邻苯二甲酸酯类暴露与人群肥胖关系的Meta分析

doi:10.13481/j.1671-587x.20170218

吉林大学学报(医学版) ›› 2017, Vol. 43 ›› Issue (02): 306-310.doi: 10.13481/j.1671-587x.20170218

邻苯二甲酸酯类暴露与人群肥胖关系的Meta分析

徐缙, 陈怀基, 许峰, 王琪, 张月竹, 刘洪泊, 张天融, 叶琳

吉林大学公共卫生学院劳动卫生与环境卫生学教研室, 吉林长春 130021

收稿日期:2016-10-11 出版日期:2017-03-28 发布日期:2017-03-31
通讯作者: 叶琳,教授,博士研究生导师(Tel:0431-85619453,E-mail:yel@jlu.edu.cn) E-mail:yel@jlu.edu.cn
作者简介:徐缙(1990-),男,辽宁省锦州市人,在读医学硕士,主要从事环境与健康关系方面的研究。
基金资助:
国家自然科学基金资助课题（81573184）

Association between phthalate ester exposure and population obesity:A Meta-analysis

XU Jin, CHEN Huaiji, XU Feng, WANG Qi, ZHANG Yuezhu, LIU Hongbo, ZHANG Tianrong, YE Lin

Department of Occupational and Environmental Health, School of Public Health, Jilin University, Changchun 130021, China

Received:2016-10-11 Online:2017-03-28 Published:2017-03-31

摘要/Abstract

摘要： 目的：采用Meta分析系统评价邻苯二甲酸酯类暴露与人群肥胖的关系，为预防和控制人群肥胖的发生提供新思路。方法：全面检索PubMed、Web of Science、The Cochrane Library、Elsevier ScienceDirect、OVID等外文数据库和中国生物医学文献数据库、中国知网数据库、维普数据库、万方数据库等中文数据库，查找国内外关于邻苯二甲酸酯类暴露与人群肥胖关系的中英文文献。根据纳入标准和排除标准筛选文献，提取纳入文献的相关数据，采用RevMan 5.3软件进行Meta分析。结果：最终纳入文献6篇，样本量共1259例。Meta分析，肥胖人群尿液中邻苯二甲酸单丁酯（MBP）是正常人群的4.1倍（95%CI：1.43~6.76）；而2组人群血清中邻苯二甲酸二丁酯（DBP）、邻苯二甲酸二乙基己酯（DEHP）和邻苯二甲酸二乙酯（DEP）水平的合并效应值分别为1.17（95%CI：0.64~1.69）、0.80（95%CI：0.13~1.48）和0.72（95%CI：-0.19~1.63），尿液中邻苯二甲酸单乙基己基酯（MEHP）和邻苯二甲酸单乙酯（MEP）水平的合并效应值分别为1.75（95%CI：-0.45~3.96）和2.75（95%CI：0.36~5.15），文献无异质性（P >0.05）。结论：DBP代谢产物MBP水平升高与人群肥胖有关联，MBP可能会促进人群肥胖的发生。

关键词: 邻苯二甲酸酯类, 人群暴露, Meta分析, 肥胖

Abstract: Objective: To evaluate the relationship between the phthalate ester exposure and the population obesity with Meta-analysis, and to provide a new idea for prevention and control of obesity. Methods: A comprehensive search was performed in English databases (Pubmed, Web of Science, The Cochrane Library, Elsevier Science Direct and OVID) and Chinese databases (Sinomed database, CNKI database, VIP database, Wanfang database).The studies about the relationship between phthalate ester exposure and the population obesity were retriveded.The Chinese and English studies were selected according to the inclusion criteria and exclusion criteria.Meta-analysis was performed using RevMan 5.3 software. Results: Six studies were finally obtained, involving 1259 samples.The Meta-analysis results showed that the monobutyl phthalate (MBP) level in urine of the obesity population was increased 4.1 times compared with the normal population (95%CI:1.43-6.76); while the combined effect values of dibutyl phthalate (DBP), di-2-ethylhexyl phthalate (DEHP) and diethyl phthalate (DEP) level in serum of the population in two groups were 1.17 (95%CI:0.64-1.69), 0.80 (95%CI:0.13-1.48), and 0.72 (95%CI:-0.19-1.63);the combined effect values of monoethylhexyl phthalate (MEHP) and monoethyl phthalate (MEP) levels in urine were 1.75 (95%CI:-0.45-3.96) and 2.75 (95%CI:0.36-5.15); there were no significant differences (P >0.05). Conclusion: The elevated MBP levels in the urine may be a risk factor for obesity in the population, suggesting that MBP may contribute to obesity.

Key words: obesity, meta-analysis, population exposure, phthalate esters

中图分类号:

徐缙, 陈怀基, 许峰, 王琪, 张月竹, 刘洪泊, 张天融, 叶琳. 邻苯二甲酸酯类暴露与人群肥胖关系的Meta分析[J]. 吉林大学学报(医学版), 2017, 43(02): 306-310.

