic traits in the Hispanic Community Health Study/Study of Latinos (HCHS/SOL), the largest cohort of Hispanic/Latino adults with diverse backgrounds in the United States.

Methods: The study includes 592 postmenopausal euthyroid women and 868 euthyroid men aged 45 to 74 years without diabetes at baseline participating in the Hispanic Community Health Study/Study of Latinos (HCHS/SOL).

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Background: Abnormal lipid profiles in adolescents predict metabolic and cardiovascular diseases in adulthood. While seafood consumption is the primary source of mercury exposure, it also provides beneficial nutrients such as omega-3 fatty acids (O3FA). Prior studies indicate that blood total mercury (TBHg) has endocrine disrupting effects and may be associated with abnormal lipid profiles in adolescents.

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  • Hormones are connected to cardiometabolic diseases and can be influenced by acculturation, specifically looking at Hispanic/Latino backgrounds and various lifestyle factors.
  • A study involving 1789 adults (excluding certain groups) evaluated the relationship between acculturation and levels of sex- and thyroid-related hormones, using regression models to analyze the data.
  • Findings revealed that acculturation impacts thyroid-related hormones in postmenopausal women and sex-related hormones in men, suggesting that cultural factors, along with lifestyle factors like smoking and sleep apnea, play a role in these hormonal changes.
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  • - The study investigated how endogenous sex hormones (like testosterone and estradiol) are linked to diabetes progression in 693 postmenopausal women and 1015 men aged 45 to 74, who were followed for 6 years without prior diabetes.
  • - In men, higher testosterone levels were associated with a lower chance of progressing from prediabetes to diabetes, while in women, sex hormone-binding globulin (SHBG) was linked to better glycemic control and less progression to diabetes.
  • - The findings suggest that sex hormones play a role primarily in the later stages of diabetes development, highlighting the need for further research to understand their biological effects on glucose regulation.
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  • - The study investigates how exposure to mixtures of metals affects thyroid hormone levels, which are important for metabolic and neurocognitive functions, using data from over 4,000 participants in the National Health and Nutrition Examination Survey (2007-2012).
  • - Twelve metals were analyzed, with specific findings showing that the total metal mixture negatively impacted key thyroid hormones (T3 and T4) in both men and women, while different metals, like arsenic and lead, had varying positive and negative influences on these hormones.
  • - The results suggest that understanding the effects of metal mixtures on thyroid hormones can enhance our knowledge of thyroid health and may have implications for public health.
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Exposures to environmental pollutants are often composed of mixtures of chemicals that can be highly correlated because of similar sources and/or chemical structures. The effect of an individual chemical on a health outcome can be weak and difficult to detect because of the relatively low level of exposures to many environmental pollutants. To tackle the challenging problem of assessing the health risk of exposure to a mixture of environmental pollutants, we propose a statistical approach to assessing the proportion of the variation of an outcome explained by a mixture of pollutants.

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Individuals living in areas with the potential for elevated metal exposure from industrial sources may have reduced pulmonary function. We evaluated cross-sectional associations of toenail concentrations of 17 metals within a community area of residence and asthma control in 75 children, and pulmonary function measures [forced expiratory volume in one second (FEV1; liters), forced vital capacity (FVC; liters), FEV1 to FVC ratio (FEV1:FVC), and mid-exhalation forced expiratory flow rate (FEF 25-75%; liters/second)], in a subsample of 39 children with diagnosed asthma in Chicago, Illinois. Linear regression models were used to estimate adjusted regression coefficients and standard errors (SE) for the associations between ≥ median versus View Article and Find Full Text PDF

Unlabelled: Hypertension in later life, a significant risk factor for cardiovascular disease, has been linked to elevated blood pressure in early life. Exposure to metals may influence childhood blood pressure; however, previous research is limited and has mainly focused on evaluating the toxicity of single metal exposures. This study evaluates the associations between exposure to metal mixtures and blood pressure among Bangladeshi children age 5-7 years.

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Background: The general population is exposed to the group of endocrine disrupting chemicals persistent organic pollutants (POPs), that includes polychlorinated biphenyls (PCBs), polychlorinated dibenzo-p-dioxins (PCDDs) and polychlorinated dibenzofurans (PCDFs).

