Abstract

Methyl tertiary butyl ether (MTBE)—A well known gasoline additive substituting for lead alkyls—causes lipid disorders and liver dysfunctions in animal models. However, whether MTBE exposure is a risk factor for non-alcoholic fatty liver disease (NAFLD) remains uncertain. We evaluate the possible relationship between MTBE exposure and the prevalence of NAFLD among 71 petrol station attendants in southern China. The personal exposure concentrations of MTBE were analyzed by Head Space Solid Phase Microextraction GC/MS. NAFLD was diagnosed by using abdominal ultrasonography according to the guidelines for the diagnosis and treatment of NAFLD suggested by the Chinese Hepatology Association. Demographic and clinical characteristics potentially associated with NAFLD were investigated. Mutivariate logistic regression analysis was applied to measure odds ratios and 95% confidence intervals (CI). The result showed that the total prevalence of NAFLD was 15.49% (11/71) among the study subjects. The average exposure concentrations of MTBE were 292.98 ± 154.90 μg/m3 and 286.64 ± 122.28 μg/m3 in NAFLD and non-NAFLD groups, respectively, and there was no statistically significant difference between them (p > 0.05). After adjusting for age, gender, physical exercise, body mass index (BMI), systolic blood pressure (SBP), diastolic blood pressure (DBP), alanine aminotransferase (ALT), white blood cell (WBC), total cholesterol (TC), triglycerides (TG), low-density lipoprotein (LDL), and high-density lipoprotein (HDL), the odds ratios were 1.31 (95% CI: 0.85–1.54; p > 0.05), 1.14 (95% CI: 0.81–1.32; p > 0.05), 1.52 (95% CI: 0.93–1.61; p > 0.05) in the groups (including men and women) with exposure concentrations of MTBE of 100–200 μg/m3, 200–300 μg/m3, and ≥300 μg/m3, respectively, as compared to the group (including men and women) ≤100 μg/m3. Our investigation indicates that exposure to MTBE does not seem to be a significant risk factor for the prevalence of NAFLD among petrol station attendants in southern China.

Highlights

  • Methyl tertiary butyl ether (MTBE)—A well known gasoline additive substituting for lead alkyls—is widely used in China and some other countries to increase the octane value of gasoline and reduce harmful emissions [1,2]

  • We focus on the possible association between MTBE exposure and the prevalence of non-alcoholic fatty liver disease (NAFLD) in southern China

  • Eight milliliters of peripheral venous blood was collected from each selected subject at the end of work time by using a single-use syringe for laboratory tests (including alanine aminotransferase (ALT), white blood cell (WBC), platelet (PLT), blood urea nitrogen (BUN), serum creatinine (CREA), total glucose (GLU), serum globulins (GLO), serum albumin (ALB), hemoglobin (Hb), total cholesterol (TC), triglycerides (TG), low-density lipoprotein (LDL), and high-density lipoprotein (HDL), etc. which potentially associated with NAFLD)

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Summary

A Cross-Sectional Study among Petrol Station

Jianping Yang 1,2,† , Qinzhi Wei 3,† , Xiaochun Peng 4 , Xiaowu Peng 4 , Jianhui Yuan 5 and Dalin Hu 1, *. Received: 24 July 2016; Accepted: 20 September 2016; Published: 23 September 2016

Introduction
Study Population and Ethical Permission
Diagnosis of NAFLD
Basic Examinations and Laboratory Tests
Analysis of Personal Exposure Level of MTBE
Statistical Analysis
Demographic and Clinical Characteristics of Study Population
Personal

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