Jauregui-Zunzunegui Sara, Rodríguez-Artalejo Fernando, Tellez-Plaza María, García-Esquinas Esther
Department of Preventive Medicine and Public Health, Hospital Universitario Nuestra Señora de Candelaria, Spain.
Department of Preventive Medicine and Public Health, Universidad Autónoma de Madrid, Madrid, Spain; CIBERESP (CIBER of Epidemiology and Public Health), Madrid, Spain; IMDEA-Food, CEI UAM+CSIC, Madrid, Spain.
Environ Res. 2024 Jun 15;251(Pt 1):118547. doi: 10.1016/j.envres.2024.118547. Epub 2024 Mar 6.
Glyphosate is the most widely used herbicide worldwide, both in domestic and industrial settings. Experimental research in animal models has demonstrated changes in muscle physiology and reduced contractile strength associated with glyphosate exposure, while epidemiological studies have shown associations between glyphosate exposure and adverse health outcomes in critical biological systems affecting muscle function.
This study used data from a nationally representative survey of the non-institutionalized U.S. general population (NHANES, n = 2132). Urine glyphosate concentrations were determined by ion chromatography with tandem mass spectrometry. Hand grip strength (HGS) was measured using a Takei Dynamometer, and relative strength estimated as the ratio between HGS in the dominant hand and the appendicular lean mass (ALM) to body mass index (ALMBMI) ratio. Low HGS and low relative HGS were defined as 1 sex-, age- and race-specific SD below the mean. Physical function limitations were identified as significant difficulty or incapacity in various activities.
In fully-adjusted models, the Mean Differences (MD) and 95% confidence intervals [95%CI] per doubling increase in glyphosate concentrations were -0.55 [-1.09, -0.01] kg for HGS in the dominant hand, and -0.90 [-1.58. -0.21] kg for HGS/ALMBMI. The Odds Ratios (OR) [95% CI] for low HGS, low relative HGS and functional limitations by glyphosate concentrations were 1.27 [1.03, 1.57] for low HGS; 1.43 [1.05; 1.94] for low relative HGS; 1.33 [1.08, 1.63] for stooping, crouching or kneeling difficulty; 1.17 [0.91, 1.50] for lifting or carrying items weighting up to 10 pounds difficulty; 1.21 [1.01, 1.40] for standing up from armless chair difficulty; and 1.47 [1.05, 2.29] for ascending ten steps without pause difficulty.
Glyphosate exposure may be a risk factor for decreased grip strength and increased physical functional limitations. More studies investigating the influence of this and other environmental pollutants on functional aging are needed.
草甘膦是全球家庭和工业环境中使用最广泛的除草剂。动物模型的实验研究表明,接触草甘膦会导致肌肉生理变化和收缩力下降,而流行病学研究则显示,接触草甘膦与影响肌肉功能的关键生物系统中的不良健康结果之间存在关联。
本研究使用了来自美国非机构化普通人群的全国代表性调查(国家健康与营养检查调查,n = 2132)的数据。通过离子色谱-串联质谱法测定尿中草甘膦浓度。使用竹内测力计测量握力,并将相对力量估计为主手握力与附属瘦体重(ALM)与体重指数(ALMBMI)之比。低握力和低相对握力定义为比均值低1个性别、年龄和种族特异性标准差。身体功能受限被确定为在各种活动中存在显著困难或无能力进行。
在完全调整模型中,草甘膦浓度每增加一倍,主手握力的平均差异(MD)和95%置信区间[95%CI]为-0.55[-1.09,-0.01]kg,握力/ALMBMI为-0.90[-1.58,-0.21]kg。草甘膦浓度导致低握力、低相对握力和功能受限的比值比(OR)[95%CI]分别为:低握力为1.27[1.03,1.57];低相对握力为1.43[1.05,1.94];弯腰、蹲伏或跪困难为1.33[1.08,1.63];提起或搬运重达10磅物品困难为1.17[0.91,1.50];从无扶手椅子上站起来困难为1.21[1.01,1.40];不间断地爬上十级台阶困难为1.47[1.05,2.29]。
接触草甘膦可能是握力下降和身体功能受限增加的危险因素。需要更多研究来调查这种和其他环境污染物对功能衰老的影响。