Gladen Beth C, Shkiryak-Nyzhnyk Zoreslava A, Chyslovska Nataliya, Zadorozhnaja Tamara D, Little Ruth E
National Institute of Environmental Health Sciences, Research Triangle Park, NC 27709, USA.
Ann Epidemiol. 2003 Mar;13(3):151-7. doi: 10.1016/s1047-2797(02)00268-5.
To determine whether weight at birth is related to prenatal exposure to persistent organochlorine compounds.
Birth weight was obtained for 197 singleton infants drawn from the general population born in two cities in Ukraine in 1993 to 1994. Concentrations of seven organochlorine pesticides (p,p'-DDT, p,p'-DDE, beta-hexachlorocyclohexane, hexachlorobenzene, trans-nonachlor, oxychlordane, heptachlor epoxide) and 11 polychlorinated biphenyl congeners measured in maternal milk taken at four or five days after birth were used as an index of prenatal exposure.
The greatest differences were seen for beta-hexachlorocyclohexane, with a pattern not suggestive of dose-response; infants in the lowest tertile were small, those in the central tertile were large, and those in the upper tertile were average. Adjustment for gestational age and other potential confounders had little effect on these patterns. Infants in the two upper tertiles for p,p'-DDE were larger than those in the lower tertile, with the effect being more striking after adjustment for gestational age. Adjustment for potential confounders made the pattern disappear. Other chemicals showed no convincing evidence of effects.
Prenatal exposure to the chemicals studied, at concentrations currently seen in this population, does not impact weight at birth.
确定出生体重是否与产前接触持久性有机氯化合物有关。
获取了1993年至1994年在乌克兰两个城市出生的197名单胎婴儿的出生体重。以出生后四五天采集的母乳中七种有机氯农药(p,p'-滴滴涕、p,p'-滴滴伊、β-六氯环己烷、六氯苯、反式九氯、氧化氯丹、七氯环氧物)和11种多氯联苯同系物的浓度作为产前接触的指标。
β-六氯环己烷的差异最为显著,其模式不显示剂量反应关系;处于最低三分位数的婴儿体重小,处于中间三分位数的婴儿体重大,处于最高三分位数的婴儿体重中等。对孕周和其他潜在混杂因素进行调整后,这些模式几乎没有变化。p,p'-滴滴伊处于两个较高三分位数的婴儿比处于较低三分位数的婴儿体重更大,在对孕周进行调整后,这种影响更为明显。对潜在混杂因素进行调整后,这种模式消失。其他化学物质没有显示出令人信服的影响证据。
在该人群目前所观察到的浓度下,产前接触所研究的化学物质对出生体重没有影响。