Reproductive and Thyroid Hormones among Male Agricultural Workers Exposed to Pesticides

O. Hassan, Eslam S. Metwally
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引用次数: 1

Abstract

Background: In rural Egypt, one of the main activities of men is agricultural work, where pesticides are used to control insects and weeds. Pesticides have been classified as endocrine disrupting chemicals, which may lead to alterations in male reproductive and thyroid hormonal levels. Aim: The objective of this study was to evaluate the effect of chronic occupational pesticide exposure on thyroid and male reproductive hormones among agricultural workers. Methods: The study included eighty male agricultural workers from El-Shomoot village, Qalubia governorate. Forty non exposed males work at Banha Faculty of Medicine were selected as a control group. All participating workers were interviewed using a precomposed questionnaire and investigated by measuring the blood level of male reproductive hormones (LH, FSH, testosterone & estradiol) and thyroid hormones (TSH, T3 & T4) according to standard procedures. Results: The studied groups were matched as regard age, gender, marital status and smoking habits. In comparing the exposed and control groups according to the blood levels of studied hormones, the exposed group had significantly lower values of testosterone, T3, T4, and LH compared to the control group (p<0.05). Moreover, there were higher statistically significant values of TSH, FSH and Estradiol among exposed group compared to control group (p<0.05),such blood levels of studied hormones among exposed group were affected by many factors as type of job, duration of exposure and wearing protective clothes all differences were statistically significant (P<0.005). Conclusion & Recommendations: Chronic exposure to pesticides may cause endocrine disrupting effects on male reproductive and thyroid hormones. So we recommended, improving working condition, restriction of unlimited use of pesticides especially in agricultural purposes. Further researches are needed to evaluate pesticides effect on large sample to obtain detailed information about the exposure routes, pathways, other mechanisms of toxicity and other health hazards.
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接触农药的男性农业工人的生殖激素和甲状腺激素
背景:在埃及农村,男人的主要活动之一是农业工作,在那里使用杀虫剂来控制昆虫和杂草。农药被归类为内分泌干扰化学物质,可能导致男性生殖激素和甲状腺激素水平的改变。目的:探讨慢性职业性农药暴露对农业工人甲状腺和男性生殖激素的影响。方法:研究对象为来自卡卢比亚省El-Shomoot村的80名男性农业工人。选取40名在Banha医学院工作的未暴露男性作为对照组。所有参与的工人使用预先编制的问卷进行访谈,并根据标准程序测量男性生殖激素(LH, FSH,睾酮和雌二醇)和甲状腺激素(TSH, T3和T4)的血液水平。结果:研究小组在年龄、性别、婚姻状况和吸烟习惯等方面进行了匹配。根据所研究激素的血液水平对暴露组和对照组进行比较,暴露组睾酮、T3、T4、LH值明显低于对照组(p<0.05)。暴露组TSH、FSH、Estradiol水平均高于对照组,差异有统计学意义(p<0.05),暴露组受工种、暴露时间、是否穿着防护服等因素影响,差异均有统计学意义(p< 0.005)。结论与建议:长期接触农药可能对男性生殖激素和甲状腺激素产生内分泌干扰作用。因此,我们建议,改善工作条件,限制农药的无限使用,特别是农业用途。需要进一步开展大样本农药效应评价研究,以获得接触途径、途径、其他毒性机制和其他健康危害的详细信息。
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