Skip to main content
Top
Published in: BMC Public Health 1/2024

Open Access 01-12-2024 | Urinary Incontinence | Research

Urinary phenols and parabens exposure in relation to urinary incontinence in the US population

Authors: Jinjiang Jiang, Bo Chen, Bo Tang, Jinze Li, Chensong Zhang, Daqing Tan, Ting Zhang, Qiang Wei

Published in: BMC Public Health | Issue 1/2024

Login to get access

Abstract

Background

Our study aimed to investigate the impact of urinary concentrations of personal care products (PCPs)-related phenols (PNs) and parabens (PBs), including Triclosan (TCS), Bisphenol A (BPA), Benzophenone-3 (BP-3), Butylparaben (BPB), Ethylparaben (EPB), Methylparaben (MPB), and Propylparaben (PPB), on urinary incontinence (UI) occurrence.

Method

We conducted a cross-sectional analysis using data from the National Health and Nutrition Examination Survey (NHANES) spanning the years 2007 to 2016. Regression analysis was employed to investigate the relationship between exposure to PCPs-related substances, various levels of exposure, and UI within both the general population and the female demographic. Additionally, the Bayesian Kernel Machine Regression (BKMR) model was used to assess the effects of mixtures on UI.

Results

Our analysis comprised 7,690 participants who self-reported their diagnosis. Among them, 12.80% experienced stress urinary incontinence (SUI), 11.80% reported urge urinary incontinence (UUI), and 10.22% exhibited mixed urinary incontinence (MUI). In our fully adjusted multivariable models, BP-3 exposure exhibited a positive association with SUI (OR 1.07, 95% CI 1.02–1.14, p = 0.045). BPA exposure correlated with an increased risk of UUI (OR 1.21, 95% CI 1.01–1.44, p = 0.046) and MUI (OR 1.26, 95% CI 1.02–1.54, p = 0.029). TCS exposure displayed a negative correlation with the incidence of MUI (OR 0.87, 95% CI 0.79–0.97, p = 0.009). No significant links were observed between parabens and urinary incontinence. Notably, among the female population, our investigation revealed that BPA exposure heightened the risk of MUI (OR 1.28, 95% CI 1.01–1.63, p = 0.043). Participants in the highest tertile of BP-3 exposure demonstrated elevated likelihoods of SUI and MUI compared to those in the lowest tertile. In the BKMR analysis, negative trends were observed between the mixture and the risks of UUI and MUI when the mixture ranged from the 25th to the 40th and 35th to the 40th percentiles or above, respectively. Additionally, a positive trend was identified between the mixture and MUI when it was in the 40th to 55th percentile.

