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Influence of exposure to endocrine disruptors and other environmental chemicals on breast development in girls: A systematic review of human studies 接触内分泌干扰素和其他环境化学物质对女孩乳房发育的影响:人类研究的系统回顾。
IF 4.5 2区 医学 Q1 INFECTIOUS DISEASES Pub Date : 2024-11-19 DOI: 10.1016/j.ijheh.2024.114487
Alicia Olivas-Martínez , Paula Sol Ventura-Wischner , Mariana F. Fernandez , Carmen Freire

Background

Age at thelarche has decreased over recent decades. This change in female puberty timing may be influenced by exposure to endocrine disrupting chemicals (EDCs) during critical periods of development.

Objective

To review the scientific literature for evidence on the association of exposure to EDCs and other environmental chemicals with the timing of thelarche in girls.

Methods

A systematic search for original peer-reviewed articles published up to July 2023 was conducted in three databases (Medline/PubMed, Scopus, and Web of Science), following the PECO strategy and PRISMA guidelines. The quality of evidence and reporting and the risk of bias were evaluated using GRADE, STROBE, and ROBINS-E tools.

Results

Out of 3094 articles retrieved in the search, 67 met the review inclusion criteria. Data from 10 out of the 14 studies offering high-quality suggest that in utero and/or childhood exposure to certain synthetic and natural chemicals is associated with earlier breast development in girls; 8 of these 10 studies described a relationship with exposure to organohalogenated compounds in utero and to phthalates in childhood.

