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饮食因素与双酚A暴露之间的关系:韩国第二次全国环境卫生调查(2012 - 2014年韩国国家环境卫生调查)

Relationship between dietary factors and bisphenol a exposure: the second Korean National Environmental Health Survey (KoNEHS 2012-2014).

作者信息

Park Jin-Soo, Kim Seyoung, Park Minkyu, Kim Yeji, Lee Hyeeun, Choi Hyunrim, Lim Sinye

机构信息

Department of Occupational and Environmental Medicine, Kyung Hee University Hospital, Seoul, South Korea.

Department of Occupational and Environmental Medicine, School of Medicine Kyung Hee University, Seoul, South Korea.

出版信息

Ann Occup Environ Med. 2017 Oct 18;29:42. doi: 10.1186/s40557-017-0200-1. eCollection 2017.

Abstract

BACKGROUND

This study was aimed at finding out the exposure level of bisphenol A (BPA), a well-known endocrine disruptor, in relation to dietary factors using a data representing the Korean general population.

METHODS

This study was performed on 5402 adults aged 19 years and older based on the Second Korean National Environmental Health Survey (KoNEHS 2012-2014). The data analyzed urinary BPA concentration in relation to socio-demographic variables, health behavior-related variables, and dietary factor-related variables. Odds ratio (OR) was calculated through a logistic regression analysis after dividing the participants into high BPA exposure group and low BPA exposure group based on the top 75 percentile concentration. The logistic regression analysis was carried out considering the appropriate sample weight, stratification, and clustering of the second KoNEHS sample design.

RESULTS

The group drinking bottled water at home and the group using zip-top bags/plastic bags showed significantly higher urinary BPA concentration in female. OR tends to increase as the intake frequency of frozen food increased and OR of frozen food consumption of more than once a week was 1.48 (95% confidence interval (CI) 1.02-2.24) for male and the group drinking bottled water showed significantly higher OR of 1.45 (95% CI 1.06-2.17) after adjusting the related factors for female.

CONCLUSIONS

BPA levels were high in female using bottled water and in male consuming frozen food, and therefore bottled water and frozen food need to be avoided to reduce BPA levels.

摘要

背景

本研究旨在利用代表韩国普通人群的数据,找出著名的内分泌干扰物双酚A(BPA)的暴露水平与饮食因素之间的关系。

方法

本研究基于第二次韩国国家环境卫生调查(2012 - 2014年韩国国家环境卫生调查),对5402名19岁及以上的成年人进行。该数据分析了尿中双酚A浓度与社会人口统计学变量、健康行为相关变量以及饮食因素相关变量之间的关系。在根据第75百分位数浓度将参与者分为高双酚A暴露组和低双酚A暴露组后,通过逻辑回归分析计算优势比(OR)。逻辑回归分析考虑了第二次韩国国家环境卫生调查样本设计的适当样本权重、分层和聚类。

结果

在家饮用瓶装水的女性组和使用拉链袋/塑料袋的女性组尿中双酚A浓度显著更高。随着冷冻食品摄入频率的增加,优势比呈上升趋势,男性每周食用冷冻食品超过一次的优势比为1.48(95%置信区间(CI)1.02 - 2.24),在对女性相关因素进行调整后,饮用瓶装水的女性组优势比显著更高,为1.45(95% CI 1.06 - 2.17)。

结论

饮用瓶装水的女性和食用冷冻食品的男性体内双酚A水平较高,因此需要避免饮用瓶装水和食用冷冻食品以降低双酚A水平。

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