Andra Syam S, Makris Konstantinos C
Water and Health Laboratory, Cyprus International Institute for Environmental and Public Health in association with Harvard School of Public Health, Cyprus University of Technology, Limassol, Cyprus.
J Environ Sci Health C Environ Carcinog Ecotoxicol Rev. 2012;30(2):107-51. doi: 10.1080/10590501.2012.681487.
The globally escalating thyroid nodule incidence rates may be only partially ascribed to better diagnostics, allowing for the assessment of environmental risk factors on thyroid disease. Endocrine disruptors or thyroid-disrupting chemicals (TDC) like bisphenol A, phthalates, and polybrominated diphenyl ethers are widely used as plastic additives in consumer products. This comprehensive review studied the magnitude and uncertainty of TDC exposures and their effects on thyroid hormones for sensitive subpopulation groups like pregnant women, infants, and children. Our findings qualitatively suggest the mixed, significant (α = 0.05) TDC associations with natural thyroid hormones (positive or negative sign). Future studies should undertake systematic meta-analyses to elucidate pooled TDC effect estimates on thyroid health indicators and outcomes.
全球范围内甲状腺结节发病率不断上升,这可能只是部分归因于诊断技术的提高,从而能够评估环境风险因素对甲状腺疾病的影响。双酚A、邻苯二甲酸盐和多溴二苯醚等内分泌干扰物或甲状腺干扰化学物质(TDC)作为塑料添加剂广泛用于消费品中。本综述全面研究了TDC暴露的程度和不确定性及其对孕妇、婴儿和儿童等敏感亚人群甲状腺激素的影响。我们的研究结果定性地表明了TDC与天然甲状腺激素之间存在混合的、显著的(α = 0.05)关联(正号或负号)。未来的研究应进行系统的荟萃分析,以阐明TDC对甲状腺健康指标和结果的综合效应估计。