Zmyślony Marek
Instytut Medycyny Pracy im. prof. J. Nofera, Lódź, Zakład Zagrozeń Fizycznych, Pracownia Zagrozeń Elektromagnetycznych.
Med Pr. 2008;59(5):421-8.
The literature review concerning the mechanisms of biological effects in general and health effects in particular (excluding neoplasms), the effects occurring in the environment of weak electromagnetic fields (EMF) with power frequency of 50/60 Hz is presented. Based on this review, it can be stated that we are still far from understanding of the biophysic background of potential effects of EMF on human subjects. The well known mechanisms of interaction play an important role for power frequency electromagnetic fields with values considerably exceeding those occurring in the municipal environment and even those observed in the work environment. On the other hand, there is no sufficient experimental evidence that hypothetic interaction mechanisms of much weaker EMFs can be regarded as those with proven biological significance. Even if their occurrence is proven, an open question still remains whether biological effects resulting from the activity of power frequency electromagnetic fields generate adverse health effects. Epidemiological studies, carried out to date, mainly focus on carcinogenic effect of EMF, and pay less attention to possible risk of neurodegenerative diseases or cardiovascular and reproduction disorders. So far none of the above mentioned health effects has been adequately evidenced. It is most likely that some inadequacy in research methodology, and first of all diagnostic errors, uncertainties in exposure assessments or etiology of a given disease (the influence of other environmental factors on the studied health effects) are the major reasons for the present state of affairs. Therefore, further intensive studies are needed to eliminate the existing drawbacks.
本文综述了关于一般生物效应机制,特别是健康效应(不包括肿瘤)的文献,这些效应发生在工频为50/60Hz的弱电磁场(EMF)环境中。基于此综述,可以说我们距离理解EMF对人体潜在影响的生物物理背景仍有很大差距。对于强度大大超过城市环境甚至工作环境中所出现强度的工频电磁场,已知的相互作用机制起着重要作用。另一方面,没有足够的实验证据表明弱得多的EMF的假设相互作用机制可被视为具有已证实的生物学意义的机制。即使它们的存在得到证实,工频电磁场活动产生的生物效应是否会导致不良健康影响仍然是一个悬而未决的问题。迄今为止进行的流行病学研究主要集中在EMF 的致癌作用上,而较少关注神经退行性疾病或心血管及生殖系统紊乱的可能风险。到目前为止,上述任何一种健康影响都没有得到充分的证据支持。很可能研究方法上的一些不足,首先是诊断错误、暴露评估的不确定性或特定疾病的病因(其他环境因素对所研究健康影响的影响)是造成目前这种状况的主要原因。因此,需要进一步深入研究以消除现有缺陷。