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儿童尿中农药频率:范围综述。

Frequency of urinary pesticides in children: a scoping review.

机构信息

Departamento de Salud Pública, Centro Universitario en Ciencias de la Salud, Universidad de Guadalajara, Guadalajara, Jalisco, Mexico.

Departamento de Biología Celular y Molecular, Centro Universitario de Ciencias Biológico Agropecuarias, Universidad de Guadalajara, Guadalajara, Jalisco, Mexico.

出版信息

Front Public Health. 2023 Aug 29;11:1227337. doi: 10.3389/fpubh.2023.1227337. eCollection 2023.

Abstract

Pesticides are any mix of ingredients and substances used to eliminate or control unwanted vegetable or animal species recognized as plagues. Its use has been discussed in research due to the scarcity of strong scientific evidence about its health effects. International literature is still insufficient to establish a global recommendation through public policy. This study aims to explore international evidence of the presence of pesticides in urine samples from children and their effects on health through a scoping review based on the methodology described by Arksey and O'Malley. The number of articles resulting from the keyword combination was 454, and a total of 93 manuscripts were included in the results and 22 were complementary. Keywords included in the search were: urinary, pesticide, children, and childhood. Children are exposed to pesticide residues through a fruit and vegetable intake environment and household insecticide use. Behavioral effects of neural damage, diabetes, obesity, and pulmonary function are health outcomes for children that are commonly studied. Gas and liquid chromatography-tandem mass spectrometry methods are used predominantly for metabolite-pesticide detection in urine samples. Dialkylphosphates (DAP) are common in organophosphate (OP) metabolite studies. First-morning spot samples are recommended to most accurately characterize OP dose in children. International evidence in PubMed supports that organic diets in children are successful interventions that decrease the urinary levels of pesticides. Several urinary pesticide studies were found throughout the world's population. However, there is a knowledge gap that is important to address (public policy), due to farming activities that are predominant in these territories.

摘要

农药是指任何用于消除或控制被认为是害虫的不需要的植物或动物物种的成分和物质的混合物。由于缺乏关于其健康影响的强有力的科学证据,其使用在研究中受到了讨论。国际文献仍然不足以通过公共政策建立全球建议。本研究旨在通过基于 Arksey 和 O'Malley 描述的方法进行范围审查,探索国际上关于儿童尿液样本中农药存在及其对健康影响的证据。通过关键词组合得到的文章数量为 454 篇,结果共纳入 93 篇手稿,其中 22 篇为补充材料。搜索中包含的关键词有:尿、农药、儿童和童年。儿童通过摄入水果和蔬菜的环境以及使用家用杀虫剂来接触农药残留。神经损伤、糖尿病、肥胖和肺功能等行为影响是儿童常见的健康结果。气相和液相色谱-串联质谱法主要用于检测尿液样本中的代谢物-农药。二烷基磷酸酯(DAP)在有机磷(OP)代谢物研究中很常见。推荐使用第一晨尿样本来最准确地描述儿童体内 OP 剂量。在 PubMed 中,国际证据支持儿童有机饮食是成功的干预措施,可以降低儿童尿液中农药的水平。在世界各地的人群中都发现了一些关于尿液中农药的研究。然而,由于这些地区以农业活动为主,存在一个重要的知识差距(公共政策)需要解决。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e388/10497881/386d8a220a45/fpubh-11-1227337-g0001.jpg

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