Faculty of Physical Education and Physiotherapy, Institute of Technology, Opole, Poland.
Biol Trace Elem Res. 2011 Jun;141(1-3):41-52. doi: 10.1007/s12011-010-8717-y. Epub 2010 May 9.
Environmental factors play an essential role in the etiology of diseases of the hematopoietic system. Such factors include soil and water pollution and the presence of metals and toxic compounds in the air. Measuring the content of metallic elements in rainwater has become an accepted procedure for environmental pollution monitoring. In accordance with the above, it was decided to study relations between the content of selected elements in rainwater and hospitalization frequency due to chronic lymphocytic leukemia (CLL, C91 on ICD-10) and chronic myeloid leukemia (CML, C92 on ICD-10). It can be assumed that hospitalization frequency is a reliable indicator of exacerbations of these diseases. The annual average of hospitalizations due to a given disease during the years 2000-2002 was correlated with the annual average content of a given element in rainwater using the Spearman's correlation indicator to describe the relationship between the element content and the disease that is possibly a consequence of the element's presence in rainwater. In cases of CLL for all the subjected population and for men, no statistically significant correlations were found. For women, statistically significant correlations were found for chromium (r = 0.66), lead (r = 0.58), copper (r = 0.58), and cadmium (r = 0.51). For CML in all the studied population significant, negative correlations were found for magnesium (r = -0.6) and zinc (r = -0.52). In men, significant negative correlations were seen for magnesium (r = -0.69 and zinc (r = -0.55). No significant correlations were found in women. These results indicate the need of taking into account the environmental and gender factors in research connected with these diseases, which can be probably of help in improvements of therapy efficiency.
环境因素在血液系统疾病的病因学中起着重要作用。这些因素包括土壤和水污染以及空气中金属和有毒化合物的存在。测量雨水的金属元素含量已成为环境污染物监测的一种公认程序。基于上述情况,决定研究雨水选择元素的含量与因慢性淋巴细胞白血病(CLL,ICD-10 中的 C91)和慢性髓细胞白血病(CML,ICD-10 中的 C92)而住院的频率之间的关系。可以假设住院频率是这些疾病恶化的可靠指标。使用 Spearman 相关指标将 2000-2002 年期间特定疾病的年平均住院人数与雨水中特定元素的年平均含量相关联,以描述元素含量与可能是雨水中元素存在的结果的疾病之间的关系。对于所有研究人群和男性的 CLL,均未发现具有统计学意义的相关性。对于女性,发现铬(r = 0.66)、铅(r = 0.58)、铜(r = 0.58)和镉(r = 0.51)存在统计学上显著的相关性。对于所有研究人群的 CML,发现镁(r = -0.6)和锌(r = -0.52)存在显著的负相关。在男性中,镁(r = -0.69)和锌(r = -0.55)也存在显著负相关。在女性中未发现显著相关性。这些结果表明,在与这些疾病相关的研究中,需要考虑环境和性别因素,这可能有助于提高治疗效率。