University of Bordeaux, INSERM, Bordeaux Population Health Research Center, Team EPICENE, UMR 1219, Bordeaux, France.
CHU de Bordeaux, Service de Médecine du Travail, Bordeaux, France.
Int J Epidemiol. 2018 Feb 1;47(1):299-310. doi: 10.1093/ije/dyx225.
BACKGROUND AND AIM: Epidemiological studies have reported an increased risk of Parkinson's disease (PD) in farmers exposed to pesticides, but no clear conclusion can be drawn on the type of pesticide and duration of use associated with an effect. In the French agricultural cohort AGRICAN, we assessed associations between PD and pesticide use according to the types of livestock and crops grown, including exposure to some active ingredients with duration of use. METHODS: Self-reported PD and history of lifetime exposure to 13 crops and 5 types of animals and pesticide use were collected at enrolment (2005-07) among 181 842 participants. Exposure to selected active ingredients and duration of use lifelong were assessed with the crop-exposure matrix PESTIMAT. Associations between pesticide use and PD were estimated by logistic regression according to crops and livestock, adjusted for sex, age, educational level, smoking status and alcohol consumption. RESULTS: PD was reported by 1732 subjects (1.2%) at enrolment in the cohort. Pesticide use lifelong was associated with an increased risk of PD in all types of activities [odds ratio (OR) = 1.31 (cattle) to 1.79 (peas), P < 0.05]. Rotenone, diquat, paraquat and several dithiocarbamates were associated with an increased risk of PD [OR = 1.31 (cuprobam) to 1.57 (rotenone)], especially in farmers with the longest exposure. CONCLUSIONS: Our work suggests that the risk of PD is increased in farmers exposed to pesticides on several French crops and livestock, and supports additional evidence of an association of PD with dithiocarbamate fungicides, rotenone and the herbicides diquat and paraquat.
背景与目的:流行病学研究报告称,接触农药的农民患帕金森病(PD)的风险增加,但对于与影响相关的农药类型和使用时间长短,尚无明确结论。在法国农业队列 AGRICAN 中,我们根据种植的牲畜和作物类型评估了 PD 与农药使用之间的关联,包括接触某些具有使用时间的活性成分。
方法:在 181842 名参与者入组时(2005-07 年),收集了自我报告的 PD 病史和终生接触 13 种作物和 5 种动物以及农药使用情况。使用作物暴露矩阵 PESTIMAT 评估了选定活性成分的暴露和终生使用时间。根据作物和牲畜,使用逻辑回归评估了农药使用与 PD 之间的关联,调整了性别、年龄、教育程度、吸烟状况和饮酒量。
结果:在队列入组时,有 1732 名受试者(1.2%)报告 PD。终生使用农药与所有类型活动的 PD 风险增加相关[比值比(OR)=1.31(牛)至 1.79(豌豆),P<0.05]。鱼藤酮、二氯丙烯、百草枯和几种二硫代氨基甲酸盐与 PD 风险增加相关[OR=1.31(铜)至 1.57(鱼藤酮)],尤其是在暴露时间最长的农民中。
结论:我们的工作表明,接触几种法国作物和牲畜上的农药的农民 PD 风险增加,并支持 PD 与二硫代氨基甲酸盐杀菌剂、鱼藤酮和除草剂二氯丙烯、百草枯之间关联的额外证据。
Int J Epidemiol. 2018-2-1
Scand J Work Environ Health. 2016-3
Int Arch Occup Environ Health. 2017-2
Cancer Causes Control. 2019-9-18
J Agromedicine. 2008
Medicine (Baltimore). 2025-6-13
NPJ Parkinsons Dis. 2025-5-13
Front Public Health. 2025-3-21
Mol Neurodegener. 2025-3-24
Toxicol Res (Camb). 2024-8-2
Materials (Basel). 2024-7-13