■来自动物实验和流行病学研究的证据报道了关于产前双酚(BPs)暴露对儿童甲状腺功能影响的有争议的结果。本研究旨在探讨新生儿和幼儿产前暴露于BPs与甲状腺相关激素(THs)的关系。特别关注性别依赖和暴露水平的影响。
■相关研究从PubMed进行了系统搜索,WebofScience,Medline,科克伦,和Embase直到2024年2月21日。评估的暴露量包括双酚A(BPA),双酚F(BPF),双酚S(BPS),双酚AF(BPAF),和四氯双酚A(TCBPA)。测量的THs是促甲状腺激素(TSH),总三碘甲状腺原氨酸(TT3),总甲状腺素(TT4),游离三代甲状腺素(FT3),和游离甲状腺素(FT4)。使用多变量回归模型的系数量化效果估计值。使用Stata16.0完成统计分析。采用纽卡斯尔-渥太华量表(NOS)评价纳入研究的方法学质量。
■11项队列研究包括5363名儿童纳入我们的荟萃分析。产前双酚浓度与儿童甲状腺激素变化有统计学意义,只在雌性后代中,包括TSH降低(β=-0.020,95%CI:-0.036,-0.005)和TT3水平升高(β=0.011,95%CI:0.001,0.021),和暴露于高浓度的双酚(>1.5ug/g肌酐)显着降低了儿童的FT3水平(β=-0.011,95%CI:-0.020,-0.003)。
产前双酚暴露与女孩甲状腺激素水平的改变有关,有必要加强措施以控制怀孕期间的双酚暴露水平,以保护儿童健康。
■https://inplasy.com,标识符INPLASY202450129。
UNASSIGNED: Evidence from animal experiments and epidemiological studies has reported controversial results about the effects of prenatal
bisphenols (BPs) exposure on childhood thyroid function. This study aims to explore the associations of prenatal exposure to BPs with thyroid-related hormones (THs) in newborns and early childhood, with a particular focus on the sex-dependent and exposure level effects.
UNASSIGNED: Correlated studies were systematically searched from PubMed, Web of Science, Medline, Cochrane, and Embase until February 21, 2024. The exposures assessed include bisphenol A (BPA), bisphenol F (BPF), bisphenol S (BPS), bisphenol AF (BPAF), and tetrachlorobisphenol A (TCBPA). THs measured were thyroid stimulating hormone (TSH), total tri-iodothyronine (TT3), total thyroxine (TT4), free tri-iothyronine (FT3), and free thyroxine (FT4). Effect estimates were quantified using coefficients from multivariable regression models. Statistical analyses were completed using Stata 16.0. The methodological quality of the included studies was evaluated using the Newcastle-Ottawa Scale (NOS).
UNASSIGNED: Eleven cohort studies comprising 5,363 children were included in our meta-analysis. Prenatal bisphenol concentrations were statistically significant related to alterations in thyroid hormones in children, exclusively in female offspring, including reduced TSH (β = -0.020, 95% CI: -0.036, -0.005) and increased TT3 levels (β = 0.011, 95% CI: 0.001, 0.021), and exposure to high concentration of
bisphenols (>1.5 ug/g creatinine) significantly reduced FT3 levels in children (β = -0.011, 95% CI: -0.020, -0.003).
UNASSIGNED: Prenatal bisphenol exposure is linked to alterations in thyroid hormone levels in girls, necessitating enhanced measures to control bisphenol exposure levels during pregnancy for child health protection.
UNASSIGNED: https://inplasy.com, identifier INPLASY202450129.