产前或产后暴露于农药与肥胖的关系:系统评价。

Relationship between Prenatal or Postnatal Exposure to Pesticides and Obesity: A Systematic Review.

机构信息

Department of Psychobiology, Faculty of Psychology, National Distance Education University (UNED), 28040 Madrid, Spain.

Joint Research Institute-UNED-Instituto de Salud Carlos III (IMIENS), 28029 Madrid, Spain.

出版信息

Int J Environ Res Public Health. 2021 Jul 4;18(13):7170. doi: 10.3390/ijerph18137170.

Abstract

In recent years, the worldwide prevalence of overweight and obesity among adults and children has dramatically increased. The conventional model regarding the onset of obesity is based on an imbalance between energy intake and expenditure. However, other possible environmental factors involved, such as the exposure to chemicals like pesticides, cannot be discarded. These compounds could act as endocrine-disrupting chemicals (EDC) that may interfere with hormone activity related to several mechanisms involved in body weight control. The main objective of this study was to systematically review the data provided in the scientific literature for a possible association between prenatal and postnatal exposure to pesticides and obesity in offspring. A total of 25 human and 9 animal studies were analyzed. The prenatal, perinatal, and postnatal exposure to organophosphate, organochlorine, pyrethroid, neonicotinoid, and carbamate, as well as a combined pesticide exposure was reviewed. This systematic review reveals that the effects of pesticide exposure on body weight are mostly inconclusive, finding conflicting results in both humans and experimental animals. The outcomes reviewed are dependent on many factors, including dosage and route of administration, species, sex, and treatment duration. More research is needed to effectively evaluate the impact of the combined effects of different pesticides on human health.

摘要

近年来,全球范围内成年人和儿童超重和肥胖的患病率显著增加。关于肥胖发生的传统模式是基于能量摄入和消耗之间的不平衡。然而,不能排除其他可能涉及的环境因素,如接触杀虫剂等化学物质。这些化合物可能作为内分泌干扰化学物质(EDC),可能干扰与体重控制相关的几种机制的激素活性。本研究的主要目的是系统地审查科学文献中提供的数据,以确定产前和产后接触农药与后代肥胖之间是否存在关联。共分析了 25 个人类和 9 个动物研究。审查了产前、围产期和产后接触有机磷、有机氯、拟除虫菊酯、新烟碱和氨基甲酸酯,以及联合农药暴露的情况。这项系统评价表明,农药暴露对体重的影响大多没有定论,在人类和实验动物中都发现了相互矛盾的结果。审查的结果取决于许多因素,包括剂量和给药途径、物种、性别和治疗持续时间。需要更多的研究来有效评估不同农药的综合影响对人类健康的影响。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/08f4/8295932/1d98ba50ef75/ijerph-18-07170-g001.jpg

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