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既往职业性铅暴露:当前血铅与骨铅之间的关联

Past occupational exposure to lead: association between current blood lead and bone lead.

作者信息

Morrow Lisa, Needleman Herbert L, McFarland Christine, Metheny Kim, Tobin Michael

机构信息

Department of Psychiatry, University of Pittsburgh, PA 15213, USA.

出版信息

Arch Environ Occup Health. 2007 Winter;62(4):183-6. doi: 10.3200/AEOH.62.4.183-186.

Abstract

Mobilization of lead from bone is known to increase with age. The authors performed the current study to determine whether there was an association between current blood lead and bone lead in workers with no current exposure but with significant past workplace exposure. The authors assessed 58 men, aged 40 to 76 years, who had earlier exposure to lead and determined both current blood lead levels and bone lead levels. At the time of the current assessment, the average blood lead level was 10.9 microg/dL and tibia bone lead concentrations ranged from -12.5 to 223.3. The authors divided workers into 3 groups by age (40-49, 50-59, and 60-76). Correlations between blood lead and bone lead were highest in the 2 oldest age groups (.49 and .75, respectively). Hierarchical regression analysis was significant for an interaction between bone lead and age in predicting blood lead (the combination of age and bone lead significantly predicted an increase in current blood lead levels). The results support the hypothesis that lead stored in bone is a significant source of blood lead later in life. Older workers with past occupational exposure may face a particular risk for recirculation of lead in blood with advancing age.

摘要

已知骨骼中铅的动员量会随着年龄增长而增加。作者开展了本研究,以确定在目前无铅暴露但过去有显著工作场所铅暴露的工人中,当前血铅水平与骨铅水平之间是否存在关联。作者评估了58名年龄在40至76岁之间、曾有过铅暴露的男性,测定了他们当前的血铅水平和骨铅水平。在当前评估时,平均血铅水平为10.9微克/分升,胫骨骨铅浓度范围为-12.5至223.3。作者按年龄将工人分为3组(40 - 49岁、50 - 59岁和60 - 76岁)。在两个年龄最大的组中,血铅与骨铅之间的相关性最高(分别为0.49和0.75)。在预测血铅方面,骨铅与年龄之间的交互作用的分层回归分析具有显著性(年龄和骨铅的组合显著预测了当前血铅水平的升高)。结果支持以下假设:骨骼中储存的铅是晚年血铅的一个重要来源。过去有职业铅暴露的老年工人可能面临随着年龄增长血铅再循环的特殊风险。

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