燃料使用与性激素水平之间的关系:一个横截面研究和孟德尔随机化研究
Xueyan Wu1, Dandan Wei1, Xiaotian Liu1
1Department of Epidemiology and Biostatistics, College of Public Health, Zhengzhou University, Zhengzhou, Henan, PR China.
The Science of the total environment
|February 5, 2024
概括
固体燃料的使用,特别是长时间的时间或通风不良,与女性的性激素水平降低有关. 然而,基因分析并未证实因果关系.
科学领域:
- 环境健康 环境健康
- 内分泌学 在内分泌学.
- 流行病学 流行病学
背景情况:
- 固体燃料燃烧造成的家庭空气污染 (HAP) 是一个全球性的健康问题.
- 将HAP与慢性疾病联系在一起的机制尚未完全理解.
- 孕激素和雄激素等性激素与心血管疾病和糖尿病有关.
研究的目的:
- 研究固体燃料使用对血清性激素水平的影响.
- 探索厨房通风和时间如何改变这种关系.
- 用遗传方法评估潜在的因果关系.
主要方法:
- 对5386个人的横截面研究.
- 分析关联的通用线性模型,按性别和更年期状态分层.
- 两个样本的孟德尔随机化用于因果推理.
主要成果:
- 在绝经前的妇女中,固体燃料的使用与17-基孕,和二水平的降低有关.
- 较长的时间和缺乏通风加剧了这些影响.
- 增加的颗粒物 (PM) 和二氧化 (NO2) 加剧了对激素水平的不良影响.
- 门德尔的随机化没有支持因果关系.
结论:
- 固体和气体燃料的使用与性激素水平有负面关联.
- 结合使用固体燃料,长时间和通风不良等因素,会放大对激素水平的影响.
- 遗传证据不支持固体燃料使用对改变性激素水平的因果关系.
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