Department of Occupational and Environmental Health, Nagoya City University Graduate School of Medical Sciences, Nagoya, Japan.
Department of Medical Technology, Nagoya University Graduate School of Medicine, Nagoya, Japan.
J Expo Sci Environ Epidemiol. 2020 Jul;30(4):721-729. doi: 10.1038/s41370-019-0124-7. Epub 2019 Feb 6.
Single-spot urine is often used to estimate organophosphorus insecticide (OP) exposure. However, variations of urinary metabolite concentrations during the day are considerable as OP half-lives are short and as diet is their main exposure source. In addition, quality control is indispensable for institutions that analyze these metabolites. This study aimed to clarify (1) adequate frequencies of urine collection for estimating OP exposure and (2) interlaboratory variation in measured concentrations of OP metabolites, dialkylphosphates (DAPs). To quantify intra-individual variations, urine was collected eight times during a period that spanned 5 consecutive days from nine children aged 5-6 years. For interlaboratory variations, 41 spot samples from 14 pregnant women and 13 three-year-old children were used. Intraclass correlation coefficients for the DAPs were moderate but misclassification occurred in > 50% of the surrogate category analyses using single measurements. The misclassification frequency decreased to satisfactory levels when three temporal measurements were conducted. Values of four DAPs measured in the two laboratories correlated well except in the cases of urine samples obtained from two pregnant women. In conclusion, urinary DAPs should be measured from spot urine samples obtained during 3 different days. Sharing matrix-contained standards and quality control samples should minimize interlaboratory variations.
单份尿样常用于估计有机磷杀虫剂(OP)的暴露情况。然而,由于 OP 的半衰期较短,且饮食是其主要暴露源,因此尿液代谢物浓度在一天内的变化相当大。此外,对于分析这些代谢物的机构来说,质量控制是必不可少的。本研究旨在阐明(1)估计 OP 暴露所需的尿样采集频率,以及(2)测量 OP 代谢物二烷基磷酸酯(DAP)浓度的实验室间差异。为了量化个体内的变异,从 9 名 5-6 岁的儿童中采集了连续 5 天 8 次的尿样。对于实验室间的变异,使用了 14 名孕妇和 13 名 3 岁儿童的 41 份尿样。DAP 的组内相关系数适中,但在使用单次测量的替代类别分析中,超过 50%的样本出现了分类错误。当进行三次时间测量时,分类错误的频率降至可接受水平。两个实验室测量的 4 种 DAP 值相关性良好,除了两名孕妇的尿液样本。综上所述,应从 3 天不同时间采集的单次尿样中测量尿 DAP。共享基质包含的标准品和质控样本应可最大程度地减少实验室间的差异。