Association Between Heavy Metals Exposure and Elevated High-Sensitivity C-Reactive Protein: Mediating Role of Body Mass Index

: 0.07; 95% CI: 0.02; 0.13). Blood Cd and Pb levels showed no clear associations with BMI and hs-CRP. The indirect effect of Hg exposure on hs-CRP via BMI was 0.069 (95% CI: 0.037; 0.102), and that of the direct effect was 0.003 (95% CI: -0.001; 0.007), with BMI accounting for 95.7% (95% CI: 88.6%, 102.0%) of the total association between Hg levels and hs-CRP levels. Hg exposure was linked to increased hs-CRP levels, with elevated BMI explaining most of this association. This research offers insights into the mechanisms through which Hg contributes to systemic inflammation, underscoring the potential role of BMI as a key mediator.