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孕期内分泌干扰物:对母亲和胎儿的影响——综述

Endocrine Disruptors in Pregnancy: Effects on Mothers and Fetuses-A Review.

作者信息

Hajjar Rima, Hatoum Sana, Mattar Serge, Moawad Gaby, Ayoubi Jean Marc, Feki Anis, Ghulmiyyah Labib

机构信息

Department of Obstetrics, Gynecology and Reproductive Sciences, University of Miami Miller School of Medicine, Miami, FL 33136, USA.

Foundation for Research and Education Excellence, Vestavia, AL 35243, USA.

出版信息

J Clin Med. 2024 Sep 19;13(18):5549. doi: 10.3390/jcm13185549.

Abstract

: Endocrine disruptors are ubiquitous agents in the environment and are present in everyday consumer products. These agents can interfere with the endocrine system, and subsequently the reproductive system, especially in pregnancy. An increasing number of studies have been conducted to discover and describe the health effects of these agents on humans, including pregnant women, their fetuses, and the placenta. This review discusses prenatal exposure to various endocrine disruptors, focusing on bisphenols, phthalates, organophosphates, and perfluoroalkyl substances, and their effects on pregnancy and fetal development. : We reviewed the literature via the PubMed and EBSCO databases and included the most relevant studies. : Our findings revealed that several negative health outcomes were linked to endocrine disruptors. However, despite the seriousness of this topic and the abundance of research on these agents, it remains challenging to draw strong conclusions about their effects from the available studies. This does not allow for strong, universal guidelines and might result in poor patient counseling and heterogeneous approaches to regulating endocrine disruptors. : The seriousness of this matter calls for urgent efforts, and more studies are needed in this realm, to protect pregnant patients, and ultimately, in the long term, society.

摘要

内分泌干扰物是环境中普遍存在的物质,存在于日常消费品中。这些物质会干扰内分泌系统,进而影响生殖系统,尤其是在孕期。越来越多的研究致力于发现并描述这些物质对人类(包括孕妇、胎儿和胎盘)健康的影响。本综述讨论孕期接触各种内分泌干扰物的情况,重点关注双酚类、邻苯二甲酸盐、有机磷酸酯和全氟烷基物质,以及它们对妊娠和胎儿发育的影响。我们通过PubMed和EBSCO数据库检索文献,并纳入了最相关的研究。我们的研究结果表明,一些负面健康结果与内分泌干扰物有关。然而,尽管该主题很严肃且对这些物质的研究很多,但从现有研究中就其影响得出有力结论仍具有挑战性。这无法形成强有力的通用指南,可能导致患者咨询不足以及对内分泌干扰物监管的方法不一致。此事的严重性需要立即采取行动,该领域需要更多研究,以保护孕妇患者,并最终从长远来看保护社会。

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