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孕期和生命第一年接触酚类物质的新型夫妇-儿童队列研究,该队列基于重复尿液生物样本。

Exposure to phenols during pregnancy and the first year of life in a new type of couple-child cohort relying on repeated urine biospecimens.

机构信息

University Grenoble Alpes, Inserm, CNRS, Team of Environmental Epidemiology Applied to Reproduction and Respiratory Health, Institute for Advanced Biosciences (IAB), Grenoble, France.

Norwegian Institute of Public Health, Oslo, Norway.

出版信息

Environ Int. 2020 Jun;139:105678. doi: 10.1016/j.envint.2020.105678. Epub 2020 Apr 2.

Abstract

BACKGROUND

Parabens, bisphenol A and triclosan have been forbidden or restricted in specific types of consumer goods in Europe and France. Limited biomonitoring data are available in France since the implementation of these regulations, and exposure data on infants is scarce worldwide. Understanding the predictors of phenol urinary concentrations will help identify potential targets for prevention.

AIM

We described levels, variability and predictors of exposure to 12 phenols in pregnant women and infants recruited between 2014 and 2017 in a French couple-child cohort.

METHODS

Among 479 pregnant women and 150 of their infants, we studied phenol urinary concentrations in within-subject, within-period pools of repeated urine samples collected during the second and third trimesters of pregnancy (up to 42 samples per woman), at 2 months and 12 months (up to 14 samples per infant). Time trends and associations with demographic, protocol, occupational and behavioral factors were studied using interval censored models to accommodate for undetected and unquantified urine concentrations.

RESULTS

Detection rates were above 90% for bisphenol A, ethylparaben, methylparaben, benzophenone-3 and triclosan and below 5% for bisphenol AF, B, F and triclocarban. Median levels of bisphenol A, bisphenol S, methylparaben, ethylparaben and propylparaben at 12 months were similar or higher than during pregnancy. For pregnant women all phenols but benzophenone-3 and bisphenol S showed a linear decrease between 2014 and 2017 (p-values < 0.02). Women with the shortest education (primary and secondary school) had higher urinary concentrations of triclosan (β = 0.58 (95% confidence interval (CI), -0.04; 1.20)), ethyl (β = 0.43 (95%CI, 0.03; 0.84)) and propyl paraben (β = 1.39 (95%CI, 0.55; 2.24)) than those with the longest education. Cashiers had higher conccentrations of bisphenol S (β = 0.99 (95%CI, -0.11; 2.09)) but not of bisphenol A (β = -0.04 (95%CI, -0.26; 0.19)) than unemployed women.

CONCLUSIONS

Despite recent regulations, bisphenol A, triclosan and paraben detection rates were high in women and young infants. High bisphenol and paraben median levels at 12 months require further investigation as early infancy is a sensitive period for exposure to environmental contaminants.

摘要

背景

在欧洲和法国,对某些类型的消费品中使用的防腐剂、双酚 A 和三氯生进行了禁止或限制。自这些法规实施以来,法国只有有限的生物监测数据可用,而全球婴儿的暴露数据也很少。了解酚类尿液浓度的预测因素将有助于确定潜在的预防目标。

目的

我们描述了在 2014 年至 2017 年期间在法国夫妇-儿童队列中招募的孕妇和婴儿体内 12 种酚类物质的暴露水平、变异性和预测因素。

方法

在 479 名孕妇和 150 名婴儿中,我们研究了在妊娠第 2 和第 3 个月(每名妇女最多 42 个样本)、2 个月和 12 个月(每名婴儿最多 14 个样本)期间重复尿液样本的个体内、个体内时期尿液样本中酚类物质的浓度。使用间隔censored 模型研究时间趋势和与人口统计学、方案、职业和行为因素的关联,以适应未检测到和未量化的尿液浓度。

结果

双酚 A、乙基对羟基苯甲酸酯、甲基对羟基苯甲酸酯、二苯甲酮-3 和三氯生的检测率超过 90%,而双酚 AF、B、F 和三氯卡班的检测率低于 5%。12 个月时双酚 A、双酚 S、甲基对羟基苯甲酸酯、乙基对羟基苯甲酸酯和丙基对羟基苯甲酸酯的中位数水平与妊娠时相似或更高。对于孕妇,所有酚类物质(除了二苯甲酮-3 和双酚 S)在 2014 年至 2017 年间呈线性下降(p 值均<0.02)。受教育程度最短(小学和中学)的女性尿液中三氯生(β=0.58(95%置信区间(CI),-0.04;1.20))、乙基(β=0.43(95%CI,0.03;0.84))和丙基对羟基苯甲酸酯(β=1.39(95%CI,0.55;2.24))的浓度较高。收银员体内双酚 S(β=0.99(95%CI,-0.11;2.09))的浓度高于失业女性,但双酚 A(β=-0.04(95%CI,-0.26;0.19))的浓度无差异。

结论

尽管最近有了这些规定,但双酚 A、三氯生和对羟基苯甲酸酯的检测率在妇女和幼儿中仍很高。12 个月时双酚和对羟基苯甲酸酯的高中位数水平需要进一步调查,因为婴儿早期是暴露于环境污染物的敏感时期。

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