Conclusion

In conclusion, our findings suggest that exposure to BPA, TCS, and BP-3 may contribute to the development of urinary incontinence.
Appendix
Available only for authorised users
Literature
4.
go back to reference Bai SW, Jung YW, Kwon HS, Yoon JM, Shin JS, Kim SK, Park KH, Park JH. The role of estrogen receptor, progesterone receptor and p53 in development of stress urinary incontinence. Yonsei Med J. 2004;45(5):885–90.CrossRefPubMed Bai SW, Jung YW, Kwon HS, Yoon JM, Shin JS, Kim SK, Park KH, Park JH. The role of estrogen receptor, progesterone receptor and p53 in development of stress urinary incontinence. Yonsei Med J. 2004;45(5):885–90.CrossRefPubMed
5.
go back to reference Chen B, Yeh J. Alterations in connective tissue metabolism in stress incontinence and prolapse. J Urol. 2011;186(5):1768–72.CrossRefPubMed Chen B, Yeh J. Alterations in connective tissue metabolism in stress incontinence and prolapse. J Urol. 2011;186(5):1768–72.CrossRefPubMed
9.
go back to reference Larsson K, Ljung Björklund K, Palm B, Wennberg M, Kaj L, Lindh CH, Jönsson BA, Berglund M. Exposure determinants of phthalates, parabens, bisphenol A and triclosan in Swedish mothers and their children. Environ Int. 2014;73:323–33.CrossRefPubMedPubMedCentral Larsson K, Ljung Björklund K, Palm B, Wennberg M, Kaj L, Lindh CH, Jönsson BA, Berglund M. Exposure determinants of phthalates, parabens, bisphenol A and triclosan in Swedish mothers and their children. Environ Int. 2014;73:323–33.CrossRefPubMedPubMedCentral
10.
go back to reference Mustieles V, D’Cruz SC, Couderq S, Rodríguez-Carrillo A, Fini JB, Hofer T, Steffensen IL, Dirven H, Barouki R, Olea N, Fernández MF, David A. BPA and its analogues: A comprehensive review to identify and prioritize effect biomarkers for human biomonitoring. Environ Int. 2020;144: 105811.CrossRefPubMed Mustieles V, D’Cruz SC, Couderq S, Rodríguez-Carrillo A, Fini JB, Hofer T, Steffensen IL, Dirven H, Barouki R, Olea N, Fernández MF, David A. BPA and its analogues: A comprehensive review to identify and prioritize effect biomarkers for human biomonitoring. Environ Int. 2020;144: 105811.CrossRefPubMed
11.
go back to reference Li H, Zhao Y, Chen L, Su Y, Li X, Jin L, Ge RS. Triclocarban and TCS Inhibit Human Aromatase via Different Mechanisms. Biomed Res Int. 2017;2017:8284097.CrossRefPubMedPubMedCentral Li H, Zhao Y, Chen L, Su Y, Li X, Jin L, Ge RS. Triclocarban and TCS Inhibit Human Aromatase via Different Mechanisms. Biomed Res Int. 2017;2017:8284097.CrossRefPubMedPubMedCentral
12.
go back to reference Liu X, Sakai H, Nishigori M, Suyama K, Nawaji T, Ikeda S, Nishigouchi M, Okada H, Matsushima A, Nose T, Shimohigashi M, Shimohigashi Y. Receptor-binding affinities of BPA and its next-generation analogs for human nuclear receptors. Toxicol Appl Pharmacol. 2019;377: 114610.CrossRefPubMed Liu X, Sakai H, Nishigori M, Suyama K, Nawaji T, Ikeda S, Nishigouchi M, Okada H, Matsushima A, Nose T, Shimohigashi M, Shimohigashi Y. Receptor-binding affinities of BPA and its next-generation analogs for human nuclear receptors. Toxicol Appl Pharmacol. 2019;377: 114610.CrossRefPubMed
13.
go back to reference Mustieles V, Balogh RK, Axelstad M, Montazeri P, Márquez S, Vrijheid M, Draskau MK, Taxvig C, Peinado FM, Berman T, Frederiksen H, Fernández MF, Marie Vinggaard A, Andersson AM. Benzophenone-3: Comprehensive review of the toxicological and human evidence with meta-analysis of human biomonitoring studies. Environ Int. 2023;173: 107739. https://doi.org/10.1016/j.envint.2023.107739.CrossRefPubMed Mustieles V, Balogh RK, Axelstad M, Montazeri P, Márquez S, Vrijheid M, Draskau MK, Taxvig C, Peinado FM, Berman T, Frederiksen H, Fernández MF, Marie Vinggaard A, Andersson AM. Benzophenone-3: Comprehensive review of the toxicological and human evidence with meta-analysis of human biomonitoring studies. Environ Int. 2023;173: 107739. https://​doi.​org/​10.​1016/​j.​envint.​2023.​107739.CrossRefPubMed
