Epidemiology Department, Rollins School of Public Health, Emory University, Atlanta, Georgia 30322, USA.
Environ Int. 2011 Jan;37(1):129-35. doi: 10.1016/j.envint.2010.08.007. Epub 2010 Sep 16.
Polyfluoroalkyl chemicals (PFCs) are commercially synthesized chemicals used in consumer products. Exposure to certain PFCs is widespread, and some PFCs may act as endocrine disruptors. We used data from the Avon Longitudinal Study of Parents and Children (ALSPAC) in the United Kingdom to conduct a nested case-control study examining the association between age at menarche, and exposure to PFCs during pregnancy.
Cases were selected from female offspring in the ALSPAC who reported menarche before the age of 11.5 years (n = 218), and controls were a random sample of remaining girls (n = 230). Serum samples taken from the girls' mothers during pregnancy (1991-1992) were analyzed using on-line solid-phase extraction coupled to isotope dilution high-performance liquid chromatography-tandem mass spectrometry for 8 PFCs. Logistic regression was used to determine association between maternal serum PFC concentrations, and odds of earlier age at menarche.
PFOS and PFOA were the predominant PFCs (median serum concentrations of 19.8 ng/mL and 3.7 ng/mL). All but one PFC were detectable in most samples. Total PFC concentration varied by number of births (inverse association with birth order; p-value < 0.0001) and race of the child (higher among whites; p-value = 0.03). The serum concentrations of carboxylates were associated with increased odds of earlier age at menarche; concentrations of perfluorooctane sulfonamide, the sulfonamide esters and sulfonates were all associated with decreased odds of earlier age at menarche. However, all confidence intervals included the null value of 1.0.
ALSPAC study participants had nearly ubiquitous exposure to most PFCs examined, but PFC exposure did not appear to be associated with altered age at menarche of their offspring.
多氟烷基化学品(PFCs)是用于消费产品的商业合成化学品。某些 PFCs 的暴露很普遍,并且一些 PFCs 可能具有内分泌干扰作用。我们使用英国阿冯纵向研究父母和儿童(ALSPAC)的数据进行了一项嵌套病例对照研究,以研究母亲怀孕期间接触 PFCs 与初潮年龄之间的关系。
从 ALSPAC 中报告初潮年龄早于 11.5 岁的女性后代中选择病例(n=218),并随机选择其余女孩作为对照(n=230)。使用在线固相萃取结合同位素稀释高效液相色谱-串联质谱法分析女孩母亲在怀孕期间(1991-1992 年)采集的血清样本,以检测 8 种 PFCs。使用逻辑回归确定母亲血清 PFC 浓度与初潮年龄较早之间的关联。
PFOS 和 PFOA 是主要的 PFCs(中位数血清浓度分别为 19.8ng/mL 和 3.7ng/mL)。除一种 PFC 外,大多数样品中均可检测到其他 PFC。总 PFC 浓度随出生次数(与出生顺序呈负相关;p 值<0.0001)和儿童种族(白人中较高;p 值=0.03)而异。羧酸盐的血清浓度与初潮年龄较早的几率增加相关;全氟辛烷磺酸、磺酰胺酯和磺酸盐的浓度均与初潮年龄较早的几率降低相关。然而,所有置信区间均包含 1.0 的零值。
ALSPAC 研究参与者几乎普遍接触到了大多数所研究的 PFCs,但 PFC 暴露似乎与后代初潮年龄改变无关。