评估五种典型的环境内分泌干扰物和甲状腺癌风险:一个元分析
Yuyao Yang1, Xiaoyue Bai1, Juan Lu1
1Department of Occupational Health and Environmental Health, School of Public Health, Anhui Medical University, Hefei, Anhui, China.
暴露于多化二乙烯 (PBDE),甲酸盐 (PAE) 和重金属与增加甲状腺癌风险有关. 然而,多双 (PCB) 显示出负相关性,而双A (BPA) 没有显著的联系.
科学领域:
- 环境健康 环境健康
- 毒理学 毒理学 毒理学
- 在瘤学瘤学.
背景情况:
- 关于环境内分泌干扰剂 (EED) 和甲状腺癌之间的关联,存在相互矛盾的报道.
- 了解这种关系对于公共卫生和环境政策至关重要.
研究的目的:
- 进行元分析以阐明EED和甲状腺癌之间的关系.
- 巩固现有流行病学研究的发现.
主要方法:
- 在PubMed和Web of Science系统搜索流行病学研究,直到2022年12月.
- 包括15项病例控制研究,计算EED度的标准化平均差异 (SMD).
- 评估异质性,出版偏见和研究质量,使用既有统计方法和纽卡斯尔-太华质量评分 (NOS).
主要成果:
- 聚化二乙烯 (PBDE),甲酸盐 (PAE) 和重金属与甲状腺癌风险有积极的关联 (SMD = 0.14,0.30和0.21,分别).
- 多双 (PCB) 呈现出负相关性 (SMD = -0.03).
- 在双A (BPA) 和甲状腺癌之间没有发现具有统计意义的关系.
结论:
- 暴露于特定的EED,包括PBDE,PAE和重金属,似乎会增加甲状腺癌的风险.
- 需要进一步的大规模流行病学和机理学研究来证实这些发现并阐明生物途径.
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