评估由环境毒素引起的卵巢功能障碍:系统性审查
Lu An1, Yali Huang1, Yunkai Wang1
1Faculty of Chinese Medicine, Macau University of Science and Technology, Macao, Macao SAR, China.
Frontiers in public health
|August 14, 2025
概括
环境污染物如PFAS,酸盐和PM2.5对女性,特别是年轻女性的卵巢功能和储备产生负面影响. 需要进一步的研究来验证这些关于生殖毒性的发现.
科学领域:
- 生殖毒理学 生殖毒理学
- 环境健康 环境健康
- 妇女健康 妇女健康
背景情况:
- 环境污染物对女性生殖健康构成潜在风险.
- 卵巢储备标志物如AMH和AFC以及激素水平 (FSH,E2) 可能会受到影响.
- 了解这些影响对于公共卫生政策至关重要.
研究的目的:
- 系统地评估化学,空气和重金属污染物对卵巢功能的影响.
- 为了阐明环境污染物的生殖毒性.
- 提供保护生育年龄妇女生殖健康的证据.
主要方法:
- 按照PRISMA-P指南进行系统审查.
- 搜索了PubMed,EMBASE,科克兰图书馆和科学网的数据库.
- 使用NOS和GRADE方法评估研究质量.
主要成果:
- 40个队列研究 (33个不同的研究) 分析了20种污染物类型.
- PFAS,酸盐,三素,PCB,PM2.5和SOx会对卵巢功能产生负面影响,特别是在35岁以下的女性中.
- 暴露于PM2.5,PM10,和会降低卵巢储量,并显示出生殖毒性,但由于研究的局限性,需要进行验证.
结论:
- 特定污染物 (PCB,PFAS,PM) 显著危及生育年龄妇女的生殖健康.
- 高度污染的环境加剧了这些风险.
- 常规的卵巢健康监测是建议在风险女性.
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