Exposure to di-2-ethylhexyl phthalate (DEHP) increases the risk of cancer

Abstract Cancer is a major socioeconomic burden that seriously affects the life and spirit of patients. However, little is known about the role of environmental toxicant exposure in diseases, especially ubiquitous di-(2-ethylhexyl) phthalate (DEHP) which is one of the most widely used plasticizers....

Full description

Bibliographic Details
Main Authors: Luchen Yang, Xiaoyang Liu, Zhufeng Peng, Zhenghuan Liu, Pan Song, Jing Zhou, Kai Ma, Yunfei Yu, Qiang Dong
Format: Article
Language:English
Published: BMC 2024-02-01
Series:BMC Public Health
Subjects:
Online Access:https://doi.org/10.1186/s12889-024-17801-w
_version_ 1797272897941667840
author Luchen Yang
Xiaoyang Liu
Zhufeng Peng
Zhenghuan Liu
Pan Song
Jing Zhou
Kai Ma
Yunfei Yu
Qiang Dong
author_facet Luchen Yang
Xiaoyang Liu
Zhufeng Peng
Zhenghuan Liu
Pan Song
Jing Zhou
Kai Ma
Yunfei Yu
Qiang Dong
author_sort Luchen Yang
collection DOAJ
description Abstract Cancer is a major socioeconomic burden that seriously affects the life and spirit of patients. However, little is known about the role of environmental toxicant exposure in diseases, especially ubiquitous di-(2-ethylhexyl) phthalate (DEHP) which is one of the most widely used plasticizers. Hence, the objective of this study was to assess the potential association between cancer and DEHP. The data were collected using the 2011–2018 National Health and Nutrition Examination Survey (NHANES) data (n = 6147), and multiple logistic regression was conducted to evaluate the association. The concentrations of DEHP were calculated by each metabolite and split into quartiles for analysis. After adjusting for confounding factors, DEHP was significantly associated with an increased risk of cancer prevalence, and the metabolites of DEHP showed similar results (OR > 1.0, p < 0.05). Simultaneously, the association remained when the analyses were stratified by age and sex, and the risk of cancer appeared to be higher in male patients. In addition, further analysis suggested that DEHP exposure obviously increased the risk of female reproductive system cancer, male reproductive system cancer, and other cancers (OR > 1.0, p < 0.05) but not skin and soft tissue cancer. DEHP exposure is associated with the risk of cancer, especially female reproductive system cancer, male reproductive system cancer and other cancers.
first_indexed 2024-03-07T14:36:51Z
format Article
id doaj.art-6aef1ee8bc0446298a1cfd87fc5f28d3
institution Directory Open Access Journal
issn 1471-2458
language English
last_indexed 2024-03-07T14:36:51Z
publishDate 2024-02-01
publisher BMC
record_format Article
series BMC Public Health
spelling doaj.art-6aef1ee8bc0446298a1cfd87fc5f28d32024-03-05T20:37:30ZengBMCBMC Public Health1471-24582024-02-0124111210.1186/s12889-024-17801-wExposure to di-2-ethylhexyl phthalate (DEHP) increases the risk of cancerLuchen Yang0Xiaoyang Liu1Zhufeng Peng2Zhenghuan Liu3Pan Song4Jing Zhou5Kai Ma6Yunfei Yu7Qiang Dong8Department of Urology, Institute of Urology, West China Hospital of Sichuan UniversityDepartment of Urology, Institute of Urology, West China Hospital of Sichuan UniversityDepartment of Urology, Institute of Urology, West China Hospital of Sichuan UniversityDepartment of Urology, Institute of Urology, West China Hospital of Sichuan UniversityDepartment of Urology, Institute of Urology, West China Hospital of Sichuan UniversityDepartment of Urology, Institute of Urology, West China Hospital of Sichuan UniversityDepartment of Urology, Institute of Urology, West China Hospital of Sichuan UniversityDepartment of Urology, Institute of Urology, West China Hospital of Sichuan UniversityDepartment of Urology, Institute of Urology, West China Hospital of Sichuan UniversityAbstract Cancer is a major socioeconomic burden that seriously affects the life and spirit of patients. However, little is known about the role of environmental toxicant exposure in diseases, especially ubiquitous di-(2-ethylhexyl) phthalate (DEHP) which is one of the most widely used plasticizers. Hence, the objective of this study was to assess the potential association between cancer and DEHP. The data were collected using the 2011–2018 National Health and Nutrition Examination Survey (NHANES) data (n = 6147), and multiple logistic regression was conducted to evaluate the association. The concentrations of DEHP were calculated by each metabolite and split into quartiles for analysis. After adjusting for confounding factors, DEHP was significantly associated with an increased risk of cancer prevalence, and the metabolites of DEHP showed similar results (OR > 1.0, p < 0.05). Simultaneously, the association remained when the analyses were stratified by age and sex, and the risk of cancer appeared to be higher in male patients. In addition, further analysis suggested that DEHP exposure obviously increased the risk of female reproductive system cancer, male reproductive system cancer, and other cancers (OR > 1.0, p < 0.05) but not skin and soft tissue cancer. DEHP exposure is associated with the risk of cancer, especially female reproductive system cancer, male reproductive system cancer and other cancers.https://doi.org/10.1186/s12889-024-17801-wCancerDi-(2-ethylhexyl) phthalate (DEHP)MetabolitesNHANESEpidemiology
spellingShingle Luchen Yang
Xiaoyang Liu
Zhufeng Peng
Zhenghuan Liu
Pan Song
Jing Zhou
Kai Ma
Yunfei Yu
Qiang Dong
Exposure to di-2-ethylhexyl phthalate (DEHP) increases the risk of cancer
BMC Public Health
Cancer
Di-(2-ethylhexyl) phthalate (DEHP)
Metabolites
NHANES
Epidemiology
title Exposure to di-2-ethylhexyl phthalate (DEHP) increases the risk of cancer
title_full Exposure to di-2-ethylhexyl phthalate (DEHP) increases the risk of cancer
title_fullStr Exposure to di-2-ethylhexyl phthalate (DEHP) increases the risk of cancer
title_full_unstemmed Exposure to di-2-ethylhexyl phthalate (DEHP) increases the risk of cancer
title_short Exposure to di-2-ethylhexyl phthalate (DEHP) increases the risk of cancer
title_sort exposure to di 2 ethylhexyl phthalate dehp increases the risk of cancer
topic Cancer
Di-(2-ethylhexyl) phthalate (DEHP)
Metabolites
NHANES
Epidemiology
url https://doi.org/10.1186/s12889-024-17801-w
work_keys_str_mv AT luchenyang exposuretodi2ethylhexylphthalatedehpincreasestheriskofcancer
AT xiaoyangliu exposuretodi2ethylhexylphthalatedehpincreasestheriskofcancer
AT zhufengpeng exposuretodi2ethylhexylphthalatedehpincreasestheriskofcancer
AT zhenghuanliu exposuretodi2ethylhexylphthalatedehpincreasestheriskofcancer
AT pansong exposuretodi2ethylhexylphthalatedehpincreasestheriskofcancer
AT jingzhou exposuretodi2ethylhexylphthalatedehpincreasestheriskofcancer
AT kaima exposuretodi2ethylhexylphthalatedehpincreasestheriskofcancer
AT yunfeiyu exposuretodi2ethylhexylphthalatedehpincreasestheriskofcancer
AT qiangdong exposuretodi2ethylhexylphthalatedehpincreasestheriskofcancer