Department of Occupational Health and Safety, Faculty of Public Health, Mahidol University, 420/1 Rajvidhi Road, Bangkok 10400, Thailand.
Center of Excellence on Environmental Health and Toxicology, EHT, Bangkok 10400, Thailand.
Int J Environ Res Public Health. 2018 Nov 20;15(11):2590. doi: 10.3390/ijerph15112590.
Pesticide exposure has been implicated as a risk factor for developing a wide range of adverse health issues. Some examples are metabolic syndromes, including diabetes. This study investigated the relationship between current occupational use of pesticides and metabolic and cardiovascular biomarker levels among organic and conventional farmers in Thailand. In total, 436 recruited farmers were divided into two groups: conventional farmers ( = 214) and organic farmers ( = 222). Participants, free of diabetes, were interviewed and submitted to a physical examination. Serum samples were collected for clinical laboratory analyses, i.e., serum glucose and lipid profiles (triglycerides, total cholesterol, high-density lipoproteins, and low-density lipoproteins). Potential risk factors such as smoking, alcohol consumption, and heavy exercise were significantly different between the two groups. There were significant differences in terms of the years of pesticide use, pesticide use at home, sources of drinking water, and distance between the farmers' homes and farms between the groups. After adjusting for confounders, current conventional farmers had significantly higher abnormal body mass index (BMI), waist circumference, body fat percentage (% body fat), triglyceride, total cholesterol, and low-density lipoprotein values as compared to organic farmers. Conventional farmers had higher risk of many metabolic and cardiovascular risk factors as compared to organic farmers, putting them at higher risk of metabolic diseases in the future.
农药暴露已被认为是引发多种不良健康问题的一个风险因素。其中一些问题包括代谢综合征,包括糖尿病。本研究调查了在泰国,有机和常规农民当前职业性使用农药与代谢和心血管生物标志物水平之间的关系。总共有 436 名招募的农民被分为两组:常规农民(=214)和有机农民(=222)。参与者无糖尿病,接受了访谈和体检。采集血清样本进行临床实验室分析,即血清葡萄糖和血脂谱(甘油三酯、总胆固醇、高密度脂蛋白和低密度脂蛋白)。两组之间的一些潜在风险因素,如吸烟、饮酒和剧烈运动,存在显著差异。两组之间在使用农药的年限、在家中使用农药、饮用水来源以及农民家庭和农田之间的距离方面存在显著差异。在调整混杂因素后,与有机农民相比,当前常规农民的异常体重指数(BMI)、腰围、体脂肪百分比(%体脂肪)、甘油三酯、总胆固醇和低密度脂蛋白值显著更高。与有机农民相比,常规农民有更高的许多代谢和心血管风险因素的风险,使他们未来有更高的患代谢疾病的风险。