Conclusions

This systematic review provides the first overview of available human data on the association of EDCs/environmental chemicals with the timing of thelarche. Further high-quality research is urgently needed to fully elucidate the influence of this exposure on breast development timing in girls.
背景:近几十年来,女性的初潮年龄有所下降。女性青春期时间的这种变化可能受到在发育关键时期暴露于干扰内分泌的化学物质(EDCs)的影响:综述有关暴露于 EDCs 和其他环境化学物质与女孩初潮时间相关性的科学文献:方法:按照 PECO 策略和 PRISMA 指南,在三个数据库(Medline/PubMed、Scopus 和 Web of Science)中对截至 2023 年 7 月发表的经同行评审的原创文章进行了系统检索。使用 GRADE、STROBE 和 ROBINS-E 工具评估了证据和报告的质量以及偏倚风险:在检索到的 3094 篇文章中,有 67 篇符合审查纳入标准。在 14 项高质量研究中,有 10 项研究的数据表明,女孩在子宫内和(或)童年时期接触某些合成和天然化学物质与乳房提前发育有关;在这 10 项研究中,有 8 项研究描述了女孩在子宫内接触有机卤化物和童年时期接触邻苯二甲酸盐的关系:本系统综述首次概述了有关 EDCs/环境化学品与月经初潮时间相关性的现有人类数据。要全面阐明这种暴露对女孩乳房发育时间的影响,迫切需要进一步开展高质量的研究。
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引用次数: 0
Effects of particulate air pollution on BPDE-DNA adducts, telomere length, and mitochondrial DNA copy number in human exhaled breath condensate and BEAS-2B cells 微粒空气污染对人类呼出气体冷凝物和 BEAS-2B 细胞中 BPDE-DNA 加合物、端粒长度和线粒体 DNA 拷贝数的影响。
IF 4.5 2区 医学 Q1 INFECTIOUS DISEASES Pub Date : 2024-11-18 DOI: 10.1016/j.ijheh.2024.114488
Naruporn Pedklang , Panida Navasumrit , Chalida Chompoobut , Jeerawan Promvijit , Potchanee Hunsonti , Mathuros Ruchirawat
Traffic-related particulate matter (PM) and polycyclic aromatic hydrocarbons (PAHs) have been linked to respiratory diseases and cancer risk in humans. Genomic damage, including benzo[a]pyrene diolepoxide (BPDE)-DNA adducts as well as alterations in telomere length (TL) and mitochondrial DNA copy number (mtDNA-CN) are associated with respiratory diseases. This study aimed to investigate the association between exposure to traffic-related particulate pollutants and genomic damage in exhaled breath condensate (EBC) in human subjects and a bronchial epithelial cell line (BEAS-2B). Among the 60 healthy recruited subjects, residents living in high-traffic-congested areas were exposed to higher concentrations of PM2.5 (1.66-fold, p < 0.01), UFPs (1.79-fold, p < 0.01), PM2.5-PAHs (1.50-fold, p < 0.01), and UFPs-PAHs (1.35-fold, p < 0.05), than those in low-traffic-congested areas. In line with increased exposure to particulate air pollution, the high-traffic-exposed group had significantly increased BPDE-DNA adducts (1.40-fold, p < 0.05), TL shortening (1.24-fold, p < 0.05), and lower mtDNA-CN (1.38-fold, p < 0.05) in EBC. The observations in the human study linking exposure to PM2.5, UFPs, PM2.5-PAHs, and UFPs-PAHs with the aforementioned biological effects were confirmed by an in vitro cell-based study, in which BEAS-2B cells were treated with diesel exhaust particulate matter (DEP) containing fine and ultrafine PM and PAHs. Increased BPDE-DNA adducts levels, shortened TL, and decreased mtDNA-CN were also found in treated BEAS-2B cells. The shortened TL and decreased mtDNA-CN were in part mediated by decreased transcript levels of hTERT, and SIRT1, which are involved in telomerase activity and mitochondrial biogenesis, respectively. These results suggest that exposure to traffic-related particulate pollutants can cause genomic instability in respiratory cells, which may increase the health risk of respiratory diseases and the development of cancer.
与交通有关的颗粒物(PM)和多环芳烃(PAHs)与人类的呼吸系统疾病和癌症风险有关。基因组损伤(包括苯并[a]芘二环氧化物(BPDE)-DNA 加合物)以及端粒长度(TL)和线粒体 DNA 拷贝数(mtDNA-CN)的改变与呼吸系统疾病有关。本研究旨在调查人类受试者和支气管上皮细胞系(BEAS-2B)暴露于交通相关颗粒污染物与呼出气体冷凝物(EBC)中基因组损伤之间的关系。在招募的 60 名健康受试者中,居住在交通高度拥挤地区的居民暴露于较高浓度的 PM2.5(1.66 倍,p 2.5-PAHs)、UFPs、PM2.5-PAHs 和 UFPs-PAHs 中,上述生物效应在一项体外细胞研究中得到了证实,该研究用含有细微和超细 PM 及 PAHs 的柴油废气颗粒物(DEP)处理 BEAS-2B 细胞。在处理过的 BEAS-2B 细胞中还发现了 BPDE-DNA 加合物水平升高、TL 缩短和 mtDNA-CN 降低。TL缩短和mtDNA-CN降低的部分原因是hTERT和SIRT1转录水平的降低,它们分别参与端粒酶活性和线粒体生物生成。这些结果表明,暴露于与交通相关的颗粒污染物会导致呼吸细胞基因组不稳定,从而可能增加呼吸系统疾病和癌症发生的健康风险。
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引用次数: 0
Copper and zinc status in cord blood and breast milk and child's neurodevelopment at 18 months: Results of the Italian PHIME cohort 脐带血和母乳中的铜和锌含量与儿童 18 个月时的神经发育:意大利 PHIME 队列的研究结果。
IF 4.5 2区 医学 Q1 INFECTIOUS DISEASES Pub Date : 2024-11-16 DOI: 10.1016/j.ijheh.2024.114485
Fabiano Barbiero , Valentina Rosolen , Dario Consonni , Marika Mariuz , Maria Parpinel , Luca Ronfani , Liza Vecchi Brumatti , Maura Bin , Luigi Castriotta , Francesca Valent , D'Anna Little , Janja Snoj Tratnik , Darja Mazej , Ingrid Falnoga , Milena Horvat , Fabio Barbone
<div><h3>Background</h3><div>Trace elements, including zinc (Zn) and copper (Cu), although toxic at higher concentrations are known to play important roles in the maintenance of human health and neurodevelopment. Few epidemiological studies have investigated the association between prenatal or early postnatal Cu and Zn levels and child neurodevelopment. The aim of this research is to assess the association between child neurodevelopment at 18 months of age and cord blood and breast milk concentrations of Cu and Zn in Italian mother-child pairs enrolled in the Italian Northern Adriatic Cohort II (NAC-II), a part of the “Public health impact of long-term, low-level, mixed element exposure in susceptible population strata” project PHIME.</div></div><div><h3>Methods</h3><div>The study population consisted of 632 children, and their mothers, born within the NAC-II, who were tested with the Bayley Scales of Infant and Toddler Development third edition (BSID-III) at age 18 months. Cu and Zn concentrations were measured in cord blood and breast milk samples. Only children born at term (≥37 gestational week), who completed the BSID-III test and had at least 1 measure of Cu and Zn concentrations were included in the analysis. Information about socio-demographics and lifestyles were collected through questionnaires at different phases of follow-up. Cu and Zn concentrations were log<sub>2</sub> transformed because of their skewed distribution. Multiple linear regression models were performed to study the association between each BSID-III composite score (cognitive, motor and language) and each metal concentration. Separate models were applied for each biological sample. The β coefficient (β) and its 95% confidence interval (95% CI) were estimated. Stratified analyses by child's sex were also conducted.</div></div><div><h3>Results</h3><div>The mean ± standard deviation (SD) of cognitive, motor and language composite scores were respectively: 106 ± 8, 101 ± 5 and 97 ± 8. The mean ± SD of Cu and Zn concentrations (ng/g) were respectively 699.2 ± 129.0 and 2538 ± 589 in cord blood and 607 ± 498 and 3226 ± 1428 in breast milk. No association between metal concentration and cognitive composite score was found. A higher motor composite score was associated with higher Cu concentrations in cord blood (β = 4.31 95% CI 2.03; 6.59). No associations were found between language composite score and metal concentrations. The effect of Cu cord blood concentration on motor composite score was confirmed when stratified by sex: males (β = 5.49 95% CI 2.15; 8.36) and females (β = 3.11; 95% CI 0.00; 6.22). A direct association, in females only, was found between language composite score and Cu concentration in cord blood (β = 5.60 95% CI 0.63; 10.57) and in breast milk (β = 3.04 95% CI 1.06; 5.03), respectively.</div></div><div><h3>Conclusion</h3><div>The results from this cohort study showed a strong direct association between prenatal Cu levels and child motor neurodevelopment
背景:众所周知,包括锌(Zn)和铜(Cu)在内的微量元素虽然在浓度较高时具有毒性,但在维持人体健康和神经发育方面发挥着重要作用。很少有流行病学研究调查产前或产后早期铜和锌水平与儿童神经发育之间的关系。本研究的目的是评估意大利北亚得里亚海队列 II(NAC-II)中一对母子 18 个月大时的儿童神经发育与脐带血和母乳中铜和锌浓度之间的关系:研究对象包括在 NAC-II 中出生的 632 名儿童及其母亲,他们在 18 个月大时接受了贝利婴幼儿发展量表第三版(BSID-III)的测试。对脐带血和母乳样本中的铜和锌浓度进行了测量。只有足月(≥37 孕周)出生、完成 BSID-III 测试并至少测量过一次铜和锌浓度的儿童才被纳入分析范围。在随访的不同阶段,通过问卷调查收集了有关社会人口统计学和生活方式的信息。由于铜和锌浓度呈偏态分布,因此对其进行了对数转换。多元线性回归模型用于研究 BSID-III 各项综合评分(认知、运动和语言)与各项金属浓度之间的关系。每个生物样本均采用不同的模型。估计了β系数(β)及其95%置信区间(95% CI)。此外,还按儿童性别进行了分层分析:结果:认知、运动和语言综合评分的平均值(± 标准差)分别为(106 ± 8)、(101 ± 5)和(106 ± 8):脐带血中铜和锌浓度(纳克/克)的平均值(±标准差)分别为 699.2 ± 129.0 和 2538 ± 589,母乳中铜和锌浓度(纳克/克)的平均值(±标准差)分别为 607 ± 498 和 3226 ± 1428。未发现金属浓度与认知综合评分之间存在关联。较高的运动综合得分与脐带血中较高的铜浓度有关(β = 4.31 95% CI 2.03; 6.59)。语言综合评分与金属浓度之间没有关联。脐带血中铜浓度对运动综合评分的影响在按性别分层时得到证实:男性(β = 5.49 95% CI 2.15; 8.36)和女性(β = 3.11; 95% CI 0.00; 6.22)。语言综合评分与脐带血中铜浓度(β = 5.60 95% CI 0.63; 10.57)和母乳中铜浓度(β = 3.04 95% CI 1.06; 5.03)之间分别存在直接联系(仅女性):这项队列研究的结果表明,产前铜水平与儿童 18 个月时的运动神经发育有密切的直接联系。然而,为了使研究具有普遍性,今后有关锌和铜对神经发育影响的研究应包括更大范围的早期微量元素浓度。
