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The association between cadmium exposure and chronic airflow limitation and emphysema: the Swedish CArdioPulmonary BioImage Study (SCAPIS pilot)

Kjell Torén, Anna-Carin Olin, Åse Johnsson, Jenny Vikgren, Niklas Forsgard, Göran Bergström, Gerd Sallsten, Lars Barregård
European Respiratory Journal 2019 54: 1900960; DOI: 10.1183/13993003.00960-2019
Kjell Torén
1Section of Occupational and Environmental Medicine, Dept of Public Health and Community Medicine, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden
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  • For correspondence: kjell.toren@amm.gu.se
Anna-Carin Olin
1Section of Occupational and Environmental Medicine, Dept of Public Health and Community Medicine, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden
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Åse Johnsson
2Dept of Radiology, Institute of Clinical Sciences, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden
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Jenny Vikgren
2Dept of Radiology, Institute of Clinical Sciences, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden
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Niklas Forsgard
3Dept of Clinical Chemistry, Sahlgrenska University Hospital, Gothenburg, Sweden
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Göran Bergström
4Dept of Molecular and Clinical Medicine, Institute of Medicine, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden
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Gerd Sallsten
1Section of Occupational and Environmental Medicine, Dept of Public Health and Community Medicine, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden
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Lars Barregård
1Section of Occupational and Environmental Medicine, Dept of Public Health and Community Medicine, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden
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Extract

Cadmium is a metal that is widely spread in the environment and human populations are exposed to it through food, mainly grains and vegetables. The tobacco plants accumulate cadmium, and tobacco smokers accumulate the cadmium in tobacco smoke, which is absorbed in the lungs [1]. Occupational exposure to cadmium has been linked to the development of emphysema and impaired lung function [2, 3]. Increased levels of blood cadmium (B-Cd) or urinary cadmium are associated with lower lung function, and it has been suggested that cadmium, in the low-dose interval, is a risk factor for impaired lung function [1, 4].

Abstract

In this general population sample with detailed control for smoking habits there is an association between blood cadmium and emphysema based on lung computed tomography http://bit.ly/2K9S39J

Footnotes

  • The study is based on random population sample, which needs a Swedish ethical application to be analysed. The lead author (K. Torén) affirms that the manuscript is an honest, accurate, and transparent account of the study being reported; that no important aspects of the study have been omitted; and that any discrepancies from the study as planned have been explained.

  • Conflict of interest: K. Torén has nothing to disclose.

  • Conflict of interest: A-C. Olin has nothing to disclose.

  • Conflict of interest: Å. Johnsson has nothing to disclose.

  • Conflict of interest: J. Vikgren reports reports personal fees from Boehringer Ingelheim outside the submitted work.

  • Conflict of interest: N. Forsgard has nothing to disclose.

  • Conflict of interest: G. Bergström has nothing to disclose.

  • Conflict of interest: G. Sallsten has nothing to disclose.

  • Conflict of interest: L. Barregård has nothing to disclose.

  • Support statement: The main funding body of the Swedish Cardiopulmonary Bioimage Study (SCAPIS) was the Swedish Heart and Lung Foundation. The study was also funded by the Knut and Alice Wallenberg Foundation, the Swedish Research Council (VR), VINNOVA and the Swedish Council for Working Life, Health, and Welfare (FORTE). In addition, there was support from the Sahlgrenska University Hospital, strategic grants from ALF/LUA in Western Sweden and from the Sahlgrenska Academy at University of Gothenburg. Funding information for this article has been deposited with the Crossref Funder Registry.

  • Received April 18, 2019.
  • Accepted July 27, 2019.
  • Copyright ©ERS 2019
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The association between cadmium exposure and chronic airflow limitation and emphysema: the Swedish CArdioPulmonary BioImage Study (SCAPIS pilot)
Kjell Torén, Anna-Carin Olin, Åse Johnsson, Jenny Vikgren, Niklas Forsgard, Göran Bergström, Gerd Sallsten, Lars Barregård
European Respiratory Journal Nov 2019, 54 (5) 1900960; DOI: 10.1183/13993003.00960-2019

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The association between cadmium exposure and chronic airflow limitation and emphysema: the Swedish CArdioPulmonary BioImage Study (SCAPIS pilot)
Kjell Torén, Anna-Carin Olin, Åse Johnsson, Jenny Vikgren, Niklas Forsgard, Göran Bergström, Gerd Sallsten, Lars Barregård
European Respiratory Journal Nov 2019, 54 (5) 1900960; DOI: 10.1183/13993003.00960-2019
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