Clinical Research Centre, Biomedical Research Foundation, Academy of Athens, Athens, Greece.
First Department of Paediatrics, National and Kapodistrianv University of Athens, Aghia Sophia Children Hospital, Athens, Greece.
Adv Exp Med Biol. 2020;1194:475-488. doi: 10.1007/978-3-030-32622-7_46.
The European Health Risk Assessment Network on Electromagnetic Fields Exposure (EFHRAN) reported in 2012: "Children and adolescents represent the first generation of Europeans to be exposed to diffuse EMF since their conception and birth, thus, they are expected to be more sensitive to these fields." On the other hand, the body's physiologic processes are regulated by the autonomic nervous system (ANS) in a way that warrants further elucidation.
Age and duration of exposure are investigated for modifying the variance of the reported effects of mobile/cellular phone call (CPC) on ANS indexed, herein, by the heart rate variability (HRV).
Five studies targeted to 124 healthy subjects (aged 15.3-28.4 years (24.3 ± 5.2), who have been recorded in supine position before and/or sham versus real exposure (to a CPC lasting 5-32 minutes), are included in this meta-analysis. Age and duration of a CPC are evaluated as predictors in two separate meta-regressions.
The meta-analysis identified a heterogeneity I = 63.2% for all outcomes and I = 65.2% for sympathovagal balance. Thus, we performed meta-regressions: for the sympathovagal balance rather than the combined parameters effect, the goodness of fit model presents significance only for age - the residual sum of squares compared to chi-square distribution (Q) is 4.24 for age (p = 0.12) - while, for minutes of exposure, Q = 8.2805 (p = 0.016).
The sympathovagal balance - indispensible for health/homeostasis maintenance - is strongly predicted by age. Minutes of exposure did not affect overall HRV or sympathovagal balance. The results endorse/validate the EFHRAN 2012 suggestion for future research targeting to youngsters.
欧洲电磁场暴露健康风险评估网络(EFHRAN)于 2012 年报告称:“儿童和青少年是第一代自受孕和出生以来就受到弥散电磁场暴露的欧洲人,因此,预计他们对这些电磁场更为敏感。”另一方面,人体的生理过程是由自主神经系统(ANS)调节的,这需要进一步阐明。
研究年龄和暴露时间对移动/蜂窝电话通话(CPC)对自主神经系统(ANS)的影响的可变性的影响,这里通过心率变异性(HRV)来表示。
本荟萃分析纳入了五项针对 124 名健康受试者(年龄 15.3-28.4 岁(24.3±5.2)的研究,这些受试者在仰卧位之前和/或假暴露与真实暴露(持续 5-32 分钟的 CPC)时进行了记录。年龄和 CPC 的持续时间被评估为两个单独的元回归中的预测因子。
荟萃分析确定了所有结果的异质性 I=63.2%,交感神经-迷走神经平衡的异质性 I=65.2%。因此,我们进行了元回归:对于交感神经-迷走神经平衡而不是综合参数的影响,拟合优度模型仅对年龄有意义-与卡方分布(Q)相比,年龄的残差平方和为 4.24(p=0.12)-而对于暴露时间,Q=8.2805(p=0.016)。
交感神经-迷走神经平衡对于维持健康/体内平衡至关重要,它强烈受到年龄的预测。暴露时间不会影响整体 HRV 或交感神经-迷走神经平衡。这些结果支持/验证了 EFHRAN 2012 年对针对年轻人的未来研究的建议。