14.
go back to reference Aung MT, Ferguson KK, Cantonwine DE, Bakulski KM, Mukherjee B, Loch-Caruso R, McElrath TF, Meeker JD. Associations between maternal plasma measurements of inflammatory markers and urinary levels of phenols and parabens during pregnancy: A repeated measures study. The Science of the total environment. 2019;650(Pt 1):1131–40.ADSCrossRefPubMed Aung MT, Ferguson KK, Cantonwine DE, Bakulski KM, Mukherjee B, Loch-Caruso R, McElrath TF, Meeker JD. Associations between maternal plasma measurements of inflammatory markers and urinary levels of phenols and parabens during pregnancy: A repeated measures study. The Science of the total environment. 2019;650(Pt 1):1131–40.ADSCrossRefPubMed
15.
go back to reference Watkins DJ, Ferguson KK, Anzalota Del Toro LV, Alshawabkeh AN, Cordero JF, Meeker JD. Associations between urinary phenol and paraben concentrations and markers of oxidative stress and inflammation among pregnant women in Puerto Rico. Int J Hyg Environ Health. 2015;218(2):212–9.CrossRefPubMed Watkins DJ, Ferguson KK, Anzalota Del Toro LV, Alshawabkeh AN, Cordero JF, Meeker JD. Associations between urinary phenol and paraben concentrations and markers of oxidative stress and inflammation among pregnant women in Puerto Rico. Int J Hyg Environ Health. 2015;218(2):212–9.CrossRefPubMed
17.
go back to reference Ye X, Kuklenyik Z, Bishop AM, Needham LL, Calafat AM. Quantification of the urinary concentrations of parabens in humans by on-line solid phase extraction-high performance liquid chromatography-isotope dilution tandem mass spectrometry. J Chromatogr B Analyt Technol Biomed Life Sci. 2006;844(1):53–9.CrossRefPubMed Ye X, Kuklenyik Z, Bishop AM, Needham LL, Calafat AM. Quantification of the urinary concentrations of parabens in humans by on-line solid phase extraction-high performance liquid chromatography-isotope dilution tandem mass spectrometry. J Chromatogr B Analyt Technol Biomed Life Sci. 2006;844(1):53–9.CrossRefPubMed
19.
go back to reference Reddy RA, Cortessis V, Dancz C, Klutke J, Stanczyk FZ. Role of sex steroid hormones in pelvic organ prolapse. Menopause (New York, NY). 2020;27(8):941–51.CrossRef Reddy RA, Cortessis V, Dancz C, Klutke J, Stanczyk FZ. Role of sex steroid hormones in pelvic organ prolapse. Menopause (New York, NY). 2020;27(8):941–51.CrossRef
20.
go back to reference Aker AM, Watkins DJ, Johns LE, et al. Phenols and parabens in relation to reproductive and thyroid hormones in pregnant women. Environ Res. 2016;151:30–7.CrossRefPubMedPubMedCentral Aker AM, Watkins DJ, Johns LE, et al. Phenols and parabens in relation to reproductive and thyroid hormones in pregnant women. Environ Res. 2016;151:30–7.CrossRefPubMedPubMedCentral
21.
go back to reference Scinicariello F, Buser MC. Serum Testosterone Concentrations and Urinary BPA, BP3, TCS, and Paraben Levels in Male and Female Children and Adolescents: NHANES 2011–2012. Environ Health Perspect. 2016;124(12):1898–904.CrossRefPubMedPubMedCentral Scinicariello F, Buser MC. Serum Testosterone Concentrations and Urinary BPA, BP3, TCS, and Paraben Levels in Male and Female Children and Adolescents: NHANES 2011–2012. Environ Health Perspect. 2016;124(12):1898–904.CrossRefPubMedPubMedCentral
22.
23.
go back to reference Bhasin S, Taylor WE, Singh R, Artaza J, Sinha-Hikim I, Jasuja R, Choi H, Gonzalez-Cadavid NF. The mechanisms of androgen effects on body composition: mesenchymal pluripotent cell as the target of androgen action. J Gerontol A Biol Sci Med Sci. 2003;58(12):M1103–10.CrossRefPubMed Bhasin S, Taylor WE, Singh R, Artaza J, Sinha-Hikim I, Jasuja R, Choi H, Gonzalez-Cadavid NF. The mechanisms of androgen effects on body composition: mesenchymal pluripotent cell as the target of androgen action. J Gerontol A Biol Sci Med Sci. 2003;58(12):M1103–10.CrossRefPubMed
24.
