Skip to main content

Advertisement

Log in

Low Level of Serum Cadmium in Relation to Blood Pressures Among Japanese General Population

  • Published:
Biological Trace Element Research Aims and scope Submit manuscript

Abstract

Hypertension (HT) is an important risk factor for mortality and morbidity. Previous studies showed that cadmium (Cd) was associated with increased blood pressures and the prevalence of HT. This study hypothesized that Cd, regardless of its level, may increase blood pressures/HT. The objective of this study was to examine the associations between a low level of serum Cd concentration and blood pressures/HT among a general population in the Iwaki area, Japan. This was a cross-sectional study, conducted in the Aomori prefecture with 1144 volunteers aged over 19 years old, who were participants of the Iwaki health check-up in 2014. The study assessed questionnaire survey, body composition, and serum Cd concentrations. Median serum Cd concentration was 0.06 ng/mL (interquartile range 0.05–0.08 ng/mL) among our study population. Compared to the lowest quintile of serum Cd concentration group, the highest quintile of serum Cd concentration group had 4.9 mmHg higher systolic blood pressure (SBP) (95% confidence interval [CI] 1.53–8.31, p < 0.01) and 2.4 mmHg higher diastolic blood pressure (DBP) (95% CI 0.36–4.34, p < 0.05), compared to the lowest quintile group. Similarly, the highest quintile of serum Cd concentration group had 1.7 times higher prevalence of HT (95% CI 1.10–2.51, p < 0.05) than the lowest quintile group. This study identified that higher serum Cd concentration was significantly, positively, associated with SBP and DBP and HT prevalence. This study provided evidence for the associations between environmental exposure to Cd and blood pressures/HT which should be considered for future preventive measures.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1

Similar content being viewed by others

Data Availability

Data will be available upon reasonable request.

Code Availability

Not applicable.

References

  1. Fujiyoshi A et al (2012) Blood pressure categories and long-term risk of cardiovascular disease according to age group in Japanese men and women. Hypertens Res 35(9):947–953

    Article  Google Scholar 

  2. (NCD-RisC), NCD Risk Factors Colloboration (2019) Long-term and recent trends in hypertension awareness, treatment, and control in 12 high-income countries: an analysis of 123 nationally representative surveys. Lancet 394(10199):639–651

    Article  Google Scholar 

  3. Mills KT, Stefanescu A, He J (2020) The global epidemiology of hypertension. Nat Rev Nephrol 16(4):223–237

    Article  CAS  Google Scholar 

  4. Otani K, Haruyama R, Gilmour S (2018) Prevalence and correlates of hypertension among Japanese adults, 1975 to 2010. Int J Environ Res Public Health 15(8)

  5. National Health and Nutrition Survey. 2018; Available from: https://www.nibiohn.go.jp/eiken/kenkounippon21/en/eiyouchousa/. Accessed on 18th Aug 2020.

  6. ATSDR. Toxicological Profile for Cadmium. 2012; Available from: https://www.atsdr.cdc.gov/toxprofiles/tp.asp?id=48&tid=15. Accessed on 18th Aug 2020.

  7. Satarug S et al (2011) Cadmium, environmental exposure, and health outcomes. Cien Saude Colet 16(5):2587–2602

    Article  Google Scholar 

  8. Teeyakasem W et al (2007) Monitoring of cadmium toxicity in a Thai population with high-level environmental exposure. Toxicol Lett 169(3):185–195

    Article  CAS  Google Scholar 

  9. Akesson A et al (2006) Cadmium-induced effects on bone in a population-based study of women. Environ Health Perspect 114(6):830–834

    Article  Google Scholar 

  10. Eum KD, Lee MS, Paek D (2008) Cadmium in blood and hypertension. Sci Total Environ 407(1):147–153

    Article  CAS  Google Scholar 

  11. Tellez-Plaza M et al (2008) Cadmium exposure and hypertension in the 1999-2004 National Health and Nutrition Examination Survey (NHANES). Environ Health Perspect 116(1):51–56

    Article  CAS  Google Scholar 

  12. Franceschini N et al (2017) Cadmium body burden and increased blood pressure in middle-aged American Indians: the Strong Heart Study. J Hum Hypertens 31(3):225–230

