产前暴露于空气污染和母亲和胎儿甲状腺功能:对流行病学证据的系统审查
Catherine O'Donnell1, Erin J Campbell2, Sabrina McCormick3
1Department of Environmental and Occupational Health, The George Washington University, Washington, District of Columbia, USA. catherineod@gwu.edu.
Environmental health : a global access science source
|September 28, 2024
概括
产前暴露于空气污染,特别是细颗粒物 (PM2.5),可能会影响母亲和胎儿的甲状腺功能. 然而,目前的证据有限且质量不佳,需要改进研究方法.
科学领域:
- 环境健康 环境健康
- 生殖健康 生殖健康
- 内分泌学 在内分泌学.
背景情况:
- 环境空气污染是一个重要的全球健康风险.
- 孕妇和胎儿非常容易受到空气污染的不利影响.
- 孕产妇的甲状腺功能对胎儿发育至关重要,尤其是大脑发育.
研究的目的:
- 系统地审查有关产前空气污染暴露及其对母亲和胎儿甲状腺功能的影响的最新文献.
- 评估现有证据的质量和强度.
主要方法:
- 按照导航指南框架对同行评审文章进行系统审查.
- 包括的研究检查了产前空气污染暴露和甲状腺功能结果.
- 评估偏差风险和综合证据质量.
主要成果:
- 来自9个国家的19项研究 (1999-2020年) 被审查.
- 细颗粒物 (PM2.5) 与胎儿/新生儿和母亲甲状腺激素的变化有显著的关联.
- 与交通相关的污染物,如二氧化 (NO2) 影响胎儿甲状腺功能,但不影响母亲.
- 证据质量受到限制,原因是暴露评估中的偏见和混变量.
结论:
- 目前关于产前空气污染对甲状腺功能影响的证据有限,质量低.
- 未来的研究需要加强暴露和结果评估方法.
- 建议包括个人监测,先进的数据集成和全面的甲状腺激素测量.
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