化物暴露和骨光症:系统性审查和剂量反应元分析
Federica Veneri1,2, Inga Iamandii3, Marco Vinceti4,5
1Department of Surgery, Medicine, Dentistry and Morphological Sciences with Transplant Surgery, Oncology and Regenerative Medicine Relevance (CHIMOMO), Unit of Dentistry & Oral-Maxillo-Facial Surgery - University of Modena and Reggio Emilia, 41124, Modena, Italy.
Current environmental health reports
|October 20, 2023
概括
这项研究揭示了化物暴露与骨化 (SF) 之间的重要联系. 饮用水和尿液中较高的化物含量增加了SF的流行率,强调需要监测水质.
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:
- 骨化症 (SF) 是一个全球性的健康问题,影响着数百万人.
- 目前关于化物暴露和SF剂量-反应关系的数据有限且过时.
- 对于公共卫生干预来说,全面了解化物对骨健康的影响至关重要.
研究的目的:
- 对化物暴露与骨光症之间的关联进行系统审查和元分析.
- 应用新的统计方法用于化物和SF的剂量反应建模.
- 更新和澄清不同水平的化物和SF风险之间的关系.
主要方法:
- 对23项相关研究进行了系统审查和元分析.
- 使用一阶段立方脊柱回归模型进行剂量反应分析.
- 评估偏差风险 (RoB) 以评估研究质量及其对结果的影响.
主要成果:
- 在比较最高到最低的化物暴露类别时,观察到SF患病率的总结风险比率 (RR) 为2.05.
- 饮用水中的化物比尿中的化物 (RR 1.40) 有更强的关联 (RR 2.73).
- 化物暴露和SF之间的积极,近线性关系被确定为水高达5毫克/升,尿化物高达2.5毫克/升.
结论:
- 饮用水和尿液中化物含量升高与骨化风险的增加显著相关.
- 剂量反应关系表明水和尿液化物度的临界值.
- 建议进一步开展高质量的研究,重点关注公共卫生战略,以管理水的化物水平并预防SF.
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