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各种环境污染物对儿童生殖健康的影响:文献综述。

The Effect of Various Environmental Pollutants on the Reproductive Health in Children: A Brief Review of the Literature.

机构信息

Department of Nutrition and Dietetics, Faculty of Health Sciences, Bursa Uludag University, 16059, Bursa, Türkiye.

Department of Nutrition and Dietetics, Faculty of Health Sciences, Ondokuz Mayis University, 55200, Samsun, Türkiye.

出版信息

Curr Nutr Rep. 2024 Sep;13(3):382-392. doi: 10.1007/s13668-024-00557-5. Epub 2024 Jun 27.

Abstract

PURPOSE OF REVIEW

Environmental pollutants in air, water, soil, and food are a significant concern due to their potential adverse effects on fetuses, newborns, babies, and children. These chemicals, which pass to fetuses and babies through trans-placental transfer, breast milk, infant formula, dermal transfer, and non-nutritive ingestion, can cause health problems during childhood. This review aims to discuss how exposure to various environmental pollutants in early life stages can disrupt reproductive health in children.

RECENT FINDINGS

Environmental pollutants can affect Leydig cell proliferation and differentiation, decreasing testosterone production throughout life. This may result in cryptorchidism, hypospadias, impaired semen parameters, and reduced fertility. Although many studies on female reproductive health cannot be interpreted to support causal relationships, exposure to pollutants during critical windows may subsequently induce female reproductive diseases, including early or delayed puberty, polycystic ovary syndrome, endometriosis, and cancers. There is growing evidence that fetal and early-life exposure to environmental pollutants could affect reproductive health in childhood. Although diet is thought to be the primary route by which humans are exposed to various pollutants, there are no adopted nutritional interventions to reduce the harmful effects of pollutants on children's health. Therefore, understanding the impact of environmental contaminants on various health outcomes may inform the design of future human nutritional studies.

摘要

综述目的:空气、水、土壤和食物中的环境污染物因其对胎儿、新生儿、婴儿和儿童的潜在不良影响而令人担忧。这些化学物质通过胎盘转移、母乳、婴儿配方奶粉、皮肤转移和非营养性摄入传递给胎儿和婴儿,可能会在儿童期引发健康问题。本综述旨在讨论在生命早期阶段接触各种环境污染物如何破坏儿童的生殖健康。

最新发现:环境污染物会影响睾丸间质细胞的增殖和分化,从而降低一生中的睾丸酮产生。这可能导致隐睾症、尿道下裂、精液参数受损和生育力降低。尽管许多关于女性生殖健康的研究无法解释为支持因果关系,但在关键窗口期暴露于污染物可能随后会诱发女性生殖疾病,包括性早熟或延迟、多囊卵巢综合征、子宫内膜异位症和癌症。越来越多的证据表明,胎儿和生命早期暴露于环境污染物可能会影响儿童的生殖健康。虽然饮食被认为是人类接触各种污染物的主要途径,但目前没有采取营养干预措施来减少污染物对儿童健康的有害影响。因此,了解环境污染物对各种健康结果的影响可能有助于设计未来的人类营养研究。

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本文引用的文献

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Environmental pollutants and their effects on human health.环境污染物及其对人类健康的影响。
Heliyon. 2023 Aug 25;9(9):e19496. doi: 10.1016/j.heliyon.2023.e19496. eCollection 2023 Sep.

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