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Maternal Concentrations of Persistent Organochlorine Pollutants and the Risk of Asthma in Offspring: Results from a Prospective Cohort with 20 Years of Follow-up

机译:持久性有机氯污染物的母体浓度和后代患哮喘的风险:来自20年随访的前瞻性队列研究结果

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摘要

Background: Previous findings suggest that developmental exposures to persistent organochlorine pollutants (POPs) may be detrimental for the development of the immune system in the offspring. Whether these suspected immunoregulatory effects persist beyond early childhood remains unclear.Objectives: The objective of this study was to evaluate the association between maternal serum concentrations of POPs and the risk of asthma in offspring after 20 years of follow-up.Methods: A birth cohort with 965 women was formed in 1988–1989 in Aarhus, Denmark. Concentrations of six polychlorinated biphenyls (PCBs) (congeners 118, 138, 153, 156, 170, 180), hexachlorobenzene (HCB), and dichlorodiphenyldichloroethylene (p,p´-DDE) were quantified in maternal serum (n = 872) collected in gestation week 30. Information about offspring use of asthma medications was obtained from the Danish Registry of Medicinal Product Statistics.Results: Maternal serum concentrations of HCB and dioxin-like PCB-118 were positively associated with offspring asthma medication use after 20 years of follow-up (p for trend < 0.05). Compared with subjects in the first tertile of maternal concentration, those in the third tertile of PCB-118 had an adjusted hazard ratio (HR) of 1.90 (95% CI: 1.12, 3.23). For HCB the HR for the third versus the first tertile of maternal concentration was 1.92 (95% CI: 1.15, 3.21). Weak positive associations were also estimated for PCB-156 and the non-dioxin-like PCBs (PCBs 138, 153, 170, 180). No associations were found for p,p´-DDE.Conclusions: Maternal concentrations of PCB-118 and HCB were associated with increased risk of asthma in offspring followed through 20 years of age.Citation: Hansen S, Strøm M, Olsen SF, Maslova E, Rantakokko P, Kiviranta H, Rytter D, Bech BH, Hansen LV, Halldorsson TI. 2014. Maternal concentrations of persistent organochlorine pollutants and the risk of asthma in offspring: results from a prospective cohort with 20 years of follow-up. Environ Health Perspect 122:93–99; 
机译:背景:以前的发现表明,持久性有机氯污染物(POPs)的发育性暴露可能对后代免疫系统的发育有害。这些不确定的免疫调节作用是否会持续到儿童早期尚不清楚。目的:本研究的目的是评估母亲的血清POPs浓度与20年随访后代患哮喘风险之间的关系。于1988年至1989年在丹麦的奥胡斯组建了965名女性。在收集的母体血清(n = 872)中量化了六种多氯联苯(PCBs)(同源物118,138,153,156,170,180),六氯苯(HCB)和二氯二苯基二氯乙烯(p,p´-DDE)的浓度。妊娠第30周。有关后代使用哮喘药物的信息可从丹麦药品注册局获得。结果:随访20年后,母体血清HCB和二恶英样PCB-118的血清浓度与后代哮喘药物使用呈正相关上升(趋势<0.05的p)。与母体浓度第一三分位数的受试者相比,PCB-118第三三分位数的受试者调整后的危险比(HR)为1.90(95%CI:1.12,3.23)。对于六氯苯,母亲浓度的第三个三分位数与第一个三分位数的HR为1.92(95%CI:1.15,3.21)。对于PCB-156和非二恶英样PCB(PCB 138、153、170、180),也估计有弱的正相关性。结论:母体中PCB-118和HCB的浓度与20岁以下后代患哮喘的风险增加有关。引文:Hansen S,StrømM,Olsen SF,Maslova E,Rantakokko P,Kiviranta H,Rytter D,Bech BH,Hansen LV,Halldorsson TI。 2014年。孕妇中持久性有机氯污染物的浓度和后代患哮喘的风险:前瞻性队列研究结果,随访了20年。环境健康展望122:93–99;

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