Pesticide contamination of lactating mothers' milk in Latin America: a systematic review.

IF 2.1 4区医学 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Revista de saude publica Pub Date : 2024-05-13 eCollection Date: 2024-01-01 DOI:10.11606/s1518-8787.2024058005446

Thalyta Mota Figueiredo, Jerusa da Mota Santana, Fernando Henrique Basilio Granzotto, Bianca Sampaio Dos Anjos, Danilo Guerra Neto, Laylla Mirella Galvão Azevedo, Marcos Pereira

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Abstract

Objective: To identify the prevalence of contamination by pesticides and their metabolites in the milk of lactating mothers in Latin America.

Methods: In this systematic review, the PubMed, LILACS, Embase, and Scopus databases were searched up to January 2022 to identify observational studies. The Mendeley software was used to manage these references. The risk of bias assessment was evaluated according to the checklist for prevalence studies and writing design, by the Prisma guidelines.

Results: This study retrieved 1835 references and analyzed 49 studies. 69.38% of the analyzed studies found a 100% prevalence of breast milk contamination by pesticides among their sample. Main pesticides include dichlorodiphenyltrichloroethane (DDT) and its isomers (75.51%), followed by the metabolite dichlorodiphenyldichloroethylene (DDE) (69.38%) and hexachlorocyclohexane (HCH) (46.93%). This study categorized most (65.30%) studies as having a low risk of bias.

Conclusions: This review shows a high prevalence of pesticide contamination in the breast milk of Latin American women. Further investigations should be carried out to assess contamination levels in breast milk and the possible effects of these substances on maternal and child health.

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拉丁美洲哺乳母亲乳汁中的农药污染：系统综述。

目的确定拉丁美洲哺乳期母亲乳汁中农药及其代谢物污染的普遍程度：在本系统综述中，检索了截至 2022 年 1 月的 PubMed、LILACS、Embase 和 Scopus 数据库，以确定观察性研究。使用 Mendeley 软件管理这些参考文献。根据Prisma指南中的流行病学研究和写作设计核对表对偏倚风险进行了评估：本研究检索了 1835 篇参考文献，分析了 49 项研究。在所分析的研究中，69.38%的样本发现母乳100%受到杀虫剂污染。主要农药包括二氯二苯基三氯乙烷（DDT）及其异构体（75.51%），其次是代谢物二氯二苯基二氯乙烯（DDE）（69.38%）和六氯环己烷（HCH）（46.93%）。本研究将大多数研究（65.30%）归类为低偏倚风险研究：本综述显示，拉丁美洲妇女的母乳中农药污染的发生率很高。应开展进一步调查，以评估母乳中的污染水平以及这些物质对母婴健康可能产生的影响。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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Revista de saude publica PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-

CiteScore

4.60

自引率

3.60%

发文量

审稿时长

4-8 weeks

期刊介绍： The Revista de Saúde Pública has the purpose of publishing original scientific contributions on topics of relevance to public health in general.

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