    Article  CAS  Google Scholar 

  13. Umemura S et al (2019) The Japanese Society of Hypertension Guidelines for the management of hypertension (JSH 2019). Hypertens Res 42(9):1235–1481

    Article  Google Scholar 

  14. Whelton PK et al (2018) 2017 ACC/AHA/AAPA/ABC/ACPM/AGS/APhA/ASH/ASPC/NMA/PCNA guideline for the prevention, detection, evaluation, and management of high blood pressure in adults: a report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines. Hypertension 71(6):e13–e115

    CAS  PubMed  Google Scholar 

  15. Williams B et al (2018) ESC/ESH Guidelines for the management of arterial hypertension. Eur Heart J, 2018 39(33):3021–3104

    Google Scholar 

  16. Ettehad D et al (2016) Blood pressure lowering for prevention of cardiovascular disease and death: a systematic review and meta-analysis. Lancet 387(10022):957–967

    Article  Google Scholar 

  17. Wai KM et al (2020) Relationship between selected trace elements and hematological parameters among Japanese community dwellers. Nutrients 12(6)

  18. Hirawa N, Umemura S, Ito S (2019) Viewpoint on guidelines for treatment of hypertension in Japan. Circ Res 124(7):981–983

    Article  CAS  Google Scholar 

  19. Wu H et al (2016) Environmental exposure to cadmium: health risk assessment and its associations with hypertension and impaired kidney function. Sci Rep 6:29989

    Article  CAS  Google Scholar 

  20. Lee BK et al (2016) Association of blood pressure with exposure to lead and cadmium: analysis of data from the 2008-2013 Korean National Health and Nutrition Examination Survey. Biol Trace Elem Res 174(1):40–51

    Article  CAS  Google Scholar 

  21. Wu W et al 2019, Polymorphisms in gene MMP-2 modify the association of cadmium exposure with hypertension risk. Environ Int 124:441–447

  22. Garner RE, Levallois P (2017) Associations between cadmium levels in blood and urine, blood pressure and hypertension among Canadian adults. Environ Res 155:64–72

    Article  CAS  Google Scholar 

  23. Gao Y et al (2018) The modifying effect of kidney function on the association of cadmium exposure with blood pressure and cardiovascular mortality: NHANES 1999-2010. Toxicol Appl Pharmacol 353:15–22

    Article  CAS  Google Scholar 

  24. Nishijo M et al (2017) Causes of death in patients with Itai-itai disease suffering from severe chronic cadmium poisoning: a nested case-control analysis of a follow-up study in Japan. BMJ Open 7(7):e015694

    Article  Google Scholar 

  25. Swaddiwudhipong W et al (2015) Human health effects from cadmium exposure: comparison between persons living in cadmium-contaminated and non-contaminated areas in northwesten Thailand. Southeast Asian J Trop Med Public Health 46(1):133–142

    PubMed  Google Scholar 

  26. Asgary S et al (2017) Serum levels of lead, mercury and cadmium in relation to coronary artery disease in the elderly: a cross-sectional study. Chemosphere 180:540–544

    Article  CAS  Google Scholar 

  27. Kaya Y et al (2012) Serum cadmium levels are independently associated with endothelial function in hemodialysis patients. Int Urol Nephrol 44(5):1487–1492

    Article  CAS  Google Scholar 

  28. Wang Q, Wei S (2018) Cadmium affects blood pressure and negatively interacts with obesity: findings from NHANES 1999-2014. Sci Total Environ 643:270–276

    Article  CAS  Google Scholar 

  29. Uetani M et al (2006) Tissue cadmium (Cd) concentrations of people living in a Cd polluted area, Japan. Biometals 19(5):521–525

    Article  CAS  Google Scholar 

  30. Madrigal JM et al (2019) Associations between blood cadmium concentration and kidney function in the U.S. population: impact of sex, diabetes and hypertension. Environ Res 169:180–188

    Article  CAS  Google Scholar 

  31. Buser MC et al 2016, Urinary and blood cadmium and lead and kidney function: NHANES 2007-2012. Int J Hyg Environ Health 219(3):261–267

