Quandt Sara A, Pope Carey N, Chen Haiying, Summers Phillip, Arcury Thomas A
From the Department of Epidemiology and Prevention (Dr Quandt), Department of Biostatistical Sciences (Dr Chen), and Department of Family and Community Medicine (Mr Summers and Dr Arcury), Wake Forest School of Medicine, Winston-Salem, NC; and Department of Physiological Sciences (Dr Pope), Center for Veterinary Sciences, Oklahoma State University, Stillwater.
J Occup Environ Med. 2015 Aug;57(8):851-7. doi: 10.1097/JOM.0000000000000496.
This study (1) describes patterns of whole blood total cholinesterase, acetylcholinesterase, and butyrylcholinesterase activities across the agricultural season, comparing farmworkers and nonfarmworkers; and (2) explores differences between farmworkers' and non-farmworkers' likelihood of cholinesterase depression.
Blood samples from 210 Latino male farmworkers and 163 Latino workers with no occupational pesticide exposure collected 8 times across 2 agricultural seasons were analyzed. Mean cholinesterase activity levels and depressions 15% or more were compared by month.
Farmworkers had significantly lower total cholinesterase and butyrylcholinesterase activities in July and August and lower acetylcholinesterase activity in August. Farmworkers had significantly greater likelihood of cholinesterase depression for each cholinesterase measure across the agricultural season.
A repeated-measures design across 2 years with a nonexposed control group demonstrated anticholinesterase effects in farmworkers. Current regulations designed to prevent pesticide exposure are not effective.
本研究(1)描述农业季节中全血总胆碱酯酶、乙酰胆碱酯酶和丁酰胆碱酯酶活性的模式,比较农场工人和非农场工人;(2)探讨农场工人和非农场工人胆碱酯酶降低可能性之间的差异。
分析了在两个农业季节中8次采集的210名拉丁裔男性农场工人和163名无职业性农药接触的拉丁裔工人的血样。按月比较胆碱酯酶平均活性水平和降低15%或更多的情况。
农场工人在7月和8月的总胆碱酯酶和丁酰胆碱酯酶活性显著较低,8月的乙酰胆碱酯酶活性较低。在整个农业季节,农场工人每种胆碱酯酶指标出现胆碱酯酶降低的可能性显著更高。
一项为期两年的重复测量设计,设有未接触对照组,证明了农场工人中存在抗胆碱酯酶效应。当前旨在预防农药接触的法规无效。