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母亲暴露于高压电线的磁场与出生缺陷风险

Maternal exposure to magnetic fields from high-voltage power lines and the risk of birth defects.

作者信息

Malagoli Carlotta, Crespi Catherine M, Rodolfi Rossella, Signorelli Carlo, Poli Maurizio, Zanichelli Paolo, Fabbi Sara, Teggi Sergio, Garavelli Livia, Astolfi Gianni, Calzolari Elisa, Lucenti Carlo, Vinceti Marco

机构信息

CREAGEN-Environmental, Genetic and Nutritional Epidemiology Research Center, Department of Public Health Sciences, University of Modena and Reggio Emilia, Reggio Emilia, Italy.

出版信息

Bioelectromagnetics. 2012 Jul;33(5):405-9. doi: 10.1002/bem.21700.

Abstract

The issue of adverse human health effects due to exposure to electromagnetic fields is still unclear, and congenital anomalies are among the outcomes that have been inconsistently associated with such exposure. We conducted a population-based, case-control study to examine the risk of congenital anomalies associated with maternal exposure to magnetic fields (MF) from high-voltage power lines during pregnancy in a community in northern Italy. We identified 228 cases of congenital malformations diagnosed in live births, stillbirths, and induced abortions among women living in the municipality of Reggio Emilia during the period 1998-2006, and a reference group of healthy newborns was matched for year of birth, maternal age, and hospital of birth. We identified maternal residence during early pregnancy and used Geographic Information System to determine whether the residences were within geocoded corridors with MF ≥0.1 μT near high-voltage power lines, then calculated the relative risk (RR) of congenital anomalies associated with maternal exposure. One case and 5 control mothers were classified as exposed, and the RR associated with MF ≥0.1 μT was 0.2 (95% CI: 0.0-2.0) after adjusting for maternal education. While small or moderate effects may have gone undetected due to low statistical power, the results of this study overall do not provide support for major effects of a teratogenic risk due to exposure to MF during early pregnancy.

摘要

由于暴露于电磁场而对人类健康产生的不良影响问题仍不明确,先天性异常是与此类暴露存在不一致关联的结果之一。我们开展了一项基于人群的病例对照研究,以调查意大利北部一个社区中,孕期母亲暴露于高压电线产生的磁场(MF)与先天性异常风险之间的关系。我们确定了1998年至2006年期间在雷焦艾米利亚市居住的妇女所生的活产、死产和人工流产中诊断出的228例先天性畸形病例,并根据出生年份、母亲年龄和出生医院匹配了一组健康新生儿作为对照组。我们确定了孕早期母亲的居住地,并使用地理信息系统来确定这些居住地是否位于高压电线附近MF≥0.1μT的地理编码走廊内,然后计算了与母亲暴露相关的先天性异常的相对风险(RR)。一名病例母亲和五名对照母亲被归类为暴露组,在对母亲教育程度进行调整后,与MF≥0.1μT相关的RR为0.2(95%CI:0.0-2.0)。虽然由于统计效力低,小或中等效应可能未被发现,但本研究结果总体上不支持孕早期暴露于MF会产生致畸风险的主要影响这一观点。

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