Li Peizhi, McLaughlin John, Infante-Rivard Claire
Department of Epidemiology, Biostatistics and Occupational Health, Faculty of Medicine, McGill University, 1110 Pine Avenue West, Montreal, QC H3A 1A3, Canada.
Cancer Causes Control. 2009 Aug;20(6):945-55. doi: 10.1007/s10552-009-9311-5. Epub 2009 Feb 18.
To examine the contribution of maternal occupational exposure to extremely low frequency magnetic fields (ELF-MF) shortly before and during pregnancy on the incidence of childhood brain tumors.
A total of 548 incident cases and 760 healthy controls recruited between 1980 and 2002 from two Canadian provinces (Québec and Ontario) were included in this study, and their mothers were interviewed. Quantitative occupational ELF-MF exposure in microTesla units was estimated using individual exposure estimations or a job exposure matrix. We used three metrics to analyze exposure: cumulative, average, and maximum level attained.
Using the average exposure metric measured before conception, an increased risk was observed for astroglial tumors (OR = 1.5, 95% CI = 1.0-2.4). During the entire pregnancy period, a significantly increased risk was observed for astroglial tumors as well as for all childhood brain tumors with the average metric (OR = 1.6, 95% CI = 1.1-2.5 and OR = 1.5, 95% CI = 1.1-2.2, respectively). Based on job titles, a twofold risk increase was observed for astroglial tumors (OR = 2.3, 95% CI = 0.8-6.3) and for all childhood brain tumors (OR = 2.3, 95% CI = 1.0-5.4) among sewing machine operators.
Results are suggestive of a possible association between maternal occupational ELF-MF exposure and certain brain tumors in their offspring.
研究孕期及孕前母亲职业性暴露于极低频磁场(ELF-MF)对儿童脑肿瘤发病率的影响。
本研究纳入了1980年至2002年间从加拿大两个省份(魁北克省和安大略省)招募的548例新发病例和760例健康对照,并对他们的母亲进行了访谈。使用个体暴露估计或工作暴露矩阵,以微特斯拉单位对职业性ELF-MF暴露进行定量估计。我们使用三个指标分析暴露情况:累积暴露、平均暴露和达到的最高水平。
使用受孕前测量的平均暴露指标,观察到星形胶质细胞瘤风险增加(OR = 1.5,95% CI = 1.0 - 2.4)。在整个孕期,使用平均暴露指标时,观察到星形胶质细胞瘤以及所有儿童脑肿瘤的风险显著增加(OR分别为1.6,95% CI = 1.1 - 2.5和OR = 1.5,95% CI = 1.1 - 2.2)。根据工作岗位,缝纫机操作员中星形胶质细胞瘤(OR = 2.3,95% CI = 0.8 - 6.3)和所有儿童脑肿瘤(OR = 2.3,95% CI = 1.0 - 5.4)的风险增加了两倍。
结果提示母亲职业性ELF-MF暴露与其后代某些脑肿瘤之间可能存在关联。