XU Jin, CHEN Huaiji, XU Feng, WANG Qi, ZHANG Yuezhu, LIU Hongbo, ZHANG Tianrong, YE Lin. Association between phthalate ester exposure and population obesity:A Meta-analysis[J]. Journal of Jilin University Medicine Edition, 2017, 43(02): 306-310.

参考文献

[1] Ogden CL, Carroll MD, Kit BK, et al. Prevalence of childhood and adult obesity in the United States, 2011-2012[J].JAMA, 2014, 311(8):806-814.
[2] 武阳丰, 马冠生, 胡永华, 等.中国居民的超重和肥胖流行现状[J].中华预防医学杂志, 2005, 39(5):316-320.
[3] Yu Z, Han S, Chu J, et al.Trends in overweight and obesity among children and adolescents in China from 1981 to 2010:A meta-analysis[J].PLoS One, 2012, 7(12):e51949.
[4] Zoeller RT, Brown TR, Doan LL, et al.Endocrine-disrupting chemicals and public health protection:A statement of principles from The Endocrine Society[J].Endocrinology, 2012, 153(9):4097-4110.
[5] Hao C, Cheng X, Xia H, et al.The endocrine disruptor mono-(2-ethylhexyl) phthalate promotes adipocyte differentiation and induces obesity in mice[J].Biosci Reports, 2012, 32(6):619-629.
[6] Hatch EE, Nelson JW, Qureshi MM, et al.Association of urinary phthalate metabolite concentrations with body mass index and waist circumference:A cross-sectional study of NHANES data, 1999-2002[J].Environ Health, 2008, 7(27):1-15.
[7] Dirtu A C, Geens T, Dirinck E, et al.Phthalate metabolites in obese individuals undergoing weight loss:Urinary levels and estimation of the phthalates daily intake[J].Environ Int, 2013, 59:344-353.
[8] Wang H, Zhou Y, Tang C, et al.Urinary phthalate metabolites are associated with body mass index and waist circumference in Chinese school children[J].PLoS One, 2013, 8(2):e56800.
[9] Choi J, Eom J, Kim J, et al.Association between some endocrine-disrupting chemicals and childhood obesity in biological samples of young girls:A cross-sectional study[J].Environ Toxicol Pharmacol, 2014, 38(1):51-57.
[10] 李平, 代兴碧, 但洪,等.肥胖儿童血清中三种PAEs的检测和分析[J].卫生研究, 2008, 37(5):581-583.
[11] 代娟娟.尿液中邻苯二甲酸酯代谢物的分析及与儿童肥胖相关性研究 [D].上海:上海交通大学,2014.
[12] 陈崇新, 王校, 王哲, 等.大学生体内邻苯二甲酸酯的暴露分析[J].环境与健康杂志, 2016, 33(4):335-338.
[13] Casals-Casas C, Desvergne B.Endocrine disruptors:from endocrine to metabolic disruption[J].Annu Rev Physiol, 2011, 73:135-162.
[14] Valvi D, Mendez MA, Martinez D, et al.Prenatal concentrations of polychlorinated biphenyls, DDE, and DDT and overweight in children:a prospective birth cohort study[J].Environ Health Perspect, 2012, 120(3):451-457.
[15] Warner M, Wesselink A, Harley KG, et al.Prenatal exposure to dichlorodiphenyltrichloroethane and obesity at 9 years of age in the CHAMACOS study cohort[J].Am J Epidemiol, 2014, 179(11):1312-1322.
[16] Ortiz L, Nakamura B, Li X, et al.In utero exposure to benzo[a]pyrene increases adiposity and causes hepatic steatosis in female mice, and glutathione deficiency is protective[J].Toxicol Lett, 2013, 223(2):260-267.
[17] Grün F, Blumberg B.Environmental obesogens:organotins and endocrine disruption via nuclear receptor signaling[J].Endocrinology, 2006, 147(6 Suppl):S50-S55.
[18] Bility MT, Thompson JT, Mckee RH, et al.Activation of mouse and human peroxisome proliferator-activated receptors (PPARs) by phthalate monoesters[J].Toxicol Sci:Official J Soc Toxicol, 2004, 82(1):170-182.
[19] Feige JN, Gelman L, Rossi D, et al.The endocrine disruptor monoethyl-hexyl-phthalate is a selective peroxisome proliferator-activated receptor gamma modulator that promotes adipogenesis[J].J Biol Chem, 2007, 282(26):19152-19166.
[20] Swan SH.Environmental phthalate exposure in relation to reproductive outcomes and other health endpoints in humans[J].Environ Res, 2008, 108(2):177-184.

邻苯二甲酸酯类暴露与人群肥胖关系的Meta分析

Association between phthalate ester exposure and population obesity:A Meta-analysis

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