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父母职业接触低频磁场与子女白血病风险:来自儿童白血病国际协作组(CLIC)的研究结果。

Parental occupational exposure to low-frequency magnetic fields and risk of leukaemia in the offspring: findings from the Childhood Leukaemia International Consortium (CLIC).

机构信息

Section of Environment and Radiation, International Agency for Research on Cancer, Lyon, France.

Telethon Kids Institute, University of Western Australia, Perth, Australia.

出版信息

Occup Environ Med. 2019 Oct;76(10):746-753. doi: 10.1136/oemed-2019-105706. Epub 2019 Jul 29.

Abstract

OBJECTIVES

Previously published studies on parental occupational exposure to extremely low-frequency magnetic fields (ELF-MF) and risk of acute lymphoblastic leukaemia (ALL) and acute myeloid leukaemia (AML) in their offspring were inconsistent. We therefore evaluated this question within the Childhood Leukemia International Consortium.

METHODS

We pooled 11 case-control studies including 9723 childhood leukaemia cases and 17 099 controls. Parental occupational ELF-MF exposure was estimated by linking jobs to an ELF-MF job-exposure matrix (JEM). Logistic regression models were used to estimate ORs and 95% CIs in pooled analyses and meta-analyses.

RESULTS

ORs from pooled analyses for paternal ELF-MF exposure >0.2 microtesla (µT) at conception were 1.04 (95% CI 0.95 to 1.13) for ALL and 1.06 (95% CI 0.87 to 1.29) for AML, compared with ≤0.2 µT. Corresponding ORs for maternal ELF-MF exposure during pregnancy were 1.00 (95% CI 0.89 to 1.12) for ALL and 0.85 (95% CI 0.61 to 1.16) for AML. No trends of increasing ORs with increasing exposure level were evident. Furthermore, no associations were observed in the meta-analyses.

CONCLUSIONS

In this large international dataset applying a comprehensive quantitative JEM, we did not find any associations between parental occupational ELF-MF exposure and childhood leukaemia.

摘要

目的

先前发表的关于父母职业接触极低频磁场(ELF-MF)与子女急性淋巴细胞白血病(ALL)和急性髓系白血病(AML)风险的研究结果不一致。因此,我们在儿童白血病国际联盟内对此问题进行了评估。

方法

我们汇总了 11 项病例对照研究,共纳入 9723 例儿童白血病病例和 17099 例对照。通过将职业与 ELF-MF 职业暴露矩阵(JEM)相联系来估计父母职业 ELF-MF 暴露。使用逻辑回归模型在汇总分析和荟萃分析中估计比值比(OR)和 95%置信区间(CI)。

结果

在汇总分析中,父亲在受孕时暴露于 ELF-MF >0.2µT 的 OR 对于 ALL 为 1.04(95%CI 0.95 至 1.13),对于 AML 为 1.06(95%CI 0.87 至 1.29),与暴露于 ≤0.2µT 相比。母亲在怀孕期间暴露于 ELF-MF 的相应 OR 对于 ALL 为 1.00(95%CI 0.89 至 1.12),对于 AML 为 0.85(95%CI 0.61 至 1.16)。没有观察到暴露水平增加与 OR 增加相关的趋势。此外,荟萃分析也未观察到相关性。

结论

在这项应用综合定量 JEM 的大型国际数据集研究中,我们未发现父母职业 ELF-MF 暴露与儿童白血病之间存在任何关联。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b0b3/6817988/f7fe0bac3e99/oemed-2019-105706f01.jpg

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