甲状腺暴露与骨关节炎之间的关联:美国全国基于人口的横截面研究
Zhuoshuai Liang1, Xiaoyue Sun1, Jia Lan1
1Department of Epidemiology and Biostatistics, School of Public Health of Jilin University, Changchun, 130021, China.
BMC public health
|August 23, 2023
概括
通过尿中的3-基酸 (3-PBA) 测量的甲状腺杀虫剂暴露与美国成年人患骨关节炎 (OA) 的几率增加有关. 建议定期监测甲状腺暴露的情况.
科学领域:
- 环境健康 环境健康
- 毒理学 毒理学 毒理学
- 流行病学 流行病学
背景情况:
- 由于其有效性和对哺乳动物的低毒性,甲是广泛使用的杀虫剂.
- 之前的研究表明,甲状腺暴露与不良健康结果之间存在联系.
- 慢性甲状腺暴露与骨关节炎 (OA) 之间的关联尚未得到充分理解.
研究的目的:
- 在美国成年人群中调查甲状腺暴露和骨关节炎之间的关联.
- 通过使用国家健康和营养检查调查 (NHANES) 的数据来评估这种关系.
主要方法:
- 使用了来自NHANES (1999-2002年和2007-2014年) 的横截面数据.
- 通过尿中的3-基酸 (3-PBA) 水平评估了甲状腺暴露.
- 根据医生自我报告的诊断和采用多变量逻辑回归来确定OA.
主要成果:
- 总共有6528名参与者被分析,其中650人被诊断为OA.
- 在调整为混因子后,尿液中3-PBA度的更高四分位数与OA的几率增加有关 (OR,1.39;95% CI:1.01,1.92).
- 在尿路3-PBA和OA之间没有观察到显著的非线性关系.
结论:
- 尿液中3-PBA水平升高,表明甲状腺暴露,与美国成年人患骨关节炎的几率更高有关.
- 需要定期监测一般人群中甲状腺暴露的情况.
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