Yang Chunyan, Zhao Weiwei, Deng Kui, Zhou Vanessa, Zhou Xiaohua, Hou Yan
Department of Epidemiology and Biostatistics, School of Public Health, Harbin Medical University, 157 Baojian Road, Harbin, 150081, China.
School of Public Health and Community Medicine, University of Washington Autism Center, University of Washington, Seattle, USA.
Environ Sci Pollut Res Int. 2017 Jul;24(19):15949-15958. doi: 10.1007/s11356-017-8928-2. Epub 2017 May 24.
Autism spectrum disorders are a member of the pervasive developmental disorders (PDDs) that have been increasing dramatically since described by Leo Kanner in 1943. In the past decade, the number of epidemiological publications addressing air pollution exposures and autism has grown correspondingly, but the association is still unclear. Whether air pollutants play a causal role and which substances are related with autism requires further study. We systematically reviewed the literature from 2005 to 2016 in MEDLINE (National Library of Medicine), Web of Science, and PubMed and summarized the association between different air pollutants and autism. Furthermore, we further discussed the exposure time window and potential confounders that should be considered in the association analysis studies. Our objective is to summarize the association between different air pollutants and autism with literature, which has been published since 2005, and explore whether the exposure time window and potential confounders have influence on this association. These results could provide more comprehensive information about the association between air pollutants and autism and be helpful towards further validation study. Graphical abstract ᅟ.
自闭症谱系障碍是广泛性发育障碍(PDDs)的一种,自1943年被利奥·坎纳描述以来,其发病率一直在急剧上升。在过去十年中,探讨空气污染暴露与自闭症关系的流行病学出版物数量也相应增加,但两者之间的关联仍不明确。空气污染物是否起因果作用以及哪些物质与自闭症有关,还需要进一步研究。我们系统检索了2005年至2016年期间MEDLINE(美国国立医学图书馆)、科学网和PubMed数据库中的文献,并总结了不同空气污染物与自闭症之间的关联。此外,我们还进一步讨论了在关联分析研究中应考虑的暴露时间窗和潜在混杂因素。我们的目的是通过总结2005年以来发表的文献中不同空气污染物与自闭症之间的关联,探讨暴露时间窗和潜在混杂因素是否会对这种关联产生影响。这些结果可以提供有关空气污染物与自闭症关联的更全面信息,有助于进一步的验证研究。图形摘要ᅟ