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内分泌干扰物与代谢变化:对青春期调控的影响。

Endocrine Disruptors and Metabolic Changes: Impact on Puberty Control.

机构信息

Center of Biomedical Investigation Universidad de La Sabana, CIBUS, Chía, Colombia.

Center of Biomedical Investigation Universidad de La Sabana, CIBUS, Chía, Colombia; Department of Endocrinology, Diabetes and Nutrition, Fundación CardioInfantil-Instituto de Cardiología, Bogotá, Colombia.

出版信息

Endocr Pract. 2024 Apr;30(4):384-397. doi: 10.1016/j.eprac.2024.01.006. Epub 2024 Jan 6.

Abstract

OBJECTIVE

This study aims to explore the significant impact of environmental chemicals on disease development, focusing on their role in developing metabolic and endocrine diseases. The objective is to understand how these chemicals contribute to the increasing prevalence of precocious puberty, considering various factors, including epigenetic changes, lifestyle, and emotional disturbances.

METHODS

The study employs a comprehensive review of descriptive observational studies in both human and animal models to identify a degree of causality between exposure to environmental chemicals and disease development, specifically focusing on endocrine disruption. Due to ethical constraints, direct causation studies in human subjects are not feasible; therefore, the research relies on accumulated observational data.

RESULTS

Puberty is a crucial life period with marked physiological and psychological changes. The age at which sexual characteristics develop is changing in many regions. The findings indicate a correlation between exposure to endocrine-disrupting chemicals and the early onset of puberty. These chemicals have been shown to interfere with normal hormonal processes, particularly during critical developmental stages such as adolescence. The research also highlights the interaction of these chemical exposures with other factors, including nutritional history, social and lifestyle changes, and emotional stress, which together contribute to the prevalence of precocious puberty.

CONCLUSION

Environmental chemicals significantly contribute to the development of certain metabolic and endocrine diseases, particularly in the rising incidence of precocious puberty. Although the evidence is mainly observational, it adequately justifies regulatory actions to reduce exposure risks. Furthermore, these findings highlight the urgent need for more research on the epigenetic effects of these chemicals and their wider impact on human health, especially during vital developmental periods.

摘要

目的

本研究旨在探讨环境化学物质对疾病发展的重大影响,重点研究其在代谢和内分泌疾病发展中的作用。目的是了解这些化学物质如何导致性早熟的患病率增加,同时考虑到各种因素,包括表观遗传变化、生活方式和情绪干扰。

方法

本研究采用对人类和动物模型的描述性观察研究进行综合回顾,以确定环境化学物质暴露与疾病发展之间的某种因果关系,特别是针对内分泌干扰。由于伦理限制,在人类受试者中进行直接因果关系研究是不可行的;因此,研究依赖于积累的观察数据。

结果

青春期是一个关键的生命阶段,伴随着明显的生理和心理变化。许多地区的性特征出现的年龄正在发生变化。研究结果表明,暴露于内分泌干扰化学物质与性早熟的早期发生之间存在相关性。这些化学物质已被证明会干扰正常的激素过程,特别是在青春期等关键发育阶段。研究还强调了这些化学物质暴露与其他因素的相互作用,包括营养史、社会和生活方式的变化以及情绪压力,这些因素共同导致了性早熟的流行。

结论

环境化学物质对某些代谢和内分泌疾病的发展有重大贡献,特别是在性早熟发病率上升方面。尽管证据主要是观察性的,但足以证明采取监管行动以减少暴露风险是合理的。此外,这些发现强调了需要进一步研究这些化学物质的表观遗传效应及其对人类健康的更广泛影响,特别是在至关重要的发育时期。

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