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Published on: March 17, 2023
[Exposure to nitrates in drinking water and its association with thyroid gland dysfunction]
Rodrigo Donoso M1, Sandra Cortés A1
1Departamento de Salud Pública, Facultad de Medicina, Pontificia Universidad Católica de Chile, Santiago, Chile.
Nitrate exposure from drinking water may cause thyroid dysfunction, including hypothyroidism and potential cancer. This review highlights the need to regulate nitrates as a critical contaminant for public health protection.
Area of Science:
- Environmental Health
- Endocrinology
- Toxicology
Background:
- Nitrate exposure is a potential risk factor for thyroid gland dysfunction.
- Understanding this association is crucial for public health.
- Drinking water is a primary source of nitrate exposure.
Purpose of the Study:
- To systematically review scientific literature on the link between nitrates in drinking water and thyroid dysfunction.
- To assess the evidence for nitrate's role in thyroid pathologies.
Main Methods:
- Comprehensive literature search across major databases (Medline, Cochrane, Lilacs, IBECS, Scielo).
- Inclusion of 12 relevant studies after rigorous filtering and review of 66 initial findings.
Main Results:
- Evidence in animals and humans suggests nitrates can cause pathological changes in the thyroid gland.
- Association found with subclinical hypothyroidism and potential thyroid cancer.
- Nitrate is not currently a regulated contaminant in Chile, lacking routine monitoring.
Conclusions:
- Nitrate should be considered a critical contaminant due to its health implications.
- Implementing policies for nitrate measurement and control would benefit public health.
- Quantifying health impacts, especially in vulnerable populations, is essential.
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