Objectives: The aim of this research was to evaluate the associations of serum levels of PCB, PCDD, and PCDF congeners with follicle stimulating hormone (FSH) and luteinizing hormone (LH) in postmenopausal women not taking exogenous hormones. We hypothesized that associations of POPs with these gonadotropins could be modified by factors affecting endogenous hormones.

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Background: Organochlorine pesticides are detectable in serum from most adults. Animal studies provide evidence of pesticide effects on sex hormones, suggesting that exposures may impact human reproductive function. Mounting evidence of sex differences in chronic diseases suggest that perturbations in endogenous sex hormones may influence disease risk.

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Background: Healthy diet is essential in the management of chronic kidney disease (CKD) and preventing related comorbidities. Food outlet access has been studied in the general population; however, the influence of the local food environment on dietary intake among people with CKD has not been evaluated.

Objectives: This study examined the associations of food outlet density and type of outlets with dietary intake in a multicenter cohort of racially and ethnically diverse patients with CKD.

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Background: Heavy metal contamination is widespread in Bangladesh. Previous studies have observed lead increases blood pressure over time. However, the role of other metal contaminants and essential micronutrients, which could also adversely affect blood pressure or act as protective factors, is understudied.

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Aims: Little is known about the potential health impact of police encounters despite a ubiquitous police presence in many disadvantaged urban environments. In this paper, we assess whether persistent or aggressive interactions with the police are associated with poor mental health outcomes in a sample of primarily low-income communities of colour in Chicago.

Methods: Between March 2015 and September 2016, we surveyed 1543 adults in ten diverse Chicago communities using a multistage probability design.

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  • This study investigates the relationship between residential surrounding greenness (RSG) and respiratory health outcomes in Mexican American children living in urban Chicago.
  • Parent-reported data from 1,915 children was used to analyze how varying levels of greenness around homes correlate with instances of asthma and wheezing.
  • Results indicated that greater greenness, particularly within 100 meters of a residence, is linked to lower occurrences of lifetime wheezing and asthma symptoms, especially among children exposed to environmental tobacco smoke (ETS).
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  • The study investigates the connection between occupational exposure to chemicals (organic solvents, metals, pesticides) and the prevalence of cardiovascular disease (CVD) among Hispanic/Latino workers in the USA.
  • Data from 7404 employed individuals aged 18-74 was analyzed, revealing that 6.1% of participants had some form of CVD, with coronary heart disease being the most prevalent.
  • Significant associations were found between pesticide exposure and CVD, with prevalence ratios indicating a higher risk for coronary heart disease and atrial fibrillation, while metal exposures were linked to a nearly fourfold increase in atrial fibrillation prevalence.
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Background: Exposure to cadmium has been associated with nephropathy and implicated in the development of diabetes and hypertension. The role of environmental metal exposure may be an underexplored risk factor for decreased kidney function among people with diabetes and/or hypertension. The objective of this study was to examine the association of blood concentration of cadmium with kidney function parameters and evaluate sex, diabetes, and hypertension as effect modifiers of the association.

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  • Epidemiologic studies indicate a link between toxic metals and diseases like diabetes and cardiovascular issues, while essential metals play a role in metabolism and oxidative stress defense.
  • This research used data from the National Health and Nutrition Examination Survey to assess how both essential and toxic metals relate to metabolic syndrome, defined by a combination of cardiometabolic risk factors.
  • Findings showed that higher exposure to arsenic and inorganic mercury correlates with a greater prevalence of metabolic syndrome symptoms, while cadmium and lead exposures were connected to lower prevalence of certain conditions, highlighting complex interactions between metal exposure and health.
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Introduction: Exposure to cadmium, cobalt, lead, and manganese has been associated with decreased pulmonary function in adults. Little is known about the magnitude of these associations among children in the United States.

Objectives: We evaluated cross-sectional associations of blood and urinary concentrations of cadmium, cobalt, lead, and manganese with pulmonary function measures [forced expiratory volume in one second (FEV1; milliliters), forced vital capacity (FVC; milliliters), ratio of FEV1 to FVC (FEV1:FVC), and mid-exhalation forced expiratory flow rate (FEF 25-75%; milliliters/second)] in a sample of 1234 6-17 year olds, who participated in the 2011-2012 survey cycle of the National Health and Nutrition Examination Survey (NHANES).

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