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解析日间和夜间光照暴露对全球肥胖、超重、前列腺癌和乳腺癌发病率的影响。

Disaggregating the effects of daytime and nighttime light exposures on obesity, overweight, prostate and breast cancer morbidity worldwide.

机构信息

Department of Natural Resources and Environmental Management, School of Environmental Sciences, University of Haifa, Haifa, Israel.

出版信息

Chronobiol Int. 2023 Apr;40(4):483-514. doi: 10.1080/07420528.2023.2187230. Epub 2023 Apr 4.

Abstract

Hormone-dependent cancers and overweight/obesity are not necessarily linked but might have similar underlying causes, such as circadian disruption, lack of physical activity, and unhealthy nutrition. Several empirical studies also attribute the rise in these types of morbidity to vitamin D deficiency, linked in turn to insufficient sunlight exposure. Other studies place an emphasis on melatonin (MLT) hormone suppression, associated with artificial light at night (ALAN) exposure. Yet no studies, carried out to date, have attempted to determine which of these environmental risk factors is associated stronger with the morbidity types in question. In this study, we aim to narrow this knowledge gap by analyzing data available for 100+ countries worldwide, while controlling ALAN and solar radiation exposure estimates by several potential confounders, such as GDP, GINI inequality index and unhealthy food consumption. As the study reveals, all the morbidity types under analysis are significantly and positively associated with ALAN exposure estimates ( < 0.05), while solar radiation appears to be significantly associated with prostate cancer rates only ( < 0.05), but not with breast cancer or overweight/obesity rates ( > 0.1). To the best of our knowledge, this study is the first that separates the effects of ALAN and daylight exposures on the abovementioned types of morbidity.

摘要

依赖激素的癌症和超重/肥胖并不一定相关,但可能有类似的潜在原因,如昼夜节律紊乱、缺乏身体活动和不健康的营养。一些实证研究还将这些类型的发病率上升归因于维生素 D 缺乏,而维生素 D 缺乏又与阳光照射不足有关。其他研究则强调褪黑素(MLT)激素抑制与夜间人工光照(ALAN)暴露有关。然而,迄今为止,尚无研究试图确定这些环境风险因素中哪一个与所讨论的发病率类型相关性更强。在这项研究中,我们旨在通过分析全球 100 多个国家的数据来缩小这一知识差距,同时通过 GDP、基尼不平等指数和不健康食品消费等几个潜在混杂因素来控制 ALAN 和太阳辐射暴露的估计。研究表明,所有分析的发病率类型都与 ALAN 暴露估计值呈显著正相关(<0.05),而太阳辐射似乎仅与前列腺癌发病率显著相关(<0.05),而与乳腺癌或超重/肥胖发病率无关(>0.1)。据我们所知,这项研究是首次将 ALAN 和日光暴露对上述发病率类型的影响分开进行研究。

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