go back to reference Wnuk A, Kajta M. Is the commonly used UV filter BP3 a risk factor for the nervous system. Acta Biochim Pol. 2021;68(4):557–63.PubMed Wnuk A, Kajta M. Is the commonly used UV filter BP3 a risk factor for the nervous system. Acta Biochim Pol. 2021;68(4):557–63.PubMed
26.
go back to reference Wu W, Li M, Liu A, Wu C, Li D, Deng Q, Zhang B, Du J, Gao X, Hong Y. BPA and the Risk of Obesity a Systematic Review With Meta-Analysis of the Epidemiological Evidence. Dose-response. 2020;18(2):1559325820916949.CrossRefPubMedPubMedCentral Wu W, Li M, Liu A, Wu C, Li D, Deng Q, Zhang B, Du J, Gao X, Hong Y. BPA and the Risk of Obesity a Systematic Review With Meta-Analysis of the Epidemiological Evidence. Dose-response. 2020;18(2):1559325820916949.CrossRefPubMedPubMedCentral
29.
30.
31.
go back to reference Christen V, Crettaz P, Oberli-Schrämmli A, Fent K. Some flame retardants and the antimicrobials TCS and triclocarban enhance the androgenic activity in vitro. Chemosphere. 2010;81(10):1245–52.ADSCrossRefPubMed Christen V, Crettaz P, Oberli-Schrämmli A, Fent K. Some flame retardants and the antimicrobials TCS and triclocarban enhance the androgenic activity in vitro. Chemosphere. 2010;81(10):1245–52.ADSCrossRefPubMed
32.
go back to reference Ahn KC, Zhao B, Chen J, Cherednichenko G, Sanmarti E, Denison MS, Lasley B, Pessah IN, Kultz D, Chang DP, Gee SJ, and Hammock BD. 2008 In vitro biologic activities of the antimicrobials triclocarban, its analogs, and TCS in bioassay screens: Receptor-based bioassay screens.Environ Health Persp 116:1203–1210. https://doi.org/10.1289/ehp.11200. Ahn KC, Zhao B, Chen J, Cherednichenko G, Sanmarti E, Denison MS, Lasley B, Pessah IN, Kultz D, Chang DP, Gee SJ, and Hammock BD. 2008 In vitro biologic activities of the antimicrobials triclocarban, its analogs, and TCS in bioassay screens: Receptor-based bioassay screens.Environ Health Persp 116:1203–1210. https://​doi.​org/​10.​1289/​ehp.​11200.
33.
go back to reference Aker AM, Watkins DJ, Johns LE, Ferguson KK, Soldin OP, Anzalota Del Toro LV, Alshawabkeh AN, Cordero JF, Meeker JD. Phenols and parabens in relation to reproductive and thyroid hormones in pregnant women. Environ Res. 2016;151:30–7.CrossRefPubMedPubMedCentral Aker AM, Watkins DJ, Johns LE, Ferguson KK, Soldin OP, Anzalota Del Toro LV, Alshawabkeh AN, Cordero JF, Meeker JD. Phenols and parabens in relation to reproductive and thyroid hormones in pregnant women. Environ Res. 2016;151:30–7.CrossRefPubMedPubMedCentral
34.
go back to reference Boberg J, Axelstad M, Svingen T, Mandrup K, Christiansen S, Vinggaard AM, Hass U. Multiple Endocrine Disrupting Effects in Rats Perinatally Exposed to Butylparaben. Toxicological sciences : an official journal of the Society of Toxicology. 2016;152(1):244–56.CrossRefPubMed Boberg J, Axelstad M, Svingen T, Mandrup K, Christiansen S, Vinggaard AM, Hass U. Multiple Endocrine Disrupting Effects in Rats Perinatally Exposed to Butylparaben. Toxicological sciences : an official journal of the Society of Toxicology. 2016;152(1):244–56.CrossRefPubMed
36.
go back to reference Kim J, Chevrier J. Exposure to parabens and prevalence of obesity and metabolic syndrome: An analysis of the Canadian Health Measures Survey. The Science of the total environment. 2020;713:135116.ADSCrossRefPubMed Kim J, Chevrier J. Exposure to parabens and prevalence of obesity and metabolic syndrome: An analysis of the Canadian Health Measures Survey. The Science of the total environment. 2020;713:135116.ADSCrossRefPubMed
Metadata
Title
Urinary phenols and parabens exposure in relation to urinary incontinence in the US population
Authors
Jinjiang Jiang
Bo Chen
Bo Tang
Jinze Li
Chensong Zhang
Daqing Tan
Ting Zhang
Qiang Wei
Publication date
01-12-2024
Publisher
BioMed Central
Published in
BMC Public Health / Issue 1/2024
Electronic ISSN: 1471-2458
DOI
https://doi.org/10.1186/s12889-024-17872-9

Other articles of this Issue 1/2024

BMC Public Health 1/2024 Go to the issue