暴露于多种空气污染物和骨折风险:一项基于人口的大型前性研究
Wenhao Qi1,2, Zhendong Mei1,2, Zhonghan Sun1,2
1State Key Laboratory of Genetic Engineering, School of Life Sciences and Human Phenome Institute, Fudan University, Shanghai, China.
概括
空气污染通过降低维生素D水平,增加骨折风险,特别是颗粒物和氧化. 这种关联在女性和那些选择更健康的生活方式的人群中较弱.
科学领域:
- 环境健康 环境健康
- 骨的新陈代谢 骨的新陈代谢
- 流行病学 流行病学
背景情况:
- 众所周知,空气污染会阻碍紫外线B辐射,减少维生素D的合成.
- 吸入的污染物可以破坏维生素D的新陈代谢,可能影响骨健康.
研究的目的:
- 调查空气污染与骨折风险之间的关联.
- 为了确定低血清25-基维生素D (25[OH]D) 是否调解这种关联.
主要方法:
- 利用了446,395名参与者的英国生物库数据 (2006-2010年).
- 评估PM2.5,PM2.5-10,PM10,NO2,NOx的年平均值,以及一个复合空气污染评分.
- 采用多变量Cox比例危险和调解分析.
主要成果:
- 较高的空气污染评分与骨折风险增加相关 (HR 1.15 [1.09, 1.22]).
- 5.49%的关联是由血清25介导的.
- 特定污染物如NO2 (16%) 和PM2.5 (20%) 显示出显著的关联.
结论:
- 高水平的空气污染与较高的骨折风险有关,部分原因是维生素D水平降低.
- 生活方式因素,如性,酒精消耗和水果摄入量,改变了这种风险.
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