Lu Chung-Yen, Ma Yee-Chung, Lin Jia-Min, Li Chung-Yi, Lin Reuy S, Sung Fung-Chang
College of Public Health, Institute of Environmental Health, National Taiwan University, Taipei.
Inhal Toxicol. 2007 Jan;19(1):57-65. doi: 10.1080/08958370600985859.
This study investigated whether sick building syndrome (SBS) complaints and indoor air pollution for office workers are associated with oxidative stress indicated by urinary 8-hydroxydeoxyguanosine (8-OHdG). With informed consent, 389 employees in 87 government offices of 8 high-rise buildings in Taipei city completed self-reported questionnaires on SBS complaints at work in the past month. Urinary 8-OHdG was determined for each study participant and on-site air pollutants were measured for each office in both indoor and outdoor air. The results showed that urinary 8-OHdG had significant associations with volatile organic compounds and carbon dioxide levels in offices, and with urinary cotinine levels. The mean urinary 8-OHdG level was also significantly higher in participants with SBS symptoms than in those without such complaints (6.16 vs. 5.45 mug/g creatinine, p = .047). The mean 8-OHdG increased as the number of SBS symptoms increased. The multivariate logistic regression analyses showed that the adjusted odds ratios (OR) in relation to micrograms per gram creatinine increase in 8-OHdG were statistically significant for eye dryness (1.12), upper respiratory syndrome (1.17) with particularly nose itching (1.25), sneezing (1.51), dry throat (1.21), skin dryness (1.31), and dizziness (1.19). This study indicates that the 8-OHdG level was significantly associated with SBS complaints after controlling for air pollution and smoking. Whether the 8-OHdG can be used as an effective predictor for SBS symptoms deserves further study.
本研究调查了办公室工作人员的病态建筑综合征(SBS)投诉及室内空气污染是否与尿8-羟基脱氧鸟苷(8-OHdG)所指示的氧化应激相关。在获得知情同意后,台北市8栋高层建筑中87个政府办公室的389名员工完成了关于过去一个月工作中SBS投诉的自我报告问卷。测定了每位研究参与者的尿8-OHdG,并测量了每个办公室室内和室外空气中的现场空气污染物。结果表明,尿8-OHdG与办公室中的挥发性有机化合物、二氧化碳水平以及尿可替宁水平存在显著关联。有SBS症状的参与者的尿8-OHdG平均水平也显著高于无此类投诉者(6.16对5.45微克/克肌酐,p = 0.047)。8-OHdG的平均水平随着SBS症状数量的增加而升高。多因素逻辑回归分析显示,相对于每克肌酐中8-OHdG增加微克数的调整优势比(OR)在眼干(1.12)、上呼吸道综合征(1.17)尤其是鼻痒(1.25)、打喷嚏(1.51)、咽干(1.21)、皮肤干燥(1.31)和头晕(1.19)方面具有统计学意义。本研究表明,在控制空气污染和吸烟后,8-OHdG水平与SBS投诉显著相关。8-OHdG是否可作为SBS症状的有效预测指标值得进一步研究。