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Global research trends and mechanistic pathways linking micro- and nano plastics exposure to metabolic health: a bibliometric and evidence-mapping analysis (2013–2025)

Original title: Global research trends and mechanistic pathways linking micro- and nano plastics exposure to metabolic health: a bibliometric and evidence-mapping analysis (2013–2025)

Frontiers in Nutrition 2026
Goh Khang Wen, Santhra Segaran Balan, Noor Azimah Ahmad, Azrina Zainal Abidin, Fezah Othman, Ruth Naomi

Summary

Scientists reviewed over a decade of research on tiny plastic particles (microplastics and nanoplastics) that get into our food and bodies, and found growing evidence linking them to metabolic problems like disrupted gut bacteria and cellular stress that can contribute to issues like obesity and diabetes. However, most of this evidence comes from animal studies, not humans—so while the concern is real and research is ramping up fast, scientists still need better human studies to confirm exactly how much risk these plastics pose to our health.

Models

Background: The widespread presence of micro- and nanoplastics (MNPs) in the food chain has raised concerns regarding their potential contribution to metabolic diseases. Objective: However, a comprehensive synthesis of the intellectual structure, thematic evolution, and biomarker evidence linking dietary MNP exposure to metabolic health outcomes remains limited. Methods: This study conducted a bibliometric analysis of publications indexed in Scopus and Web of Science Core Collection (WoS) between 2013 and 2025. Bibliometrix/Biblioshiny and VOSviewer were applied for performance analysis, science mapping (co-occurrence, co-citation, bibliographic coupling), thematic evolution, and biomarker-domain mining. A biomarker-mechanism evidence matrix was developed to integrate mechanistic insights. Results: 1,613 entries were found in WoS out of the 1,725 papers in the Scopus dataset, indicating consistent publication trends across databases. After 2019, there was a significant increase in annual research production, which was indicative of the expanding interdisciplinary attention to metabolic concerns linked with MNP. The publication landscape is dominated by environmental toxicology journals, which are increasingly contributing worldwide and have a large geographic concentration in China. Four important research areas were found by keyword co-occurrence analysis: mammalian metabolic toxicity, gut microbiota dysbiosis, aquatic ecotoxicology, and developing human health risk assessment. Oxidative stress and exposure pathways were identified as major themes by thematic mapping, while gut microbiota-metabolic interactions represent quickly developing research avenues. Conclusion: Human epidemiological evidence remains limited compared to animal mechanistic studies, highlighting gaps in realistic exposure assessment and standardized cardiometabolic biomonitoring.

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