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引用次数: 0
Persistent organic pollutants among seafood processing workers in West Greenland 西格陵兰海产品加工工人中的持久性有机污染物。
IF 4.5 2区 医学 Q1 INFECTIOUS DISEASES Pub Date : 2024-11-07 DOI: 10.1016/j.ijheh.2024.114484
Maria Wielsøe , Manhai Long , Jakob Hjort Bønløkke , Rossana Bossi , Niels E. Ebbehøj , Kurt Rasmussen , Torben Sigsgaard , Eva Cecilie Bonefeld-Jørgensen
The Greenlandic population is highly exposed to persistent organic pollutants (POPs) through the consumption of traditional marine food, including marine mammals. Central to Greenland's economy and cultural identity, the fishing industry employes about 15% of the working population.
This study investigated POP exposure, including polychlorinated biphenyls (PCBs), organochlorine pesticides (OCPs), and per- and polyfluoroalkyl substances (PFASs), among seafood processing workers at the Greenlandic west coast. We examined determinants for the POPs including age, smoking habits, ethnicity, and working place. Additionally, we explored the association between POPs and the prevalence of asthma, allergy, and lung function.
With samples taken during 2016–2018, the study encompassed 382 workers, primarily of Inuit descent (93%), employed across three large factories located in Nuuk, Sisimiut, and Ilulissat, four smaller factories in settlements (Kangaatsiaq, Ikerasaarsuk, Sarfannguaq, Qeqertarsuaq), and four factory trawlers. Data collected include clinical examinations, questionnaires on ethnicity, occupational exposure status, health indicators, and smoking habits, and serum selenium and POP analyses. We used ANCOVA with adjustment for relevant confounders to assess differences in POPs between groups (e.g. ethnic groups and working place), and multiple linear and logistic regressions were used to assess associations between POPs and lung function, allergy and asthma.
Significant differences in POPs were observed among ethnic groups; Faroese workers had the highest concentrations of lipophilic POPs (lipPOPs; PCBs and OCPs), while Inuit workers exhibited highest PFASs. All subsequent analyses were focused on the Inuit workers (n = 337). The PFASs were significantly higher in workers at small factories, followed by large factories and trawlers, whereas no differences were seen for lipPOPs. The differences between the working places were most likely due to differences in lifestyle and diet, but occupational exposures cannot be excluded.
LipPOP and PFAS concentrations associated positively with selenium, and PFASs positively associated with lung function. However, upon adjustment of selenium, the associations between PFASs and lung function became non-significant and attenuated towards null. No significant associations were found between POPs and the prevalence of asthma or allergy.
Compared to the general population in the same area and period, the seafood processing workers exhibited 2–6 times higher POP levels. The higher exposure level among seafood processing workers, as well as the difference across workplaces, underscore the need for further investigation of environmental and occupational sources of POPs in this population. These findings may contribute to future public health strategies and regulatory measures to reduce POP exposure in Arctic populations.
格陵兰人口通过食用传统海洋食品(包括海洋哺乳动物)而高度暴露于持久性有机污染物(POPs)。渔业是格陵兰经济和文化特征的核心,雇用了约 15% 的劳动人口。本研究调查了格陵兰西海岸海产品加工工人接触持久性有机污染物的情况,包括多氯联苯 (PCB)、有机氯农药 (OCP) 以及全氟和多氟烷基物质 (PFAS)。我们研究了持久性有机污染物的决定因素,包括年龄、吸烟习惯、种族和工作地点。此外,我们还探讨了持久性有机污染物与哮喘、过敏和肺功能患病率之间的关联。这项研究在 2016-2018 年期间采集了 382 名工人的样本,他们主要是因纽特人后裔(占 93%),受雇于努克、西西米尤特和伊卢利萨特的三家大型工厂、定居点(Kangaatsiaq、Ikerasaarsuk、Sarfannguaq、Qeqertarsuaq)的四家小型工厂以及四艘工厂拖网渔船。收集的数据包括临床检查、有关种族、职业接触状况、健康指标和吸烟习惯的调查问卷,以及血清硒和持久性有机污染物分析。我们采用方差分析并对相关混杂因素进行调整,以评估不同组别(如种族组别和工作地点)之间持久性有机污染物的差异,并采用多元线性回归和逻辑回归评估持久性有机污染物与肺功能、过敏症和哮喘之间的关系。在不同种族群体中观察到了持久性有机污染物的显著差异;法罗群岛工人的亲脂性持久性有机污染物(lipPOPs;多氯联苯和 OCPs)浓度最高,而因纽特工人的全氟辛烷磺酸浓度最高。所有后续分析都以因纽特工人(n = 337)为重点。小型工厂工人的 PFAS 含量明显较高,其次是大型工厂和拖网渔船,而脂类持久性有机污染物则没有差异。工作场所之间的差异很可能是由于生活方式和饮食习惯的不同造成的,但也不能排除职业暴露的可能性。脂型持久性有机污染物和全氟辛烷磺酸的浓度与硒呈正相关,全氟辛烷磺酸与肺功能呈正相关。然而,在对硒进行调整后,PFASs 与肺功能之间的关联变得不显著,并逐渐趋于无效。在持久性有机污染物与哮喘或过敏症发病率之间没有发现明显的关联。与同一地区和同一时期的普通人群相比,海产品加工工人的持久性有机污染物水平高出 2-6 倍。海产品加工工人暴露于持久性有机污染物的水平较高,而且不同工作场所之间存在差异,这突出表明有必要对这一人群中持久性有机污染物的环境和职业来源进行进一步调查。这些发现可能有助于制定未来的公共卫生战略和监管措施,以减少北极地区人群的持久性有机污染物暴露。
{"title":"Persistent organic pollutants among seafood processing workers in West Greenland","authors":"Maria Wielsøe ,&nbsp;Manhai Long ,&nbsp;Jakob Hjort Bønløkke ,&nbsp;Rossana Bossi ,&nbsp;Niels E. Ebbehøj ,&nbsp;Kurt Rasmussen ,&nbsp;Torben Sigsgaard ,&nbsp;Eva Cecilie Bonefeld-Jørgensen","doi":"10.1016/j.ijheh.2024.114484","DOIUrl":"10.1016/j.ijheh.2024.114484","url":null,"abstract":"<div><div>The Greenlandic population is highly exposed to persistent organic pollutants (POPs) through the consumption of traditional marine food, including marine mammals. Central to Greenland's economy and cultural identity, the fishing industry employes about 15% of the working population.</div><div>This study investigated POP exposure, including polychlorinated biphenyls (PCBs), organochlorine pesticides (OCPs), and per- and polyfluoroalkyl substances (PFASs), among seafood processing workers at the Greenlandic west coast. We examined determinants for the POPs including age, smoking habits, ethnicity, and working place. Additionally, we explored the association between POPs and the prevalence of asthma, allergy, and lung function.</div><div>With samples taken during 2016–2018, the study encompassed 382 workers, primarily of Inuit descent (93%), employed across three large factories located in Nuuk, Sisimiut, and Ilulissat, four smaller factories in settlements (Kangaatsiaq, Ikerasaarsuk, Sarfannguaq, Qeqertarsuaq), and four factory trawlers. Data collected include clinical examinations, questionnaires on ethnicity, occupational exposure status, health indicators, and smoking habits, and serum selenium and POP analyses. We used ANCOVA with adjustment for relevant confounders to assess differences in POPs between groups (e.g. ethnic groups and working place), and multiple linear and logistic regressions were used to assess associations between POPs and lung function, allergy and asthma.</div><div>Significant differences in POPs were observed among ethnic groups; Faroese workers had the highest concentrations of lipophilic POPs (lipPOPs; PCBs and OCPs), while Inuit workers exhibited highest PFASs. All subsequent analyses were focused on the Inuit workers (n = 337). The PFASs were significantly higher in workers at small factories, followed by large factories and trawlers, whereas no differences were seen for lipPOPs. The differences between the working places were most likely due to differences in lifestyle and diet, but occupational exposures cannot be excluded.</div><div>LipPOP and PFAS concentrations associated positively with selenium, and PFASs positively associated with lung function. However, upon adjustment of selenium, the associations between PFASs and lung function became non-significant and attenuated towards null. No significant associations were found between POPs and the prevalence of asthma or allergy.</div><div>Compared to the general population in the same area and period, the seafood processing workers exhibited 2–6 times higher POP levels. The higher exposure level among seafood processing workers, as well as the difference across workplaces, underscore the need for further investigation of environmental and occupational sources of POPs in this population. These findings may contribute to future public health strategies and regulatory measures to reduce POP exposure in Arctic populations.</div></div>","PeriodicalId":13994,"journal":{"name":"International journal of hygiene and environmental health","volume":"263 ","pages":"Article 114484"},"PeriodicalIF":4.5,"publicationDate":"2024-11-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142607665","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Gestational phthalate exposure and behavioral problems in preschool-aged children with increased likelihood of autism spectrum disorder 学龄前儿童妊娠期接触邻苯二甲酸盐和行为问题,增加了自闭症谱系障碍的可能性。
IF 4.5 2区 医学 Q1 INFECTIOUS DISEASES Pub Date : 2024-11-05 DOI: 10.1016/j.ijheh.2024.114483
Jeong Weon Choi , Deborah H. Bennett , Antonia M. Calafat , Daniel J. Tancredi , Meghan Miller , Rebecca J. Schmidt , Hyeong-Moo Shin

