Association of exposure to multiple perfluoroalkyl and polyfluoroalkyl substances and glucose metabolism in National Health and Nutrition Examination Survey 2017-2018.

However, insulin demonstrated a decreasing trend with increasing exposure to PFASs, indicating an association between PFASs exposure and changes in glucose metabolism levels.

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Combined with the box plots ( Figure 5 ), it was found that FPG levels showed an elevated trend with increasing exposure to PFASs.

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3.4 The effects of multiple PFASs on glucose metabolism indices As shown in Figure 6 , in the ≤50 years-old group, the level of FPG showed an increasing trend with the increase of the total level of PFASs mixture.

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