Shalat Stuart L, Donnelly Kirby C, Freeman Natalie C G, Calvin James A, Ramesh Sowmya, Jimenez Marta, Black Kathleen, Coutinho Catriona, Needham Larry L, Barr Dana B, Ramirez Juan
Environmental and Occupational Health Sciences Institute, Robert Wood Johnson Medical School, Piscataway, New Jersey, USA.
J Expo Anal Environ Epidemiol. 2003 Jan;13(1):42-50. doi: 10.1038/sj.jea.7500249.
An environmental measurement and correlation study of nondietary ingestion of pesticides was carried out in a colonia in south Texas. The purpose of the study was to evaluate young children's exposure to environmental levels of organophosphate (OP) pesticides in the household. Samples were collected to measure levels of OP pesticides in housedust and on children's hands. These, in turn, were compared to levels of OP pesticide metabolites in urine. A total of 52 children, 25 boys and 27 girls, participated in the spring and summer of 2000. The children were 7-53 months of age at the time of recruitment. Univariate and multivariate regression analyses were carried out using SAS statistical software. Seventy-six percent of housedust samples and 50% of hand rinse samples contained OP pesticides. All urine samples had at least one metabolite and over 95% had at least two metabolites above the limit of detection (LOD). Total OP loadings in the housedust ranged from nondetectable (nd) to 78.03 nmol/100 cm(2) (mean=0.15 nmol/100 cm(2); median=0.07 nmol/100 cm(2)); total OP loadings on the children's hands ranged from nd to 13.40 nmol/100 cm(2) (mean=1.21 nmol/100 cm(2); median=1.41 nmol/100 cm(2)), and creatinine corrected urinary levels (nmol/mol creatinine) of total OP metabolites ranged from 3.2 to 257 nmol/mol creatinine (mean=42.6; median 27.4 nmol/mol creatinine). Urinary metabolites were inversely associated with the age of the child (in months) with the parameter estimate (pe)=-2.11, P=0.0070, and 95% confidence interval -3.60 to -0.61. The multivariate analysis observed a weak association between concentrations of OP pesticides in housedust, loadings in housedust, and concentration on hands, hand surface area, and urinary levels of OP metabolites. However, hand loadings of OP pesticides were more strongly associated (r(2)=0.28; P=0.0156) with urinary levels of OP metabolites (pe=6.39; 95% CI 0.98-11.80). This study's preliminary findings suggest that surface loadings of pesticides, on hands, are more highly correlated with urinary bioassays and, therefore, may be more useful for estimation of exposure in epidemiologic studies than levels of pesticides in housedust.
在得克萨斯州南部的一个移民聚居地开展了一项关于非饮食性摄入农药的环境测量及相关性研究。该研究的目的是评估幼儿在家中接触环境水平有机磷酸酯(OP)农药的情况。采集样本以测量室内灰尘和儿童手上的OP农药水平。进而将这些水平与尿液中OP农药代谢物的水平进行比较。2000年春夏共有52名儿童参与研究,其中25名男孩、27名女孩。招募时这些儿童年龄在7至53个月之间。使用SAS统计软件进行单变量和多变量回归分析。76%的室内灰尘样本和50%的洗手样本含有OP农药。所有尿液样本都至少含有一种代谢物,超过95%的样本至少含有两种高于检测限(LOD)的代谢物。室内灰尘中总OP含量范围为未检出(nd)至78.03 nmol/100 cm²(均值 = 0.15 nmol/100 cm²;中位数 = 0.07 nmol/100 cm²);儿童手上的总OP含量范围为nd至13.40 nmol/100 cm²(均值 = 1.21 nmol/100 cm²;中位数 = 1.41 nmol/100 cm²),总OP代谢物的肌酐校正尿液水平(nmol/mol肌酐)范围为3.2至257 nmol/mol肌酐(均值 = 42.6;中位数27.4 nmol/mol肌酐)。尿液代谢物与儿童年龄(月龄)呈负相关,参数估计值(pe)= -2.11,P = 0.0070,95%置信区间为 -3.60至 -0.61。多变量分析观察到室内灰尘中OP农药浓度、室内灰尘含量、手上浓度、手部表面积与尿液中OP代谢物水平之间存在弱关联。然而,手上OP农药含量与尿液中OP代谢物水平的相关性更强(r² = 0.28;P = 0.0156)(pe = 6.39;95% CI 0.98 - 11.80)。该研究的初步结果表明,手上农药的表面含量与尿液生物测定的相关性更高,因此,在流行病学研究中,相较于室内灰尘中的农药水平,手上农药含量可能对暴露评估更有用。