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产前及儿童期多溴二苯醚暴露与男孩和女孩青春期时间的关联。

Association of prenatal and childhood PBDE exposure with timing of puberty in boys and girls.

作者信息

Harley Kim G, Rauch Stephen A, Chevrier Jonathan, Kogut Katherine, Parra Kimberly L, Trujillo Celina, Lustig Robert H, Greenspan Louise C, Sjödin Andreas, Bradman Asa, Eskenazi Brenda

机构信息

Center for Environmental Research and Children's Health (CERCH), School of Public Health, University of California, Berkeley, CA, USA.

Center for Environmental Research and Children's Health (CERCH), School of Public Health, University of California, Berkeley, CA, USA.

出版信息

Environ Int. 2017 Mar;100:132-138. doi: 10.1016/j.envint.2017.01.003. Epub 2017 Jan 12.

Abstract

BACKGROUND

Polybrominated diphenyl ether (PBDE) flame retardants are endocrine-disrupting chemicals that exhibit estrogenic and androgenic properties and may affect pubertal timing.

METHODS

Study subjects were participants between 1999 and 2013 in the Center for the Health Assessment of Mothers and Children of Salinas (CHAMACOS), a longitudinal cohort study of predominantly Mexican origin families in Northern California. We measured serum concentrations of four PBDEs (BDE-47, -99, -100, -153) in blood collected from mothers during pregnancy (N=263) and their children at age 9years (N=522). We determined timing of pubertal onset in 309 boys and 314 girls using clinical Tanner staging every 9months between 9 and 13years of age, and timing of menarche by self-report. We used Poisson regression for relative risk (RR) of earlier puberty and parametric survival analysis for time ratios (TR) of pubertal milestones.

RESULTS

Prenatal concentrations of all 4 congeners and ƩPBDEs were associated with later menarche in girls (RR=0.5, 95% confidence interval (CI): 0.3, 0.9 for ƩPBDEs) but earlier pubic hair development in boys (RR=2.0, 95% CI: 1.3, 3.3 for ƩPBDEs). No associations were seen between prenatal exposure and girls' breast or pubic hair development or boys' genital development. Childhood PBDE exposure was not associated with any measure of pubertal timing, except for an association of BDE-153 with later menarche.

CONCLUSIONS

We found that prenatal PBDE exposure was associated with later menarche in girls but earlier pubarche in boys, suggesting opposite pubertal effects in girls and boys.

摘要

背景

多溴二苯醚(PBDE)类阻燃剂是具有内分泌干扰特性的化学物质,具有雌激素和雄激素特性,可能影响青春期发育时间。

方法

研究对象为1999年至2013年间参与萨利纳斯母婴健康评估中心(CHAMACOS)研究的人员,该研究是对北加利福尼亚州主要为墨西哥裔家庭的一项纵向队列研究。我们测量了在孕期采集的母亲血液(N = 263)及其9岁孩子血液(N = 522)中四种多溴二苯醚(BDE - 47、- 99、- 100、- 153)的血清浓度。我们通过在9至13岁期间每9个月使用临床坦纳分期法确定了309名男孩和314名女孩青春期开始的时间,并通过自我报告确定了月经初潮的时间。我们使用泊松回归分析青春期提前的相对风险(RR),并使用参数生存分析来分析青春期发育里程碑的时间比(TR)。

结果

所有4种同系物和总多溴二苯醚的产前浓度与女孩月经初潮延迟有关(总多溴二苯醚的RR = 0.5,95%置信区间(CI):0.3,0.9),但与男孩阴毛发育提前有关(总多溴二苯醚的RR = 2.0,95%CI:1.3,3.3)。产前暴露与女孩乳房或阴毛发育或男孩生殖器发育之间未发现关联。儿童期多溴二苯醚暴露与青春期发育时间的任何指标均无关联,除了BDE - 153与月经初潮延迟有关。

结论

我们发现产前多溴二苯醚暴露与女孩月经初潮延迟但男孩阴毛初现提前有关,这表明多溴二苯醚对女孩和男孩的青春期有相反的影响。

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