Morales-Suárez-Varela María, Llopis-Morales Agustin, Doccioli Chiara, Donzelli Gabriele
Department of Preventive Medicine and Public Health, Food Sciences, Toxicology, and Legal Medicine, School of Pharmacy, University of Valencia, Avenida Vicente Andres Estellés s/n, Burjassot, 46100 Valencia, Spain.
CIBER of Epidemiology and Public Health (CIBERESP). Av. Monforte de Lemos, 3-5. Pabellón 11. Planta 0 28029 Madrid.
Rev Environ Health. 2023 Mar 22;39(3):499-510. doi: 10.1515/reveh-2022-0248. Print 2024 Sep 25.
Low-frequency electromagnetic fields have grown exponentially in recent years due to technological development and modernization. The World Health Organization (WHO)/International Agency for Research on Cancer (IARC) has classified radiofrequency electromagnetic fields (RF-EMFs) as possibly carcinogenic to humans (Group 2B), and recent studies have investigated the association between exposure to electromagnetic fields in parents and possible health effects in children, especially the development of tumours of the central nervous system (CNS). The objective of this systematic review was to collate all evidence on the relationship between parental occupational exposure to electromagnetic fields and the development of CNS cancer in children and to evaluate this association. This review was prepared according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. PubMed, Embase, and Web of Science were searched from January 1990 to April 2021. The search was conducted using the following search string: "occupational" AND "child" AND "electromagnetic" AND "cancer". Seventeen articles met our inclusion criteria: 13 case-control studies, two cohort studies, and 2 meta-analyses. Most of the studies showed several methodological weaknesses that limited their results. Due to a lack of consistency regarding the outcome as well as the heterogeneity in the reviewed studies, the body of evidence for the effects of parental exposure to electromagnetic fields is not clear. Methodological heterogeneity in the way that studies were conducted could be responsible for the lack of consistency in the findings. Overall, the body of evidence allows no conclusion on the relationship between parental exposure to electromagnetic fields and the occurrence of CNS tumours in children.
近年来,由于技术发展和现代化,低频电磁场呈指数级增长。世界卫生组织(WHO)/国际癌症研究机构(IARC)已将射频电磁场(RF-EMFs)归类为可能对人类致癌(2B组),并且最近的研究调查了父母接触电磁场与儿童可能的健康影响之间的关联,特别是中枢神经系统(CNS)肿瘤的发生。本系统评价的目的是整理关于父母职业接触电磁场与儿童CNS癌症发生之间关系的所有证据,并评估这种关联。本评价是根据系统评价和Meta分析的首选报告项目(PRISMA)指南编写的。检索了1990年1月至2021年4月期间的PubMed、Embase和科学网。检索使用了以下检索词:“职业”、“儿童”、“电磁”和“癌症”。17篇文章符合我们的纳入标准:13篇病例对照研究、2篇队列研究和2篇Meta分析。大多数研究显示出一些方法学上的弱点,这些弱点限制了它们的结果。由于结果缺乏一致性以及所审查研究中的异质性,父母接触电磁场影响的证据并不明确。研究实施方式的方法学异质性可能是导致研究结果缺乏一致性的原因。总体而言,现有证据无法就父母接触电磁场与儿童中枢神经系统肿瘤的发生之间的关系得出结论。