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产前汞污染:与孕期母体食用海鲜和“EDEN 母婴”队列胎儿生长的关系。

Prenatal mercury contamination: relationship with maternal seafood consumption during pregnancy and fetal growth in the 'EDEN mother-child' cohort.

机构信息

INSERM, CESP Centre for Research in Epidemiology and Population Health, U1018, Team Epidemiology of Obesity, Diabetes and Renal Disease over the Lifecourse, Villejuif, France.

出版信息

Br J Nutr. 2010 Oct;104(8):1096-100. doi: 10.1017/S0007114510001947. Epub 2010 May 21.

Abstract

Maternal seafood intake is of great health interest since it constitutes an important source of n-3 fatty acids, but provides also an important pathway for fetal exposure to Hg. The objective of the present study was to determine associations between Hg contamination and both maternal seafood consumption and fetal growth in French pregnant women. Pregnant women included in the 'EDEN mother-child' cohort study answered FFQ on their usual diet in the year before and during the last 3 months of pregnancy, from which frequencies of seafood intake were evaluated. Total hair-Hg level was determined for the first 691 included women. Associations between Hg level, seafood intake and several neonatal measurements were studied using linear regressions adjusted for confounding variables. The median Hg level for mothers was 0.52 μg/g. Maternal seafood intake was associated with Hg level (r 0.33; P < 0.0001). There was no association between Hg level and fetal growth in the whole sample of women, except for an early negative relationship with biparietal diameter. A positive association was found between seafood intake and fetal growth in overweight women only which remained unchanged after adjustment for Hg level (birth weight: +101 g for a difference of 1 sd in seafood consumption; P = 0.008). Although seafood intake was associated with Hg contamination in French pregnant women, the contamination level was low. There was no consistent association between Hg level and fetal growth. Taking into account Hg level did not modify associations between seafood intake and fetal growth.

摘要

母体摄入海鲜对健康具有重要意义,因为它是 n-3 脂肪酸的重要来源,同时也是胎儿暴露于汞的重要途径。本研究的目的是确定法国孕妇体内汞污染与海鲜摄入量和胎儿生长之间的关系。纳入“EDEN 母婴队列研究”的孕妇在怀孕前一年和最后 3 个月期间,通过食物频率问卷(FFQ)回答了她们的常规饮食情况,由此评估了海鲜摄入量的频率。对前 691 名纳入女性的总发汞水平进行了测定。使用线性回归调整混杂变量,研究了汞水平、海鲜摄入量与新生儿多项测量指标之间的关系。母亲的中位汞水平为 0.52μg/g。母体海鲜摄入量与汞水平呈正相关(r=0.33;P<0.0001)。在所有女性样本中,汞水平与胎儿生长之间没有关联,但在早期与双顶径呈负相关。在超重女性中,仅发现海鲜摄入量与胎儿生长之间存在正相关关系,且在调整汞水平后仍保持不变(出生体重:海鲜摄入量差异为 1 个标准差时增加 101g;P=0.008)。尽管法国孕妇的海鲜摄入量与汞污染有关,但污染水平较低。汞水平与胎儿生长之间没有一致的关联。考虑到汞水平并没有改变海鲜摄入量与胎儿生长之间的关联。

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