Urinary Antibiotics and Dietary Determinants in Adults in Xinjiang, West China

The Xinjiang autonomous region, located in west China, has a unique ethnic structure and a well-developed livestock industry. People in this region have a high risk of exposure to antibiotics, but the exposure level to antibiotics in relation to dietary determinants is unknown. In this study, 18 ant...

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Main Authors: Lei Chu, Hexing Wang, Deqi Su, Huanwen Zhang, Bahegu Yimingniyazi, Dilihumaer Aili, Tao Luo, Zewen Zhang, Jianghong Dai, Qingwu Jiang
Format: Article
Language:English
Published: MDPI AG 2022-11-01
Series:Nutrients
Subjects:
Online Access:https://www.mdpi.com/2072-6643/14/22/4748
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author Lei Chu
Hexing Wang
Deqi Su
Huanwen Zhang
Bahegu Yimingniyazi
Dilihumaer Aili
Tao Luo
Zewen Zhang
Jianghong Dai
Qingwu Jiang
author_facet Lei Chu
Hexing Wang
Deqi Su
Huanwen Zhang
Bahegu Yimingniyazi
Dilihumaer Aili
Tao Luo
Zewen Zhang
Jianghong Dai
Qingwu Jiang
author_sort Lei Chu
collection DOAJ
description The Xinjiang autonomous region, located in west China, has a unique ethnic structure and a well-developed livestock industry. People in this region have a high risk of exposure to antibiotics, but the exposure level to antibiotics in relation to dietary determinants is unknown. In this study, 18 antibiotics, including four human antibiotics (HAs), four veterinary antibiotics (VAs), and 10 preferred veterinary antibiotics (PVAs) were detected in the urine of approximately half of the 873 adults in Xinjiang, including Han Chinese (24.6%), Hui (25.1%), Uighur (24.6%), and Kazakh (25.7%). Logistic regression was used to analyze the association between antibiotic exposure levels and adult diet and water intake. The detection percentage of antibiotics in the urine of adults in Xinjiang ranged from 0.1% to 30.1%, with a total detection percentage of all antibiotics of 49.8%. HAs, VAs and PVAs were detected in 12.3%, 10.3%, and 40.5%, respectively. Fluoroquinolones were the antibiotics with the highest detection percentage (30.1%) and tetracyclines were the antibiotics with the highest detected concentration (17 ng/mL). Adults who regularly ate pork, consumed fruit daily, and did not prefer a plant-based diet were associated with thiamphenicol, norfloxacin, and fluoroquinolones, respectively. These results indicated that adults in the Xinjiang autonomous region were extensively exposed to multiple antibiotics, and some types of food were potential sources of exposure. Special attention should be paid to the health effects of antibiotic exposure in humans in the future.
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spelling doaj.art-16a6e68cd35b424bbee448a4aea5f8832023-11-24T09:30:29ZengMDPI AGNutrients2072-66432022-11-011422474810.3390/nu14224748Urinary Antibiotics and Dietary Determinants in Adults in Xinjiang, West ChinaLei Chu0Hexing Wang1Deqi Su2Huanwen Zhang3Bahegu Yimingniyazi4Dilihumaer Aili5Tao Luo6Zewen Zhang7Jianghong Dai8Qingwu Jiang9School of Public Health, Xinjiang Medical University, 567 Shangde North Road, Urumqi 830000, ChinaKey Laboratory of Public Health Safety of Ministry of Education, School of Public Health, Fudan University, Shanghai 200032, ChinaSchool of Public Health, Xinjiang Medical University, 567 Shangde North Road, Urumqi 830000, ChinaSchool of Public Health, Xinjiang Medical University, 567 Shangde North Road, Urumqi 830000, ChinaSchool of Public Health, Xinjiang Medical University, 567 Shangde North Road, Urumqi 830000, ChinaSchool of Public Health, Xinjiang Medical University, 567 Shangde North Road, Urumqi 830000, ChinaSchool of Public Health, Xinjiang Medical University, 567 Shangde North Road, Urumqi 830000, ChinaSchool of Public Health, Xinjiang Medical University, 567 Shangde North Road, Urumqi 830000, ChinaSchool of Public Health, Xinjiang Medical University, 567 Shangde North Road, Urumqi 830000, ChinaKey Laboratory of Public Health Safety of Ministry of Education, School of Public Health, Fudan University, Shanghai 200032, ChinaThe Xinjiang autonomous region, located in west China, has a unique ethnic structure and a well-developed livestock industry. People in this region have a high risk of exposure to antibiotics, but the exposure level to antibiotics in relation to dietary determinants is unknown. In this study, 18 antibiotics, including four human antibiotics (HAs), four veterinary antibiotics (VAs), and 10 preferred veterinary antibiotics (PVAs) were detected in the urine of approximately half of the 873 adults in Xinjiang, including Han Chinese (24.6%), Hui (25.1%), Uighur (24.6%), and Kazakh (25.7%). Logistic regression was used to analyze the association between antibiotic exposure levels and adult diet and water intake. The detection percentage of antibiotics in the urine of adults in Xinjiang ranged from 0.1% to 30.1%, with a total detection percentage of all antibiotics of 49.8%. HAs, VAs and PVAs were detected in 12.3%, 10.3%, and 40.5%, respectively. Fluoroquinolones were the antibiotics with the highest detection percentage (30.1%) and tetracyclines were the antibiotics with the highest detected concentration (17 ng/mL). Adults who regularly ate pork, consumed fruit daily, and did not prefer a plant-based diet were associated with thiamphenicol, norfloxacin, and fluoroquinolones, respectively. These results indicated that adults in the Xinjiang autonomous region were extensively exposed to multiple antibiotics, and some types of food were potential sources of exposure. Special attention should be paid to the health effects of antibiotic exposure in humans in the future.https://www.mdpi.com/2072-6643/14/22/4748antibioticsadultsfoodwaterdeterminants
spellingShingle Lei Chu
Hexing Wang
Deqi Su
Huanwen Zhang
Bahegu Yimingniyazi
Dilihumaer Aili
Tao Luo
Zewen Zhang
Jianghong Dai
Qingwu Jiang
Urinary Antibiotics and Dietary Determinants in Adults in Xinjiang, West China
Nutrients
antibiotics
adults
food
water
determinants
title Urinary Antibiotics and Dietary Determinants in Adults in Xinjiang, West China
title_full Urinary Antibiotics and Dietary Determinants in Adults in Xinjiang, West China
title_fullStr Urinary Antibiotics and Dietary Determinants in Adults in Xinjiang, West China
title_full_unstemmed Urinary Antibiotics and Dietary Determinants in Adults in Xinjiang, West China
title_short Urinary Antibiotics and Dietary Determinants in Adults in Xinjiang, West China
title_sort urinary antibiotics and dietary determinants in adults in xinjiang west china
topic antibiotics
adults
food
water
determinants
url https://www.mdpi.com/2072-6643/14/22/4748
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