  32. Satarug S et al (2020) Cadmium and lead exposure, nephrotoxicity, and mortality. Toxics 8(4)

  33. Tellez-Plaza M et al (2013) Cadmium exposure and incident cardiovascular disease. Epidemiology 24(3):421–429

    Article  Google Scholar 

  34. Rossier BC, Bochud M, Devuyst O (2017) The hypertension pandemic: an evolutionary perspective. Physiology 32(2):112–125

    Article  CAS  Google Scholar 

  35. Tinkov AA et al (2018) Cadmium and atherosclerosis: a review of toxicological mechanisms and a meta-analysis of epidemiologic studies. Environ Res 162:240–260

    Article  CAS  Google Scholar 

  36. Lu H, Cassis LA, Daugherty A (2007) Atherosclerosis and arterial blood pressure in mice. Curr Drug Targets 8(11):1181–1189

    Article  CAS  Google Scholar 

  37. Varoni MV et al (2003) Cadmium as an environmental factor of hypertension in animals: new perspectives on mechanisms. Vet Res Commun 27(Suppl 1):807–810

    Article  Google Scholar 

  38. Sonkusare S et al (2006) Vascular calcium channels and high blood pressure: pathophysiology and therapeutic implications. Vascul Pharmacol 44(3):131–142

    Article  CAS  Google Scholar 

  39. Choong G, Liu Y, Templeton DM (2014) Interplay of calcium and cadmium in mediating cadmium toxicity. Chem Biol Interact 211:54–65

    Article  CAS  Google Scholar 

  40. Moreira LB et al (1998) Alcohol intake and blood pressure: the importance of time elapsed since last drink. J Hypertens 16(2):175–180

    Article  CAS  Google Scholar 

  41. Ganguly K et al (2018) Cadmium in tobacco smokers: a neglected link to lung disease? Eur Respir Rev 27(147):0122–2017

    Article  Google Scholar 

  42. Virdis A et al (2010) Cigarette smoking and hypertension. Curr Pharm Des 16(23):2518–2525

    Article  CAS  Google Scholar 

  43. Akerstrom M et al (2013) The relationship between cadmium in kidney and cadmium in urine and blood in an environmentally exposed population. Toxicol Appl Pharmacol 268(3):286–293

    Article  CAS  Google Scholar 

  44. Ikeda N et al (2008) Understanding the decline of mean systolic blood pressure in Japan: an analysis of pooled data from the National Nutrition Survey, 1986-2002. Bull World Health Organ 86(12):978–988

    Article  Google Scholar 

Download references

Acknowledgements

We wish to thank all the participants of the Iwaki Health check-up 2014. We also acknowledge the staff of the Department of Social Medicine, Graduate School of Medicine, Hirosaki University, for their advice and technical inputs in this study.

Funding

The study was funded by the Japan Science and Technology Agency, Center of Innovation Program, Hirosaki (JPMJCE1302).

Author information

Authors and Affiliations

Authors

Contributions

Masaya Kaneda, Kyi Mar Wai, Akira Kanda, and Kazushige Ihara designed the study. Masaya Kaneda and Kyi Mar Wai analyzed the data. Shigeyuki Nakaji, Kazushige Ihara, Koichi Murashita, and Masataka Ando involved in project management. Shigeyuki Nakaji and Koichi Murashita acquired the funding. Masaya Kaneda and Kyi Mar Wai drafted the manuscript. All the authors critically reviewed the manuscript.

Corresponding author

Correspondence to Kyi Mar Wai.

Ethics declarations

Ethics Approval

The study was approved by the research ethics committee of the Graduate School of Medicine, Hirosaki University (No. 2014-014).

Consent to Participate

All the subjects gave written informed consent before their participation.

Conflict of Interest

The authors declare no competing interests.

Additional information

Publisher’s Note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Kaneda, M., Wai, K.M., Kanda, A. et al. Low Level of Serum Cadmium in Relation to Blood Pressures Among Japanese General Population. Biol Trace Elem Res 200, 67–75 (2022). https://doi.org/10.1007/s12011-021-02648-8

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s12011-021-02648-8

Keywords

Navigation