Guangdong Prevention and Treatment Center for Occupational Diseases, Guangzhou, China.
PLoS One. 2013 Jul 15;8(7):e69272. doi: 10.1371/journal.pone.0069272. Print 2013.
To comprehensively analyze the relationship between exposure to extremely low frequency electromagnetic fields (ELF-EMFs) and the development of female breast cancer.
Reports of case-control studies published from 1990 to 2010 were analyzed. The quality effect model was chosen to calculate total odds ratio (OR) depending on the data in studies and quality scores. Subgroup analyses were also performed by the situation of menopause, estrogenic receptor and exposure assessment respectively.
For all 23 studies the OR was 1.07, 95% CI=1.02-1.13, for estrogen receptor positive subgroup,OR=1.11, 95% CI=1.03-1.20; for premenopausal subgroup, OR=1.11, 95% CI=1.00-1.23. The results of other subgroups showed no significant association between ELF-EMF and female breast cancer.
ELF-EMFs might be related to an increased risk for female breast cancer, especially for premenopausal and ER+ females. However, it's necessary to undertake better epidemiologic researches to verify the association between ELF-EMF and female breast cancer due to the limits of current study, especially the one on exposure assessment.
全面分析极低频电磁场(ELF-EMF)暴露与女性乳腺癌发展之间的关系。
分析了 1990 年至 2010 年发表的病例对照研究报告。根据研究和质量评分中的数据,选择质量效应模型来计算总优势比(OR)。还分别按绝经情况、雌激素受体和暴露评估情况进行了亚组分析。
对于所有 23 项研究,OR 为 1.07,95%CI=1.02-1.13,对于雌激素受体阳性亚组,OR=1.11,95%CI=1.03-1.20;对于绝经前亚组,OR=1.11,95%CI=1.00-1.23。其他亚组的结果显示,ELF-EMF 与女性乳腺癌之间没有显著关联。
ELF-EMF 可能与女性乳腺癌风险增加有关,尤其是绝经前和 ER+女性。然而,由于当前研究的局限性,特别是在暴露评估方面,有必要开展更好的流行病学研究来验证 ELF-EMF 与女性乳腺癌之间的关联。