Kabat Geoffrey C, O'Leary Erin S, Schoenfeld Elinor Randi, Greene Judith M, Grimson Roger, Henderson Kevin, Kaune William T, Gammon Marilie D, Britton Julie A, Teitelbaum Susan L, Neugut Alfred I, Leske M Cristina
Department of Preventive Medicine, School of Medicine, Stony Brook University, Stony Brook, NY, USA.
Epidemiology. 2003 Sep;14(5):514-20. doi: 10.1097/01.ede.0000082047.13618.6b.
Exposure to electromagnetic fields (EMF) has been hypothesized to increase the risk of breast cancer by inhibiting the normal nocturnal rise in melatonin levels.
Information on electric blanket use was collected in a large, 2-stage, population-based, case-control investigation of breast cancer, The Long Island Breast Cancer Study Project (LIBCSP) and the EMF and Breast Cancer on Long Island Study (EBCLIS). The LIBCSP used a comprehensive questionnaire, including questions about electric appliance use, with responses available on 1354 cases diagnosed between mid-1996 and mid-1997 and 1426 control subjects. EBCLIS enrolled 576 cases and 585 control subjects who had participated in the LIBCSP and who had lived in their current homes for at least 15 years. EBCLIS participants were interviewed to obtain additional information on EMF exposures, including detailed questions on electric blanket use.
Analyses of both the EBCLIS and the LIBCSP groups showed no association with breast cancer for ever-use of electric blankets, current or former use, use directly on the body, or use throughout the night in either pre- or postmenopausal women (range of adjusted odds ratios for ever vs. never use: 0.9-1.2). Furthermore, there was no trend in risk with increased duration of use, frequency of use, or other indicators of more intense exposure to EMF. Electric blanket use was not associated with hormone receptor status of the tumor.
The results of this large investigation are consistent with those of most previous studies, and do not support the hypothesis that electric blanket use is associated with increased breast cancer risk.
据推测,暴露于电磁场(EMF)会抑制褪黑素水平的正常夜间升高,从而增加患乳腺癌的风险。
在一项大型的、分两阶段的、基于人群的乳腺癌病例对照研究——长岛乳腺癌研究项目(LIBCSP)以及长岛电磁场与乳腺癌研究(EBCLIS)中,收集了关于使用电热毯的信息。LIBCSP使用了一份综合问卷,包括有关电器使用的问题,对1996年年中至1997年年中确诊的1354例病例和1426名对照对象进行了调查。EBCLIS纳入了576例病例和585名对照对象,这些对象参与了LIBCSP且在其当前住所居住至少15年。对EBCLIS的参与者进行了访谈,以获取有关电磁场暴露的更多信息,包括关于电热毯使用的详细问题。
对EBCLIS组和LIBCSP组的分析均显示,无论是曾经使用、当前使用或以前使用电热毯,直接用于身体上,还是绝经前或绝经后女性整夜使用,均与乳腺癌无关联(曾经使用与从未使用的调整比值比范围:0.9 - 1.2)。此外,随着使用时间延长、使用频率增加或其他更强烈电磁场暴露指标的增加,风险没有趋势变化。电热毯使用与肿瘤的激素受体状态无关。
这项大型调查的结果与大多数先前研究的结果一致,不支持使用电热毯与增加乳腺癌风险相关的假设。