草甘暴露与多种不良结果和潜在调解者的关联
Wenxiang Li1, Daizai Lei2, Guangyi Huang2
1Nanjing Medical University, Nanjing, China.
Chemosphere
|October 20, 2023
概括
对除草剂草甘 (GLY) 的暴露与2型糖尿病 (T2DM) 的风险增加有关. 这种关联在一定程度上是由成年人中降低的高密度脂蛋白胆固醇 (HDL) 水平介导的.
科学领域:
- 环境健康 环境健康
- 流行病学 流行病学
- 毒理学 毒理学 毒理学
背景情况:
- 草甘 (GLY) 是一种普遍存在的除草剂,具有潜在的公共卫生影响.
- 目前关于GLY对健康的影响的流行病学证据有限.
- 人们对GLY与慢性疾病的关联存在担忧.
研究的目的:
- 调查草甘暴露与多种健康结果之间的关联.
- 检查尿液GLY度与2型糖尿病 (T2DM),高血压,心血管疾病 (CVD),肥胖和其他疾病之间的联系.
- 在显著的关联中识别潜在的调解者和剂量反应关系.
主要方法:
- 利用了NHANES (2013-2016) 的数据,包括尿液GLY水平和9个健康结果.
- 采用反向尺度的考克斯回归和物流回归来估计关联.
- 进行中介分析和受限立方脊柱 (RCS) 回归,以探索机制和剂量反应关系.
主要成果:
- 尿液GLY度较高与T2DM,高血压,心血管疾病和肥胖症的可能性增加有关.
- 草甘暴露与增加T2DM风险显著相关 (aHR=1.22,aOR=1.30).
- 血清高密度脂蛋白胆固醇 (HDL) 被确定为调解剂 (7.14%的影响),GLY暴露与增加T2DM风险和降低HDL水平有关.
结论:
- 草甘暴露与一般成年人群中2型糖尿病的风险增加有关.
- 血清HDL水平可能会调解草甘暴露和T2DM之间的关系.
- 需要进一步的研究来阐明与草甘暴露相关的健康影响的全部范围.
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