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生殖毒理学:内分泌干扰化学物质对妊娠的暴露:对妇女健康的影响。

REPRODUCTIVE TOXICOLOGY: Pregnancy exposure to endocrine disrupting chemicals: implications for women's health.

机构信息

Department of Food Science and Human Nutrition, Michigan State University, East Lansing, Michigan, USA.

Department of Epidemiology and Biostatistics, College of Human Medicine, Michigan State University, East Lansing, Michigan, USA.

出版信息

Reproduction. 2021 Oct 7;162(5):F169-F180. doi: 10.1530/REP-21-0051.

Abstract

Women are ubiquitously exposed to non-persistent endocrine disrupting chemicals (EDCs) from food contact materials and personal care products. Understanding the impacts of exposure to these chemicals on pregnancy and long-term health outcomes in women is a critical area of research that has been largely overlooked. This brief review focuses on the epidemiologic literature exploring associations of non-persistent EDCs - including phthalates, parabens, bisphenols, and triclosan - with maternal pregnancy outcomes and long-term health outcomes in women. We focus on the challenges of this research, particularly assessing non-persistent EDC exposures, aspects of study design, and statistical approaches. We conclude by reviewing the best practices for non-persistent EDC research with regards to pregnancy and women's health. Though limited, we found some evidence indicating that exposure to non-persistent EDCs is associated with pregnancy health. However, findings from these studies have been inconsistent and require corroboration. Recent studies have also proposed that non-persistent EDC exposures in pregnancy may adversely affect postnatal maternal health. To date, only a few studies have been conducted and have only focused on postpartum weight. More research is needed in this area to inform efforts to promote optimal health across the lifespan of women.

摘要

女性会从食品接触材料和个人护理产品中持续接触到非持久性内分泌干扰化学物质(EDCs)。了解接触这些化学物质对怀孕和女性长期健康结果的影响是一个关键的研究领域,但目前这方面的研究还远远不够。本篇综述重点关注了探索非持久性 EDC(包括邻苯二甲酸酯、对羟基苯甲酸酯、双酚 A 和三氯生)与孕产妇妊娠结局和女性长期健康结果之间关联的流行病学文献。我们重点讨论了这项研究的挑战,特别是评估非持久性 EDC 暴露、研究设计和统计方法等方面的问题。最后,我们总结了与妊娠和女性健康相关的非持久性 EDC 研究的最佳实践。虽然相关研究有限,但我们发现了一些证据表明,接触非持久性 EDC 与妊娠健康有关。然而,这些研究的结果并不一致,需要进一步证实。最近的研究还提出,妊娠期间非持久性 EDC 的暴露可能会对产后母亲的健康产生不利影响。迄今为止,仅有少数研究开展,且仅集中在产后体重方面。因此,需要在这一领域开展更多的研究,以促进女性整个生命周期的健康。

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