Background

Experimental studies have shown associations between gestational phthalate exposure and behavioral problems among offspring; however, epidemiological evidence is still mixed. This study aims to investigate whether gestational phthalate exposure is associated with behavioral problems in preschool-aged children.

Methods

Participants include 178 mother-child pairs from MARBLES (Markers of Autism Risk in Babies – Learning Early Signs), a cohort with high familial likelihood of autism spectrum disorder (ASD). We quantified 14 phthalate metabolites in multiple maternal urine samples collected during the 2nd and 3rd trimesters. Preschool behavior problems were assessed using the Child Behavioral Checklist (CBCL), a standardized instrument for evaluating behavior problems of children aged 1.5–5 years. To examine associations of CBCL scores with both individual phthalate biomarker concentrations and their mixture, we used negative binomial regression and weighted quantile sum regression.

Results

Overall, maternal phthalate biomarker concentrations were not associated with child behavior problems. Monoisobutyl phthalate (MiBP) concentrations were inversely associated with child anxious/depressed symptoms and somatic complaints. Mono-hydroxy-isobutyl phthalate (MHiBP) and monobenzyl phthalate (MBzP) were also inversely associated with somatic complaints. When assessing trimester-specific associations, more behavior problems were associated with the 2nd trimester biomarker concentrations: mono(3-carboxypropyl) phthalate (MCPP) and monocarboxyisononyl phthalate (MCNP) were positively associated with somatic complaints. All associations became non-significant after false discovery rate correction. No association between a mixture of phthalates and CBCL scores was found.

Conclusions

Our study observed no clear evidence of gestational phthalate exposure on child behavior problems. However, our findings based on the biomonitoring assessment of multiple samples per participant could improve our understanding of gestational phthalate exposure in association with behavior problems in preschool-aged children.
背景:实验研究表明,妊娠期接触邻苯二甲酸盐与后代的行为问题有关;然而,流行病学证据仍然参差不齐。本研究旨在调查妊娠期邻苯二甲酸盐暴露是否与学龄前儿童的行为问题有关:参与者包括来自 MARBLES(婴儿自闭症风险标记--学习早期迹象)的 178 对母子,这是一个自闭症谱系障碍(ASD)家族可能性较高的队列。我们对孕期第二和第三季度采集的多个母体尿液样本中的 14 种邻苯二甲酸酯代谢物进行了定量分析。学龄前行为问题使用儿童行为检查表(CBCL)进行评估,这是一种评估 1.5-5 岁儿童行为问题的标准化工具。为了研究 CBCL 分数与单个邻苯二甲酸酯生物标记物浓度及其混合物之间的关系,我们采用了负二项回归和加权量子和回归方法:总体而言,母体邻苯二甲酸盐生物标志物浓度与儿童行为问题无关。邻苯二甲酸单异丁酯(MiBP)浓度与儿童焦虑/抑郁症状和躯体不适呈反比关系。邻苯二甲酸单羟异丁酯(MHiBP)和邻苯二甲酸单苄酯(MBzP)也与躯体不适呈反比关系。在评估三个妊娠期的相关性时,更多的行为问题与第二个妊娠期的生物标记物浓度有关:邻苯二甲酸单(3-羧丙基)酯(MCPP)和邻苯二甲酸单羧异壬酯(MCNP)与躯体不适呈正相关。经过误发现率校正后,所有相关性都变得不显著。没有发现邻苯二甲酸盐混合物与 CBCL 评分之间存在关联:我们的研究没有发现妊娠期接触邻苯二甲酸盐会对儿童行为问题产生影响的明确证据。然而,我们基于对每位受试者多个样本进行生物监测评估得出的结果,可以提高我们对妊娠期邻苯二甲酸盐暴露与学龄前儿童行为问题相关性的认识。
{"title":"Gestational phthalate exposure and behavioral problems in preschool-aged children with increased likelihood of autism spectrum disorder","authors":"Jeong Weon Choi ,&nbsp;Deborah H. Bennett ,&nbsp;Antonia M. Calafat ,&nbsp;Daniel J. Tancredi ,&nbsp;Meghan Miller ,&nbsp;Rebecca J. Schmidt ,&nbsp;Hyeong-Moo Shin","doi":"10.1016/j.ijheh.2024.114483","DOIUrl":"10.1016/j.ijheh.2024.114483","url":null,"abstract":"<div><h3>Background</h3><div>Experimental studies have shown associations between gestational phthalate exposure and behavioral problems among offspring; however, epidemiological evidence is still mixed. This study aims to investigate whether gestational phthalate exposure is associated with behavioral problems in preschool-aged children.</div></div><div><h3>Methods</h3><div>Participants include 178 mother-child pairs from MARBLES (Markers of Autism Risk in Babies – Learning Early Signs), a cohort with high familial likelihood of autism spectrum disorder (ASD). We quantified 14 phthalate metabolites in multiple maternal urine samples collected during the 2nd and 3rd trimesters. Preschool behavior problems were assessed using the Child Behavioral Checklist (CBCL), a standardized instrument for evaluating behavior problems of children aged 1.5–5 years. To examine associations of CBCL scores with both individual phthalate biomarker concentrations and their mixture, we used negative binomial regression and weighted quantile sum regression.</div></div><div><h3>Results</h3><div>Overall, maternal phthalate biomarker concentrations were not associated with child behavior problems. Monoisobutyl phthalate (MiBP) concentrations were inversely associated with child anxious/depressed symptoms and somatic complaints. Mono-hydroxy-isobutyl phthalate (MHiBP) and monobenzyl phthalate (MBzP) were also inversely associated with somatic complaints. When assessing trimester-specific associations, more behavior problems were associated with the 2nd trimester biomarker concentrations: mono(3-carboxypropyl) phthalate (MCPP) and monocarboxyisononyl phthalate (MCNP) were positively associated with somatic complaints. All associations became non-significant after false discovery rate correction. No association between a mixture of phthalates and CBCL scores was found.</div></div><div><h3>Conclusions</h3><div>Our study observed no clear evidence of gestational phthalate exposure on child behavior problems. However, our findings based on the biomonitoring assessment of multiple samples per participant could improve our understanding of gestational phthalate exposure in association with behavior problems in preschool-aged children.</div></div>","PeriodicalId":13994,"journal":{"name":"International journal of hygiene and environmental health","volume":"263 ","pages":"Article 114483"},"PeriodicalIF":4.5,"publicationDate":"2024-11-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142585423","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Time-trends of blood lead levels from 2020 to 2023 in pregnant and breastfeeding women from Adjara, Georgia—A birth registry-based study 2020 年至 2023 年格鲁吉亚阿贾拉孕妇和哺乳期妇女血铅水平的时间趋势--基于出生登记的研究
IF 4.5 2区 医学 Q1 INFECTIOUS DISEASES Pub Date : 2024-10-30 DOI: 10.1016/j.ijheh.2024.114482
Charlotta Rylander , Nona Ephadze , Tinatin Manjavidze , Erik Eik Anda , Nino Dzotsenidze , Rusudan Shavishvili

Background

In response to substantial lead exposure, the autonomous republic of Adjara in Georgia initiated complementary blood lead level (BLL) testing for pregnant women as part of their antenatal care services in 2020.

