title: Diet and nondiet predictors of urinary 3-phenoxybenzoic acid in NHANES 1999-2002.
abstract: BACKGROUND
  3-Phenoxybenzoic acid (3PBA), a pyrethroid metabolite, was detected in 75% of urine samples analyzed for pesticides in the U.S. National Health and Nutrition Examination Survey (NHANES) 1999-2002. NHANES also includes 24-hr diet data and information on household pesticide use, activities, occupation, demographics, and other exposure factors.
  
  
  OBJECTIVE
  The objective of our study was to explore the relative importance of diet versus nondiet predictors in explaining variability in urinary 3PBA. A secondary objective was to explore whether the NHANES data could be used to identify particular foods driving 3PBA levels.
  
  
  METHODS
  We divided subjects into child (6-10 years of age), teen (11-18 years), and adult (> or = 19 years) age groups and restricted our analyses to subjects in the morning sampling session who fasted for > or = 8 hr beforehand. Regression modeling consisted of several model-building steps and a final Tobit regression on the left-censored log 3PBA measurements. We also conducted bootstrap analyses to evaluate the stability of the regression parameters.
  
  
  RESULTS
  Reported household pesticide use was not significantly associated with urinary 3PBA in any age group. Diet was significant for all three groups, and certain foods appeared to contribute more than others. Among adults, tobacco use was positively associated with 3PBA (p = 0.0326), and positive associations were suggested with the number of cytochrome p450-inhibiting medications taken (p = 0.0652) and minutes spent gardening (p = 0.0613) in the past month.
  
  
  CONCLUSIONS
  Although exploratory, our findings underline the importance of collecting accurate data on household pesticide use and dietary intake when evaluating pyrethroid exposure-biomarker relationships.
authors: Department of Environmental and Occupational Health, Rollins School of Public Health, Emory University, Atlanta, Georgia 30322, USA. arieder@sph.emory.edu
authors: Anne M
authors: AM
authors: Riederer
authors: Scott M
authors: SM
authors: Bartell
authors: Dana B
authors: DB
authors: Barr
authors: P Barry
authors: PB
authors: Ryan
mesh_terms: D000293:Adolescent; D000328:Adult; D000367:Age Factors; D001565:Benzoates / Q000652:urine*; D002648:Child; D004032:Diet; D004034:Diet Surveys; D004784:Environmental Monitoring; D006801:Humans; D010575:Pesticides / Q000652:urine*; D012044:Regression Analysis; D018401:Sample Size; D012907:Smoking
chemical_list: D001565:Benzoates; D010575:Pesticides; C017618:3-phenoxybenzoic acid