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镉暴露对初潮年龄和绝经年龄的影响。

Effects of Cadmium Exposure on Age of Menarche and Menopause.

作者信息

Chen Xiao, Zhu Guoying, Jin Taiyi

机构信息

Department of Nephrology, Zhongshan Hospital, Fudan University, 180 Fenglin Road, Shanghai 200032, China.

Institute of Radiation Medicine, Fudan University, 2094 Xietu Road, Shanghai 200032, China.

出版信息

Toxics. 2017 Dec 27;6(1):6. doi: 10.3390/toxics6010006.

Abstract

Cadmium exposure can cause several adverse health effects. Animal studies have also shown that cadmium exposure can affect menarche or menopause. However, data is limited in humans. We conducted a retrospective study to assess whether cadmium exposure was associated with different ages of menarche and menopause in a Chinese population. A total of 429 women living in control ( = 137) and two cadmium-polluted areas ( = 292) were included in this study. A total of 223 and 206 subjects were included in the analysis for menarche and menopause, respectively. The median menarche age of population living in the heavily cadmium-polluted area was significantly younger than those in the control area (14.0 vs. 15.0, < 0.01). Logistic regression showed that the odds ratio (OR) of early occurrence of menarche (<13 years) in the population living in the heavily polluted area and moderately polluted area was 3.7 (95% confidence interval (CI): 1.5-9.7) and 1.3 (95% CI: 0.7-2.6) compared with control, respectively. No significant difference was observed in the age of menopause in the population of these three areas. In conclusion, our data indicated that cadmium exposure may cause early menarche.

摘要

镉暴露会导致多种不良健康影响。动物研究还表明,镉暴露会影响初潮或绝经。然而,人类方面的数据有限。我们进行了一项回顾性研究,以评估在中国人群中,镉暴露是否与初潮和绝经的不同年龄有关。本研究共纳入了429名居住在对照区(n = 137)和两个镉污染区(n = 292)的女性。分别有223名和206名受试者纳入了初潮和绝经分析。生活在镉重度污染区人群的初潮年龄中位数显著低于对照区人群(14.0对15.0,P < 0.01)。逻辑回归显示,与对照相比,生活在重度污染区和中度污染区人群初潮提前(<13岁)的比值比(OR)分别为3.7(95%置信区间(CI):1.5 - 9.7)和1.3(95%CI:0.7 - 2.6)。这三个地区人群的绝经年龄未观察到显著差异。总之,我们的数据表明镉暴露可能导致初潮提前。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2b4e/5874779/1d739c1669c7/toxics-06-00006-g001.jpg

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