Objectives

To study the background BLLs in pregnant and breastfeeding women in Adjara and explore the time-trends of BLLs from September 2020 to July 2023.

Methods

We used data on BLLs during pregnancy or postpartum from the lead screening program in Adjara, combined with data from the Georgian Birth Registry, totaling 9,510 women. To study the temporal changes in BLLs, we used independent samples t-tests and chi-square tests.

Results

In 2020, the mean (standard deviation [SD]) BLL was 8.8 (5.4) μg/dL, declining annually by 1.0–2.2 μg/dL to reach 3.6 (2.5) μg/dL in 2023. The prevalence of pregnant women with BLLs ≥3.5, ≥5.0, and ≥10.0 μg/dL also decreased from 2020 to 2023. Specifically, 21.2% of women in their first trimester had BLLs ≥10 μg/dL in 2020, compared with 2.3% in 2023. Similarly, 73.5% had BLLs ≥5.0 μg/dL in 2020, which declined to 20.4% in 2023. Lastly, 89.1% had BLLs ≥3.5 μg/dL in 2020, decreasing to 38.6% in 2023.

Discussion

In 2023, nearly 40% of women in their first trimester had BLLs of ≥3.5 μg/dL, a level considered the reference value in the United States (US) and corresponding to the 97.5th percentile among US children. From 2020 to 2023, the mean BLL in pregnant women decreased by 59%, accompanied by a considerable decline in the prevalence of women with BLLs ≥3.5, ≥5.0, and ≥10.0 μg/dL. Despite the encouraging downward trend in BLLs throughout the study period, our data indicate that a considerable number of fetuses continue to be exposed to harmful levels of lead and that lead exposure remains a significant public health challenge in Adjara.
背景为了应对大量的铅暴露,格鲁吉亚的阿扎尔自治共和国于 2020 年开始对孕妇进行补充性血铅水平(BLL)检测,作为产前保健服务的一部分。方法我们使用了来自阿扎尔铅筛查计划的孕期或产后 BLL 数据,以及格鲁吉亚出生登记处的数据,共计 9510 名妇女。结果 2020 年,BLL 平均值(标准差 [SD])为 8.8 (5.4) μg/dL,每年下降 1.0-2.2 μg/dL,到 2023 年达到 3.6 (2.5) μg/dL。从 2020 年到 2023 年,BLL 值≥3.5、≥5.0 和≥10.0 μg/dL 的孕妇患病率也有所下降。具体来说,2020 年有 21.2% 的怀孕头三个月的妇女 BLL ≥10 μg/dL,而 2023 年仅为 2.3%。同样,2020 年 BLL≥5.0 μg/dL 的女性占 73.5%,2023 年降至 20.4%。最后,2020 年有 89.1% 的孕妇 BLL≥3.5 μg/dL,2023 年降至 38.6%。讨论 2023 年,近 40% 的怀孕前三个月的孕妇 BLL≥3.5 μg/dL,这一水平被认为是美国的参考值,相当于美国儿童的 97.5 百分位数。从 2020 年到 2023 年,孕妇 BLL 平均值下降了 59%,同时 BLL ≥3.5、≥5.0 和≥10.0 μg/dL 的妇女患病率也大幅下降。尽管在整个研究期间 BLL 呈下降趋势,令人鼓舞,但我们的数据表明,相当多的胎儿仍然暴露在有害的铅含量中,铅暴露仍然是阿扎尔地区公共卫生面临的一个重大挑战。
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引用次数: 0
Comparison of urinary 3-hydroxybenzo(a)Pyrene (3-OHBaP) and trans-anti-7,8,9,10-tetrahydroxy-7,8,9,10-tetrahydrobenzo(a)Pyrene (TetraolBaP) as biomarkers of exposure to carcinogenic BaP 比较尿液中的 3-羟基苯并芘 (3-OHBaP) 和反式-7,8,9,10-四羟基-7,8,9,10-四氢苯并(a)芘 (TetraolBaP) 作为暴露于致癌物质 BaP 的生物标志物。
IF 4.5 2区 医学 Q1 INFECTIOUS DISEASES Pub Date : 2024-10-23 DOI: 10.1016/j.ijheh.2024.114476
Marie Marquès, Renaud Persoons

Introduction

Biomonitoring of exposure to carcinogenic Benzo(a)Pyrene is generally based on measurement of urinary 3-hydroxybenzo(a)pyrene (3-OHBaP), but its analysis is complex and only reflects the BaP detoxification pathway. TetraolBaP, another BaP metabolite resulting from the metabolic activation pathway, is now available but has not yet been studied in occupational settings or compared with 3-OHBaP.

Methods

Biomonitoring was carried out on 118 subjects working in the aluminium smelting industry. 3 urine samples were collected from each subject at the beginning and end of the working week. Pyrene metabolite (1-hydroxypyrene) and the two BaP biomarkers (3-OHBaP and TetraolBaP) were analysed using LC-Fluorescence and GC-NCI-MS-MS.

Results

The workers studied were found to be highly exposed, with 1-OHP and 3-OHBaP frequently exceeding maximum recommended values in occupational settings. Maximum concentrations were measured at end of shift+16h for all biomarkers, highlighting dermal exposure and/or temporary storage. Correlations were strong between 1-OHP and 3-OHBaP (r = 0.68–0.75) as well as between 3-OHBaP and TetraolBaP (r = 0.67–0.78), and moderate between 1-OHP and TetraolBaP (r = 0.59–0.76). While TetraolBaP levels were higher at low PAH exposures, TetraolBaP increased much more slowly at high exposures, indicating progressive saturation of the bioactivation pathway. The [3-OHBaP]/[TetraolBaP] ratio was found to be significantly lower in chronically exposed workers. Urinary TetraolBaP levels corresponding to 1-OHP (2.5 μg/L or 1 μmol/mol creatinine) or 3-OHBaP (0.4 nmol/mol creatinine) guidance values were found to range between 0.84 and 0.95 nmol/mol creatinine.

