Ye Ming, Beach Jeremy, Martin Jonathan W, Senthilselvan Ambikaipakan
School of Public Health, University of Alberta, Edmonton, Alberta, Canada.
School of Public Health, University of Alberta, Edmonton, Alberta, Canada Division of Preventive Medicine, Department of Medicine, University of Alberta, Edmonton, Alberta, Canada.
Occup Environ Med. 2016 Feb;73(2):119-26. doi: 10.1136/oemed-2015-102839.
While there is increasing concern about the health impact of pyrethroid insecticides, little is known about their effect on lung function. In this cross-sectional study, urinary concentrations of pyrethroid (PYR) metabolites and their associations with lung function were examined among a Canadian general population using data from the Canadian Health Measures Survey (CHMS).
Urinary concentrations of 5 pyrethroid metabolites (3-PBA, 4-F-3-PBA, cis-DCCA, trans-DCCA and cis-DBCA) were available for 5436 CHMS participants aged 6-79 years. Lung function parameters considered were forced vital capacity (FVC), forced expiratory volume in 1 s (FEV1), FEV1/FVC ratio and forced expiratory flow between 25% and 75% of FVC. Multiple linear regression analyses were used to examine associations between PYR concentrations and lung function in children (6-11 years), adolescents (12-19 years) and adults (20-79 years), respectively.
Almost all CHMS participants (99.8%) had PYR metabolites detectable in urine. In multiple linear regression analyses, 1 unit increase in log transformed urinary concentration (nmol/g creatinine) of total pyrethorid metabolites (ΣPYR) was associated with a 17.4 mL reduction in FEV1 (p=0.045) in children, a 37.1 mL reduction in FVC (p=0.05) in adolescents and a 0.3% (p=0.01) increase in FEV1/FVC ratio in adults.
These results show evidence of widespread exposures to pyrethroid insecticides among the Canadian general population. Pyrethroid exposures were associated with lower FEV1 in children, lower FVC in adolescents and relatively higher FEV1/FVC ratio in adults. Further research is necessary to confirm the potential effect of pyrethroid insecticides on lung function reported in this study.
虽然人们越来越关注拟除虫菊酯类杀虫剂对健康的影响,但对其对肺功能的影响知之甚少。在这项横断面研究中,利用加拿大健康测量调查(CHMS)的数据,对加拿大普通人群中拟除虫菊酯(PYR)代谢物的尿液浓度及其与肺功能的关联进行了研究。
5436名年龄在6 - 79岁的CHMS参与者提供了5种拟除虫菊酯代谢物(3 - PBA、4 - F - 3 - PBA、顺式 - DCCA、反式 - DCCA和顺式 - DBCA)的尿液浓度。所考虑的肺功能参数包括用力肺活量(FVC)、第1秒用力呼气量(FEV1)、FEV1/FVC比值以及FVC的25%至75%之间的用力呼气流量。分别采用多元线性回归分析来研究儿童(6 - 11岁)、青少年(12 - 19岁)和成年人(20 - 79岁)中PYR浓度与肺功能之间的关联。
几乎所有CHMS参与者(99.8%)尿液中均可检测到PYR代谢物。在多元线性回归分析中,总拟除虫菊酯代谢物(ΣPYR)的对数转换尿液浓度(nmol/g肌酐)每增加1个单位,儿童的FEV1降低17.4 mL(p = 0.045),青少年的FVC降低37.1 mL(p = 0.05),成年人的FEV1/FVC比值增加0.3%(p = 0.01)。
这些结果表明加拿大普通人群广泛接触拟除虫菊酯类杀虫剂。拟除虫菊酯暴露与儿童较低的FEV1、青少年较低的FVC以及成年人相对较高的FEV1/FVC比值有关。有必要进一步研究以证实本研究中报道的拟除虫菊酯类杀虫剂对肺功能的潜在影响。