Hirota Y, Kataoka K, Tokunaga S, Hirohata T, Shinohara S, Tokiwa H
Department of Public Health, Faculty of Medicine, Kyushu University, Fukuoka, Japan.
Int Arch Occup Environ Health. 1993;65(4):221-5. doi: 10.1007/BF00381194.
The association between blood polychlorinated biphenyl (PCB) concentration and serum triglyceride level was investigated in 259 "Yusho" patients (PCB poisoning) who underwent health examinations for Yusho in 1988. Geometric means of PCB and triglyceride were 3.84 ppb (95% confidence interval: 3.54-4.17) and 114.3 mg/dl (106.6-122.6), respectively. Both correlation and multiple regression analyses showed a weak but statistically significant correlation between these two variables. The mean triglyceride level adjusted for age and sex was then calculated for comparison among four PCB levels, using analysis of covariance. This indicated a progressive increase with increasing PCB: 98.36, 117.78, 117.84, and 127.65 mg/dl at < 2.7, 2.7+, 4.1+, and 6.1+ ppb, respectively (F = 2.01, P = 0.113). Comparing PCB levels, the difference in adjusted mean triglyceride levels was marginally significant between the first and second (P = 0.088), and the first and third quartiles (P = 0.066), and reached significance between the first and fourth quartiles (P = 0.021). Thus, a weak but significant association between blood PCB and serum triglyceride was observed in the patients 20 years after exposure, although their blood PCB and serum triglyceride were relatively close to the normal levels.
1988年,对259名因食用被多氯联苯(PCB)污染的米糠油而中毒的“油症”患者进行了健康检查,研究了血液中多氯联苯浓度与血清甘油三酯水平之间的关联。多氯联苯和甘油三酯的几何平均值分别为3.84 ppb(95%置信区间:3.54 - 4.17)和114.3 mg/dl(106.6 - 122.6)。相关性分析和多元回归分析均显示这两个变量之间存在微弱但具有统计学意义的相关性。然后,使用协方差分析计算了根据年龄和性别调整后的甘油三酯平均水平,以便在四个多氯联苯水平之间进行比较。结果表明,随着多氯联苯水平的升高,甘油三酯水平呈逐渐上升趋势:在多氯联苯水平<2.7、2.7 +、4.1 +和6.1 + ppb时,调整后的甘油三酯水平分别为98.36、117.78、117.84和127.65 mg/dl(F = 2.01,P = 0.113)。比较多氯联苯水平,调整后的甘油三酯平均水平在第一和第二四分位数之间(P = 0.088)以及第一和第三四分位数之间(P = 0.066)的差异接近显著,而在第一和第四四分位数之间达到显著水平(P = 0.021)。因此,在接触多氯联苯20年后的患者中,观察到血液中多氯联苯与血清甘油三酯之间存在微弱但显著的关联,尽管他们的血液多氯联苯和血清甘油三酯水平相对接近正常水平。