Conclusions

TetraolBaP, resulting from carcinogenic BaP's metabolic activation pathway, was shown to be a diagnostically specific and sensitive biomarker for determining subjects' toxic internal exposure to PAHs in different contexts (occupational settings, environment) and assessing health risks.
简介:对暴露于致癌物质苯并(a)芘的生物监测通常基于尿液中 3-羟基苯并(a)芘(3-OHBaP)的测量,但其分析较为复杂,只能反映苯并(a)芘的解毒途径。四醇芘是新陈代谢活化途径产生的另一种芘代谢物,目前已经问世,但尚未在职业环境中进行研究,也未与 3-OHBaP 进行比较:对 118 名在铝冶炼行业工作的受试者进行了生物监测。每个受试者在工作周开始和结束时收集 3 份尿液样本。使用 LC-Fluorescence 和 GC-NCI-MS-MS 分析芘代谢物(1-羟基芘)和两种 BaP 生物标记物(3-OHBaP 和 TetraolBaP):研究发现,工人的暴露程度很高,1-OHP 和 3-OHBaP 经常超过职业环境中的最高建议值。所有生物标志物的最高浓度都是在下班+16 小时时测得的,这说明皮肤接触和/或临时储存的情况比较突出。1-OHP 和 3-OHBaP 之间的相关性很强(r = 0.68-0.75),3-OHBaP 和 TetraolBaP 之间的相关性也很强(r = 0.67-0.78),1-OHP 和 TetraolBaP 之间的相关性一般(r = 0.59-0.76)。多环芳烃暴露量较低时,TetraolBaP 的含量较高,而暴露量较高时,TetraolBaP 的增加速度要慢得多,这表明生物活化途径逐渐饱和。研究发现,长期接触多环芳烃的工人的[3-OHBaP]/[TetraolBaP]比率明显较低。尿液中的 TetraolBaP 水平相当于 1-OHP (2.5 μg/L 或 1 μmol/mol 肌酐)或 3-OHBaP (0.4 nmol/mol 肌酐)的指导值,范围在 0.84 至 0.95 nmol/mol 肌酐之间:由致癌物质 BaP 代谢活化途径产生的四羟基苯并[BaP]被证明是一种具有诊断特异性和灵敏度的生物标志物,可用于确定受试者在不同环境(职业环境、环境)中暴露于多环芳烃的毒性,并评估健康风险。
{"title":"Comparison of urinary 3-hydroxybenzo(a)Pyrene (3-OHBaP) and trans-anti-7,8,9,10-tetrahydroxy-7,8,9,10-tetrahydrobenzo(a)Pyrene (TetraolBaP) as biomarkers of exposure to carcinogenic BaP","authors":"Marie Marquès,&nbsp;Renaud Persoons","doi":"10.1016/j.ijheh.2024.114476","DOIUrl":"10.1016/j.ijheh.2024.114476","url":null,"abstract":"<div><h3>Introduction</h3><div>Biomonitoring of exposure to carcinogenic Benzo(a)Pyrene is generally based on measurement of urinary 3-hydroxybenzo(a)pyrene (3-OHBaP), but its analysis is complex and only reflects the BaP detoxification pathway. TetraolBaP, another BaP metabolite resulting from the metabolic activation pathway, is now available but has not yet been studied in occupational settings or compared with 3-OHBaP.</div></div><div><h3>Methods</h3><div>Biomonitoring was carried out on 118 subjects working in the aluminium smelting industry. 3 urine samples were collected from each subject at the beginning and end of the working week. Pyrene metabolite (1-hydroxypyrene) and the two BaP biomarkers (3-OHBaP and TetraolBaP) were analysed using LC-Fluorescence and GC-NCI-MS-MS.</div></div><div><h3>Results</h3><div>The workers studied were found to be highly exposed, with 1-OHP and 3-OHBaP frequently exceeding maximum recommended values in occupational settings. Maximum concentrations were measured at end of shift+16h for all biomarkers, highlighting dermal exposure and/or temporary storage. Correlations were strong between 1-OHP and 3-OHBaP (r = 0.68–0.75) as well as between 3-OHBaP and TetraolBaP (r = 0.67–0.78), and moderate between 1-OHP and TetraolBaP (r = 0.59–0.76). While TetraolBaP levels were higher at low PAH exposures, TetraolBaP increased much more slowly at high exposures, indicating progressive saturation of the bioactivation pathway. The [3-OHBaP]/[TetraolBaP] ratio was found to be significantly lower in chronically exposed workers. Urinary TetraolBaP levels corresponding to 1-OHP (2.5 μg/L or 1 μmol/mol creatinine) or 3-OHBaP (0.4 nmol/mol creatinine) guidance values were found to range between 0.84 and 0.95 nmol/mol creatinine.</div></div><div><h3>Conclusions</h3><div>TetraolBaP, resulting from carcinogenic BaP's metabolic activation pathway, was shown to be a diagnostically specific and sensitive biomarker for determining subjects' toxic internal exposure to PAHs in different contexts (occupational settings, environment) and assessing health risks.</div></div>","PeriodicalId":13994,"journal":{"name":"International journal of hygiene and environmental health","volume":"263 ","pages":"Article 114476"},"PeriodicalIF":4.5,"publicationDate":"2024-10-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142515357","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Prenatal exposure to chlorpyrifos of French children from the Elfe cohort 埃尔夫队列中的法国儿童产前接触毒死蜱的情况
IF 4.5 2区 医学 Q1 INFECTIOUS DISEASES Pub Date : 2024-10-18 DOI: 10.1016/j.ijheh.2024.114480
Elisa Thépaut , Cleo Tebby , Michèle Bisson , Céline Brochot , Aude Ratier , Cécile Zaros , Stéphane Personne , Karen Chardon , Florence Zeman

Background

The organophosphate pesticide chlorpyrifos was widely used in the European Union before its ban in 2020 and was associated with neurodevelopmental disorders. However, within the concept of Developmental Origins of Health and Disease, in utero exposure to chlorpyrifos can lead to neurodevelopmental effects in developing children.

Objective

The aim of this study was to estimate fetal exposure to chlorpyrifos using biomonitoring data measured in Elfe pregnant women and a physiologically based pharmacokinetic (PBPK) approach and compare exposure to toxicological reference values.

Methods

A pregnancy-PBPK model was developed based on an existing adult chlorpyrifos model and a new toxicological reference value was proposed for neurodevelopmental effects. The pregnant women exposure was estimated based on dialkylphosphate (DAP) levels in urine assuming constant exposure to chlorpyrifos and compared to both the existing toxicological reference value and the new proposed draft toxicological reference value. Fetal internal concentrations in target tissues were then predicted using the developed pregnancy-PBPK model. Urinary concentrations of the chlorpyrifos-specific metabolite (TCPy) were also predicted for comparison with other biomonitoring data.

Results

The median daily exposure to chlorpyrifos for the French pregnant women from the Elfe cohort was estimated at 6.3x10−4 μg/kg body weight/day. The predicted urinary excretion of TCPy, the chlorpyrifos-specific metabolite, is in the same range as observed in other European cohorts (mean: 2.13 μg/L). Predicted brain chlorpyrifos levels were similar in pregnant women and their fetus and were 10-fold higher than the predicted blood chlorpyrifos levels. It was estimated that 6% and 20% of the pregnant women population had been exposed to levels exceeding the general population and draft toxicological reference values, respectively.

