Centro Universitario da Serra Gaúcha (FSG), Caxias do Sul, Rio Grande do Sul, CEP: 95020-472, Brazil.
Pontifícia Universidade Católica do Rio Grande do Sul (PUCRS), Porto Alegre, Rio Grande do Sul, CEP: 90619-900, Brazil.
Environ Res. 2019 Jun;173:221-231. doi: 10.1016/j.envres.2019.03.050. Epub 2019 Mar 22.
This study aimed to assess the association of short- and long-term exposure to pesticides with circulating levels of thyroid and reproductive hormones in an agricultural population in the South of Brazil. Serum specimens from 122 male and female adults residing in small agricultural properties were sampled both in the low and high pesticide use season. A comprehensive questionnaire was used to collect detailed information on recent and cumulative lifetime use of pesticides and other agricultural-related exposures. The difference in serum hormone levels between seasons was assessed by the T-test and Wilcoxon test for paired samples, and associations between pesticide exposure-related variables and hormone values were explored by multivariate linear regression analysis. Levels of total thyroxine (T4) and male testosterone were significantly reduced from the low to high pesticide use season. In the high exposure season, recent use of dithiocarbamate fungicides, not using full personal protection equipment, and use of manual equipment was associated with reduced levels of thyroid-stimulating hormone (TSH). Moreover, recent use of lambda-cyhalothrin (pyrethroid) was associated with reduced total T4 and increased male luteinizing hormone (LH), use of paraquat (herbicide) with reduced free triiodothyronine (T3), and use of phthalamide (fungicide) with increased male LH. We also found associations of lifetime years of agricultural work with reduced total T4 and increased male testosterone; and of lifetime agricultural work and use of various pesticide classes (i.e. insecticides, herbicides, organophosphate insecticides, dithiocarbamate fungicides, and pyrethroids), mancozeb (fungicide), and paraquat with slight changes in free or total levels of T4 and/or T3. Findings suggest that both short- and long-term exposure to agricultural pesticides may alter thyroid hormones and male testosterone levels among farm residents.
本研究旨在评估巴西南部一个农业人群中短期和长期暴露于农药与循环甲状腺和生殖激素水平的关联。从居住在小农业用地的 122 名男性和女性成年人中采集血清标本,分别在低和高农药使用季节进行采样。使用综合问卷收集有关近期和终生使用农药和其他与农业相关的暴露的详细信息。通过 T 检验和配对样本的 Wilcoxon 检验评估季节之间血清激素水平的差异,并通过多元线性回归分析探索与农药暴露相关变量与激素值之间的关联。从低到高农药使用季节,总甲状腺素 (T4) 和男性睾酮的水平显着降低。在高暴露季节,近期使用代森锰锌 (二硫代氨基甲酸盐) 杀菌剂、不使用全套个人防护设备以及使用手动设备与促甲状腺激素 (TSH) 水平降低有关。此外,近期使用氯氟氰菊酯 (拟除虫菊酯) 与总 T4 降低和男性黄体生成素 (LH) 升高有关,使用百草枯 (除草剂) 与游离三碘甲状腺原氨酸 (T3) 降低有关,使用邻苯二甲酰胺 (杀菌剂) 与男性 LH 升高有关。我们还发现农业工作的终生年限与总 T4 降低和男性睾酮升高有关;以及农业工作的终生年限和使用各种农药类别(即杀虫剂、除草剂、有机磷杀虫剂、二硫代氨基甲酸盐杀菌剂和拟除虫菊酯)、代森锰锌(杀菌剂)和百草枯与 T4 和/或 T3 的游离或总水平略有变化有关。研究结果表明,短期和长期接触农业农药都可能改变农场居民的甲状腺激素和男性睾酮水平。