Background
There have been increasing concerns over health effects of low level
exposure to cadmium, especially those on bones and kidneys.
Objective
To explore how age-adjusted geometric means of blood cadmium in
adults varied by race/Hispanic origin, sex, and smoking status among U.S.
adults and the extent to which the difference in blood cadmium by
race/Hispanic origin and sex may be explained by intensity of smoking, a
known major source of cadmium exposure.
Methods
Our sample included 7,368 adults from National Health and Nutrition
Examination Survey (NHANES) 2011-2014. With direct age adjustment, geometric
means of blood cadmium and number of cigarettes smoked per day were
estimated for subgroups defined by race/Hispanic origin, smoking status, and
sex using interval regression, which allows mean estimation in the presence
of left- and right-censoring.
Results
Among never and former smoking men and women, blood cadmium tended to
be higher for non-Hispanic Asian adults than adults of other race/Hispanic
origin. Among current smokers, who generally had higher blood cadmium than
never and former smokers, non-Hispanic white, black, and Asian adults had
similarly elevated blood cadmium compared to Hispanic adults. A separate
analysis revealed that non-Hispanic white adults tended to have the highest
smoking intensity regardless of sex, than adults of the other race/Hispanic
origin groups.
Conclusions
The observed pattern provided evidence for smoking as a major source
of cadmium exposure, yet factors other than smoking also appeared to
contribute to higher blood cadmium of non-Hispanic Asian adults.