Conclusions

Prenatal exposure to chlorpyrifos was estimated for the French population based on data from the Elfe cohort. Internal chlorpyrifos concentrations in target tissues (brain and blood) were predicted for fetuses at the end of the pregnancy. Under a conservative assumption, a small percentage of the population was identified as being exposed to levels exceeding the toxicological reference values.
背景有机磷农药毒死蜱在2020年被禁用之前曾在欧盟广泛使用,并与神经发育障碍有关。本研究的目的是利用在Elfe孕妇中测量的生物监测数据和基于生理学的药代动力学(PBPK)方法估算胎儿对毒死蜱的暴露量,并将暴露量与毒理学参考值进行比较。方法基于现有的毒死蜱成人模型开发了妊娠-PBPK 模型,并针对神经发育影响提出了新的毒理学参考值。假设孕妇持续接触毒死蜱,根据尿液中的二烷基磷酸酯(DAP)水平估算孕妇的接触量,并与现有毒理学参考值和新提出的毒理学参考值草案进行比较。然后,利用所开发的妊娠-生化过程模型预测胎儿体内靶组织中的浓度。此外,还对毒死蜱特异性代谢物(TCPy)的尿液浓度进行了预测,以便与其他生物监测数据进行比较。毒死蜱特异性代谢物 TCPy 的预测尿排泄量与在其他欧洲队列中观察到的排泄量范围相同(平均值:2.13 μg/L)。孕妇及其胎儿脑中毒死蜱的预测水平相似,是血液中毒死蜱预测水平的 10 倍。据估计,分别有 6% 和 20% 的孕妇暴露于超过一般人群参考值和毒理学参考值草案的水平。预测了妊娠末期胎儿目标组织(大脑和血液)中毒死蜱的体内浓度。根据一项保守的假设,一小部分人口被确定接触了超过毒理学参考值的毒死蜱。
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引用次数: 0
Depressive symptoms modify the association between noise and adiposity biomarkers: Evidence from a population study of Czech adults 抑郁症状会改变噪音与脂肪生物标志物之间的关联:来自捷克成年人人群研究的证据
IF 4.5 2区 医学 Q1 INFECTIOUS DISEASES Pub Date : 2024-10-16 DOI: 10.1016/j.ijheh.2024.114481
Anna Bartoskova Polcrova , Andrea Dalecka , Katarzyna Kordas , Daniel Szabo , Juan Pablo Gonzalez Rivas , Martin Bobak , Hynek Pikhart

Objective

Environmental noise exposure is associated with adiposity. However, less is known about the individual vulnerability to environmental noise in abnormal adiposity development, particularly in relation to mental health. This study investigated the association between environmental noise exposure and four adiposity biomarkers and tested the moderation effect of depressive symptoms.

Methods

A cross-sectional population-based sample of 2031 participants aged 25–64 years (54.70% women) was drawn from the Kardiovize study in 2013. Global combined (road, railway, and airport) Lden (day-evening-night) noise exposures were obtained from the geographical prediction modelling for the 2nd report of Strategic noise mapping in the Czech Republic (2012). Four adiposity biomarkers (BMI, body fat percentage, waist circumference, and visceral fat area) were assessed. Depressive symptoms were measured by PHQ-9. Linear regression was used to estimate the separate effects of quartiles of noise exposure and depressive symptoms on adiposity biomarkers and to examine the interaction between noise exposure and depressive symptoms.

Results

The average noise exposure was 53.79 dB, ranging from 42.50 dB to 66.97 dB. All biomarkers were significantly elevated in the highest noise exposure quartile (>56 dB), compared to the lowest quartile (<51 dB) (p < 0.05). The association between noise and adiposity biomarkers was modified by presence of depressive symptoms; the increase in all adiposity biomarkers in the highest quartile of noise was significantly larger among subjects with moderate to severe depressive symptoms (p < 0.005).

Conclusion

The study confirmed the association between environmental noise exposure and several adiposity measures. The association was stronger in the presence of depressive symptoms.
目标环境噪声暴露与肥胖有关。然而,人们对个人易受环境噪声影响而导致异常肥胖的情况知之甚少,尤其是与心理健康有关的情况。本研究调查了环境噪声暴露与四种脂肪生物标志物之间的关系,并测试了抑郁症状的调节作用。方法从 2013 年的 Kardiovize 研究中抽取了 2031 名年龄在 25-64 岁之间的横断面人群样本(54.70% 为女性)。全球综合(公路、铁路和机场)Lden(白天-傍晚-夜间)噪声暴露量是从捷克共和国战略噪声绘图第二次报告(2012 年)的地理预测模型中获得的。对四种脂肪生物标志物(体重指数、体脂百分比、腰围和内脏脂肪面积)进行了评估。抑郁症状通过 PHQ-9 测量。采用线性回归法估算噪声暴露和抑郁症状的四分位数对脂肪生物标志物的不同影响,并研究噪声暴露和抑郁症状之间的交互作用。与最低四分位数(51 分贝)相比,噪音暴露最高四分位数(56 分贝)的所有生物标志物都明显升高(P 0.05)。噪声与脂肪生物标志物之间的关系因抑郁症状的存在而改变;在有中度至重度抑郁症状的受试者中,噪声最高四分位数的所有脂肪生物标志物的增加幅度都明显更大(p <0.005)。该研究证实了环境噪声暴露与几种脂肪测量指标之间的关系。
{"title":"Depressive symptoms modify the association between noise and adiposity biomarkers: Evidence from a population study of Czech adults","authors":"Anna Bartoskova Polcrova ,&nbsp;Andrea Dalecka ,&nbsp;Katarzyna Kordas ,&nbsp;Daniel Szabo ,&nbsp;Juan Pablo Gonzalez Rivas ,&nbsp;Martin Bobak ,&nbsp;Hynek Pikhart","doi":"10.1016/j.ijheh.2024.114481","DOIUrl":"10.1016/j.ijheh.2024.114481","url":null,"abstract":"<div><h3>Objective</h3><div>Environmental noise exposure is associated with adiposity. However, less is known about the individual vulnerability to environmental noise in abnormal adiposity development, particularly in relation to mental health. This study investigated the association between environmental noise exposure and four adiposity biomarkers and tested the moderation effect of depressive symptoms.</div></div><div><h3>Methods</h3><div>A cross-sectional population-based sample of 2031 participants aged 25–64 years (54.70% women) was drawn from the Kardiovize study in 2013. Global combined (road, railway, and airport) L<sub>den</sub> (day-evening-night) noise exposures were obtained from the geographical prediction modelling for the 2nd report of Strategic noise mapping in the Czech Republic (2012). Four adiposity biomarkers (BMI, body fat percentage, waist circumference, and visceral fat area) were assessed. Depressive symptoms were measured by PHQ-9. Linear regression was used to estimate the separate effects of quartiles of noise exposure and depressive symptoms on adiposity biomarkers and to examine the interaction between noise exposure and depressive symptoms.</div></div><div><h3>Results</h3><div>The average noise exposure was 53.79 dB, ranging from 42.50 dB to 66.97 dB. All biomarkers were significantly elevated in the highest noise exposure quartile (&gt;56 dB), compared to the lowest quartile (&lt;51 dB) (p &lt; 0.05). The association between noise and adiposity biomarkers was modified by presence of depressive symptoms; the increase in all adiposity biomarkers in the highest quartile of noise was significantly larger among subjects with moderate to severe depressive symptoms (p &lt; 0.005).</div></div><div><h3>Conclusion</h3><div>The study confirmed the association between environmental noise exposure and several adiposity measures. The association was stronger in the presence of depressive symptoms.</div></div>","PeriodicalId":13994,"journal":{"name":"International journal of hygiene and environmental health","volume":"263 ","pages":"Article 114481"},"PeriodicalIF":4.5,"publicationDate":"2024-10-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142441713","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Current exposure to environmental pollutants in the general adult population of Kinshasa, Democratic Republic of Congo (DRC): A cross-sectional study 刚果民主共和国 (DRC) 金沙萨一般成人目前暴露于环境污染物的情况:横断面研究
IF 4.5 2区 医学 Q1 INFECTIOUS DISEASES Pub Date : 2024-10-13 DOI: 10.1016/j.ijheh.2024.114479
Trésor Bayebila Menanzambi , Catherine Pirard , Cédric Ilunga wa Kabuaya , Lievin's-Corneille Mputu Malolo , Manix Mayangi Makola , Fridolin Kodondi Kule-Koto , Jean Nsangu Mpasi , Roland Marini Djang'eing'a , Jérémie Mbinze Kindenge , Corinne Charlier , Patrice Dufour

