Raymond Michelle R, Christensen Krista Y, Thompson Brooke A, Anderson Henry A
Wisconsin Department of Health Services, Madison.
J Occup Environ Med. 2016 Jul;58(7):676-82. doi: 10.1097/JOM.0000000000000757.
The aim of this study was to determine fish consumption habits and contaminant exposures associated with adverse cardiovascular outcomes among older male anglers.
One hundred fifty-four men aged 50 years and older living and fishing in Wisconsin completed a detailed survey and provided hair and blood samples. Associations between fish consumption and body burdens of several contaminants, with self-reported cardiovascular outcomes, were evaluated.
Consuming fish species with higher methyl mercury content was positively associated with odds of angina, coronary heart disease (CHD), or heart attack, while consuming fattier species was negatively associated with high blood pressure or high cholesterol. Total mercury in blood was associated with 27% higher odds of heart attack, and certain classes of polychlorinated biphenyls were positively associated with CHD.
Total mercury exposures may affect cardiovascular outcomes. Educational interventions promoting consumption of fish low in methyl mercury among older male anglers are needed.
本研究旨在确定老年男性垂钓者的鱼类消费习惯以及与不良心血管结局相关的污染物暴露情况。
154名年龄在50岁及以上、居住在威斯康星州且从事垂钓活动的男性完成了一项详细调查，并提供了头发和血液样本。评估了鱼类消费与几种污染物的身体负担之间的关联以及自我报告的心血管结局。
食用甲基汞含量较高的鱼类与心绞痛、冠心病（CHD）或心脏病发作的几率呈正相关，而食用脂肪含量较高的鱼类与高血压或高胆固醇呈负相关。血液中的总汞与心脏病发作几率高出27%有关，某些多氯联苯类别与冠心病呈正相关。
总汞暴露可能会影响心血管结局。需要开展教育干预措施，以促进老年男性垂钓者食用甲基汞含量低的鱼类。
