Servicio de Tocoginecología, Hospital de Poniente, Spain.
Servicio de Neurología en Hospital Regional de Málaga, Spain.
Neurologia (Engl Ed). 2023 Sep;38(7):447-452. doi: 10.1016/j.nrleng.2021.01.004.
To determine if there is a relationship between environmental exposure to pesticides and the prevalence of Amyotrophic Lateral Sclerosis (ALS) in Andalusia.
We carried out a case-control study using the logistic regression method to verify the relationship between the prevalence of ALS in the area exposed to pesticides versus the unexposed area, through the Odds Ratio statistical test.
The study population consisted of 519 individuals diagnosed with ALS between January 2016 and December 2018 according to the CMBD (Minimum Basic Data Set) as cases. In the control group, we have 8,384,083 individuals obtained from data from the National Institute of Statistics (INE). The Odds Ratio (OR) was used as a measure of association between cases and controls, obtaining an OR between 0.76 and 1.08 for the confidence interval of the CI (95%).
Despite the existence of various studies that suggest a possible association between environmental exposure to pesticides and the risk of Amyotrophic Lateral Sclerosis, our analysis of the Andalusian population did not find significant evidence of this association.
确定在安达卢西亚地区,环境暴露于农药与肌萎缩侧索硬化症(ALS)的流行之间是否存在关联。
我们采用病例对照研究,使用逻辑回归方法,通过比值比统计检验,验证暴露于农药的地区与未暴露地区 ALS 患病率之间的关系。
本研究人群包括根据 CMBD(最低基本数据集)于 2016 年 1 月至 2018 年 12 月期间诊断为 ALS 的 519 名个体作为病例。在对照组中,我们使用来自国家统计局(INE)的数据获得了 8,384,083 名个体。比值比(OR)用于衡量病例与对照组之间的关联,得出的置信区间(CI)(95%)的 OR 介于 0.76 和 1.08 之间。
尽管有多项研究表明环境暴露于农药与肌萎缩侧索硬化症的风险之间可能存在关联,但我们对安达卢西亚人群的分析并未发现这种关联的显著证据。