Background

Environmental pollution is a serious public health problem because of its adverse effects on both human health and biodiversity. In Western countries, many human biomonitoring (HBM) studies are conducted to assess population exposure to pollutants. In contrast, the number of HBM studies in Africa is very low.

Objective

To measure contamination by arsenic, lead, 4,4′-dichlorodiphenyldichloroethylene (4,4′-DDE) and polychlorobiphenyls (PCBs) in the adult population of Kinshasa and to identify the susceptible population.

Methods

In the present work, we measured the contamination by arsenic in urine and lead in blood and by 4,4′-DDE and polychlorobiphenyls (PCBs) in serum in samples collected from 151 volunteers recruited in Kinshasa, the capital of the Democratic Republic of Congo (DRC).

Results

The PCBs 180, -153 and −138 were detected in most samples with median concentrations of 0.04, 0.05 and 0.04 ng/ml, respectively. The median concentration of 4,4′-DDE was 0.83 ng/ml and 12.7% of our population showed contamination above the threshold of 3.675 ng/ml, which is associated with a significantly higher risk of cancer. Arsenic concentrations were also high (median: 48.1 μg/L in urine). Finally, exposure to lead is problematic: the median blood concentration was 54.9 μg/L, which is above the thresholds proposed by the WHO and the US CDC (50 μg/L and 35 μg/L respectively) to initiate clinical intervention, and 12.6% of the population had a lead level above 100 μg/L, which is associated with several health outcomes.

Conclusions

Our results highlight the need for further HBM studies in Africa and should encourage the authorities of the DRC to implement laws and regulations to reduce pollution and population exposure.
背景环境污染是一个严重的公共健康问题,因为它对人类健康和生物多样性都有不利影响。西方国家开展了许多人类生物监测(HBM)研究,以评估人口暴露于污染物的情况。目标测量金沙萨成年人群中砷、铅、4,4′-二氯二苯基二氯乙烯(4,4′-DDE)和多氯联苯(PCBs)的污染情况,并确定易感人群。方法 我们在刚果民主共和国(DRC)首都金沙萨收集了 151 名志愿者的样本,对尿液中的砷、血液中的铅、血清中的 4,4′-DDE 和多氯联苯(PCBs)进行了检测。4,4′-二苯醚的中位浓度为 0.83 纳克/毫升,12.7% 的人口的污染超过了 3.675 纳克/毫升的临界值,这与癌症风险显著增加有关。砷浓度也很高(中位数:尿液中 48.1 微克/升)。最后,铅暴露也是一个问题:血液浓度中位数为 54.9 微克/升,高于世界卫生组织和美国疾病预防控制中心提出的启动临床干预的阈值(分别为 50 微克/升和 35 微克/升),12.6% 的人口铅含量超过 100 微克/升,这与多种健康后果有关。
{"title":"Current exposure to environmental pollutants in the general adult population of Kinshasa, Democratic Republic of Congo (DRC): A cross-sectional study","authors":"Trésor Bayebila Menanzambi ,&nbsp;Catherine Pirard ,&nbsp;Cédric Ilunga wa Kabuaya ,&nbsp;Lievin's-Corneille Mputu Malolo ,&nbsp;Manix Mayangi Makola ,&nbsp;Fridolin Kodondi Kule-Koto ,&nbsp;Jean Nsangu Mpasi ,&nbsp;Roland Marini Djang'eing'a ,&nbsp;Jérémie Mbinze Kindenge ,&nbsp;Corinne Charlier ,&nbsp;Patrice Dufour","doi":"10.1016/j.ijheh.2024.114479","DOIUrl":"10.1016/j.ijheh.2024.114479","url":null,"abstract":"<div><h3>Background</h3><div>Environmental pollution is a serious public health problem because of its adverse effects on both human health and biodiversity. In Western countries, many human biomonitoring (HBM) studies are conducted to assess population exposure to pollutants. In contrast, the number of HBM studies in Africa is very low.</div></div><div><h3>Objective</h3><div>To measure contamination by arsenic, lead, 4,4′-dichlorodiphenyldichloroethylene (4,4′-DDE) and polychlorobiphenyls (PCBs) in the adult population of Kinshasa and to identify the susceptible population.</div></div><div><h3>Methods</h3><div>In the present work, we measured the contamination by arsenic in urine and lead in blood and by 4,4′-DDE and polychlorobiphenyls (PCBs) in serum in samples collected from 151 volunteers recruited in Kinshasa, the capital of the Democratic Republic of Congo (DRC).</div></div><div><h3>Results</h3><div>The PCBs 180, -153 and −138 were detected in most samples with median concentrations of 0.04, 0.05 and 0.04 ng/ml, respectively. The median concentration of 4,4′-DDE was 0.83 ng/ml and 12.7% of our population showed contamination above the threshold of 3.675 ng/ml, which is associated with a significantly higher risk of cancer. Arsenic concentrations were also high (median: 48.1 μg/L in urine). Finally, exposure to lead is problematic: the median blood concentration was 54.9 μg/L, which is above the thresholds proposed by the WHO and the US CDC (50 μg/L and 35 μg/L respectively) to initiate clinical intervention, and 12.6% of the population had a lead level above 100 μg/L, which is associated with several health outcomes.</div></div><div><h3>Conclusions</h3><div>Our results highlight the need for further HBM studies in Africa and should encourage the authorities of the DRC to implement laws and regulations to reduce pollution and population exposure.</div></div>","PeriodicalId":13994,"journal":{"name":"International journal of hygiene and environmental health","volume":"263 ","pages":"Article 114479"},"PeriodicalIF":4.5,"publicationDate":"2024-10-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142434128","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
期刊
International journal of hygiene and environmental health
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