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青春期前儿童和青少年的全脑射频电磁场估计剂量与认知功能之间的关联。

Association between estimated whole-brain radiofrequency electromagnetic fields dose and cognitive function in preadolescents and adolescents.

作者信息

Cabré-Riera Alba, van Wel Luuk, Liorni Ilaria, Thielens Arno, Birks Laura Ellen, Pierotti Livia, Joseph Wout, González-Safont Llúcia, Ibarluzea Jesús, Ferrero Amparo, Huss Anke, Wiart Joe, Santa-Marina Loreto, Torrent Maties, Vrijkotte Tanja, Capstick Myles, Vermeulen Roel, Vrijheid Martine, Cardis Elisabeth, Röösli Martin, Guxens Mònica

机构信息

ISGlobal, Doctor Aiguader 88, 08003, Barcelona, Spain; Pompeu Fabra University, Doctor Aiguader 88, 08003, Barcelona, Spain; Spanish Consortium for Research and Public Health (CIBERESP), Instituto de Salud Carlos III, Avenida de Monforte de Lemos 5, 28029, Madrid, Spain.

Institute for Risk Assessment Sciences (IRAS), Utrecht University, Yalelaan 2, 3584 CM Utrecht, the Netherlands.

出版信息

Int J Hyg Environ Health. 2021 Jan;231:113659. doi: 10.1016/j.ijheh.2020.113659. Epub 2020 Nov 19.

Abstract

OBJECTIVE

To investigate the association between estimated whole-brain radiofrequency electromagnetic fields (RF-EMF) dose, using an improved integrated RF-EMF exposure model, and cognitive function in preadolescents and adolescents.

METHODS

Cross-sectional analysis in preadolescents aged 9-11 years and adolescents aged 17-18 years from the Dutch Amsterdam Born Children and their Development Study (n = 1664 preadolescents) and the Spanish INfancia y Medio Ambiente Project (n = 1288 preadolescents and n = 261 adolescents), two population-based birth cohort studies. Overall whole-brain RF-EMF doses (mJ/kg/day) were estimated for several RF-EMF sources together including mobile and Digital Enhanced Cordless Telecommunications phone calls (named phone calls), other mobile phone uses than calling, tablet use, laptop use (named screen activities), and far-field sources. We also estimated whole-brain RF-EMF doses in these three groups separately (i.e. phone calls, screen activities, and far-field) that lead to different patterns of RF-EMF exposure. We assessed non-verbal intelligence in the Dutch and Spanish preadolescents, information processing speed, attentional function, and cognitive flexibility in the Spanish preadolescents, and working memory and semantic fluency in the Spanish preadolescents and adolescents using validated neurocognitive tests.

RESULTS

Estimated overall whole-brain RF-EMF dose was 90.1 mJ/kg/day (interquartile range (IQR) 42.7; 164.0) in the Dutch and Spanish preadolescents and 105.1 mJ/kg/day (IQR 51.0; 295.7) in the Spanish adolescents. Higher overall estimated whole-brain RF-EMF doses from all RF-EMF sources together and from phone calls were associated with lower non-verbal intelligence score in the Dutch and Spanish preadolescents (-0.10 points, 95% CI -0.19; -0.02 per 100 mJ/kg/day increase in each exposure). However, none of the whole-brain RF-EMF doses was related to any other cognitive function outcome in the Spanish preadolescents or adolescents.

CONCLUSIONS

Our results suggest that higher brain exposure to RF-EMF is related to lower non-verbal intelligence but not to other cognitive function outcomes. Given the cross-sectional nature of the study, the small effect sizes, and the unknown biological mechanisms, we cannot discard that our resultsare due to chance finding or reverse causality. Longitudinal studies on RF-EMF brain exposure and cognitive function are needed.

摘要

目的

使用改进的综合射频电磁场(RF - EMF)暴露模型,研究青春期前和青春期儿童估计的全脑射频电磁场剂量与认知功能之间的关联。

方法

对来自荷兰阿姆斯特丹出生儿童及其发育研究(1664名青春期前儿童)和西班牙儿童与环境项目(1288名青春期前儿童和261名青少年)的9 - 11岁青春期前儿童和17 - 18岁青少年进行横断面分析,这两项研究均为基于人群的出生队列研究。估计了包括移动电话和数字增强无绳电话通话(称为电话通话)、除通话外的其他手机使用、平板电脑使用、笔记本电脑使用(称为屏幕活动)以及远场源在内的多种射频电磁场源共同产生的全脑总体RF - EMF剂量(毫焦/千克/天)。我们还分别估计了这三组(即电话通话、屏幕活动和远场)导致不同RF - EMF暴露模式的全脑RF - EMF剂量。我们使用经过验证的神经认知测试评估了荷兰和西班牙青春期前儿童的非语言智力、西班牙青春期前儿童的信息处理速度、注意力功能和认知灵活性,以及西班牙青春期前儿童和青少年的工作记忆和语义流畅性。

结果

荷兰和西班牙青春期前儿童估计的全脑总体RF - EMF剂量为90.1毫焦/千克/天(四分位间距(IQR)42.7;164.0),西班牙青少年为105.1毫焦/千克/天(IQR 51.0;295.7)。所有射频电磁场源共同产生的以及电话通话产生的较高估计全脑RF - EMF剂量与荷兰和西班牙青春期前儿童较低的非语言智力得分相关(每增加100毫焦/千克/天的每种暴露,得分降低 - 0.10分,95%置信区间 - 0.19; - 0.02)。然而,在西班牙青春期前儿童或青少年中,全脑RF - EMF剂量与任何其他认知功能结果均无关联。

结论

我们的结果表明,大脑暴露于较高的RF - EMF与较低的非语言智力有关,但与其他认知功能结果无关。鉴于该研究的横断面性质、较小的效应量以及未知的生物学机制,我们不能排除我们的结果是偶然发现或反向因果关系的可能性。需要对RF - EMF脑暴露与认知功能进行纵向研究。

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