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居住与高压架空输电线的距离与阿尔茨海默病和帕金森病风险:意大利北部大都市区的一项基于人群的病例对照研究。

Residential distance from high-voltage overhead power lines and risk of Alzheimer's dementia and Parkinson's disease: a population-based case-control study in a metropolitan area of Northern Italy.

机构信息

Epidemiology Unit, Agency for Health Protection of Milan, 20122 Milan, Italy.

Laboratory of Medical Statistics, Biometrics, and Epidemiology "G A Maccacaro", Department of Clinical Sciences and Community Health, University of Milan, Milan, Italy.

出版信息

Int J Epidemiol. 2019 Dec 1;48(6):1949-1957. doi: 10.1093/ije/dyz139.

Abstract

BACKGROUND

The association between the extremely low-frequency magnetic field generated by overhead power lines and neurodegenerative disease is still a matter of debate.

METHODS

A population-based case-control study was carried out on the residents in the Milan metropolitan area between 2011 and 2016 to evaluate the possible association between exposure to extremely low-frequency magnetic fields generated by high-voltage overhead power lines and Alzheimer's dementia and Parkinson's disease. A statistical analysis was performed on cases and controls matched by sex, year of birth and municipality of residence (with a case to controls ratio of 1 : 4) using conditional logistic regression models adjusted for socio-economic deprivation and distance from the major road network as potential confounders.

RESULTS

Odds ratios for residents <50 m from the source of exposure compared with residents at ≥600 m turned out to be 1.11 (95% confidence interval: 0.95-1.30) for Alzheimer's dementia and 1.09 (95% confidence interval: 0.92-1.30) for Parkinson's disease.

CONCLUSIONS

The finding of a weak association between exposure to the extremely low-frequency magnetic field and neurodegenerative diseases suggests the continuation of research on this topic. Moreover, the low consistency between the results of the already existing studies emphasises the importance of increasingly refined study designs.

摘要

背景

架空高压输电线产生的极低频磁场与神经退行性疾病之间的关联仍存在争议。

方法

2011 年至 2016 年期间,在米兰大都市区进行了一项基于人群的病例对照研究,以评估暴露于架空高压输电线产生的极低频磁场与阿尔茨海默病和帕金森病之间的可能关联。对按性别、出生年份和居住市(以 1 例病例对照 4 例对照的比例)匹配的病例和对照进行了统计分析,使用条件逻辑回归模型调整了社会经济剥夺程度和与主要道路网络的距离等潜在混杂因素。

结果

与距离暴露源≥600 米的居民相比,距离暴露源<50 米的居民患阿尔茨海默病的比值比为 1.11(95%置信区间:0.95-1.30),患帕金森病的比值比为 1.09(95%置信区间:0.92-1.30)。

结论

暴露于极低频磁场与神经退行性疾病之间存在微弱关联的发现表明,需要继续对此主题进行研究。此外,现有研究结果之间的低一致性强调了设计日益精细化研究的重要性。

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