Feychting Maria, Forssén Ulla
Institute of Environmental Medicine, Karolinska Institutet, Box 210, s-171 77, Stockholm, Sweden.
Cancer Causes Control. 2006 May;17(4):553-8. doi: 10.1007/s10552-005-9008-3.
The possibility that long term exposure to relatively weak power frequency electromagnetic fields (EMF) could increase the risk of breast cancer has been investigated during the past decade. The hypothesis is based on the assumption that magnetic field exposures suppress melatonin production and that melatonin is protective against breast cancer. Most epidemiological studies have indicated little or no overall effect of EMF exposure, but some early studies suggested effects among premenopausal women, particularly for estrogen receptor positive breast tumors. The early studies were often limited by small numbers, crude exposure information and lack of information on confounding factors. In more recent occupational studies, again no overall risk increases were reported, but some studies found increased risks in certain subgroups, although with no consistent pattern across studies. A recent very large occupational study with improved exposure assessment and enough statistical power also for subgroup analyses found no indications of increased risks in any subgroups. Most of the recent well-designed residential studies report no increased risks, and similar findings are reported in the majority of studies of bed heating devices. Overall, the weight of the evidence available today does not suggest an increased risk of breast cancer related to EMF exposure.
在过去十年中,人们对长期暴露于相对较弱的工频电磁场(EMF)是否会增加患乳腺癌风险进行了研究。该假设基于以下假定:磁场暴露会抑制褪黑素的分泌,而褪黑素对乳腺癌具有预防作用。大多数流行病学研究表明,EMF暴露总体上几乎没有影响或根本没有影响,但一些早期研究表明,绝经前女性会受到影响,尤其是对于雌激素受体阳性的乳腺肿瘤。早期研究往往存在样本量小、暴露信息粗略以及缺乏混杂因素信息等局限性。在最近的职业研究中,同样没有报告总体风险增加的情况,但一些研究发现某些亚组的风险增加,尽管各研究之间没有一致的模式。最近一项规模非常大的职业研究改进了暴露评估方法,并且具备足够的统计效力进行亚组分析,结果发现没有任何亚组存在风险增加的迹象。最近大多数设计良好的居住环境研究均报告风险没有增加,大多数关于床上取暖设备的研究也得出了类似的结果。总体而言,目前现有证据并不表明EMF暴露会增加患乳腺癌的风险。