Article Text

Download PDFPDF
Original article
Effects of environmental cadmium exposure on liver function in adults
  1. Mo-Yeol Kang1,
  2. Soo-Hun Cho1,2,
  3. Youn-Hee Lim3,
  4. Jeong-Cheol Seo1,
  5. Yun-Chul Hong1,2
  1. 1Department of Preventive Medicine, Seoul National University College of Medicine, Seoul, South Korea
  2. 2Institute of Environmental Medicine, Seoul National University Medical Research Center, Seoul, South Korea
  3. 3Department of Epidemiology and Biostatistics, School of Public Health, Seoul National University, Seoul, South Korea
  1. Correspondence to Dr Yun-Chul Hong, Department of Preventive Medicine, College of Medicine, Seoul National University, 103 Daehangno, Jongno-gu, Seoul 110-799, Republic of Korea; ychong1{at}


Background There is inconsistency regarding the effects of cadmium exposure on liver function between the positive results found in animal studies and the negative results highlighted in epidemiological studies. We investigated whether environmental cadmium exposure is associated with an elevation in serum liver enzyme activity in Korean adults.

Methods This cross-sectional study evaluated adult participants without liver disease from the Korean National Health and Nutrition Examination Survey for 2008–2009. Multiple linear regression was conducted to investigate the association between blood cadmium concentration and the serum levels of aspartate aminotransferase (AST), alanine aminotransferase (ALT) and alkaline phosphatase (ALP) adjusting for age, sex, body mass index and the amount of alcohol consumption. Subjects were stratified into quartiles by their cumulative cadmium exposure rank. We estimated the multivariate-adjusted ORs for liver enzyme elevation using logistic regression models with the first quartile as the reference group.

Results Total number of the subjects in the analysis was 3914. The blood cadmium concentrations were significantly associated with liver enzyme levels (AST, β=2.677, p value <0.0001; ALT, β=3.696, p value <0.0001; ALP, β=11.730, p value <0.0001). As the cadmium levels approached higher quartiles, the ORs for an elevated AST, ALT and ALP was increased significantly.

Conclusions Environmental cadmium exposures are associated with an elevation in serum liver enzyme levels in Korean adults.

Statistics from

Request Permissions

If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.