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Factors associated with total mercury concentrations in maternal blood, cord blood, and breast milk among pregnant women in Busan, Korea

韩国釜山孕妇母亲血、脐带血、母乳中总汞浓度影响因素

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摘要


本研究调查了母亲血、脐血和乳汁中总汞浓度(THg)及其与膳食因素的关系。在韩国釜山招募127名孕妇。分别于怀孕36周时采集母亲血,分娩时采集脐带血,出生1周后采集母乳。收集每位志愿者的饮食习惯和其他因素方面的信息。母亲血、脐血和乳汁中平均汞浓度分别为3.12±1.36 μg/L,5.46±2.41 μg/L和0.91±2.08 μg/L。对数转换后的母亲血和脐血THg浓度(r=0.829, p<0.001),母亲血和乳汁THg浓度呈正相关(r=0.296,p=0.001)。多重线性回归模型显示对数转换后的母亲血THg浓度与鱼摄入量呈显著正相关(β=0.345, p<0.0001),与豆类摄入量呈显著负相关(β=−0.055, p=0.048)。鱼摄入量( β=0.482, p<0.0001)和母亲年龄(β=0.025, p=0.033)与脐血THg浓度呈显著正相关,而豆类(β=−0.134,p=0.027)和豆类似物摄入量(β=−0.172, p=0.015)与脐血THg浓度呈显著负相关。牛肉摄入(β=0.031, p=0.007)与对数转换后的母乳THg浓度呈显著正相关,而豆类摄入(β=−0.019, p=0.003)和母亲年龄(β=−0.083, p=0.004)与对数转换后的母乳THg浓度呈显著负相关。本研究发现膳食因素和人口学因素对THg浓度有影响,且在母亲血,脐血和母乳样本中影响程度不同。

關鍵字

母乳 膳食 脐血 母亲血 汞浓度

並列摘要


This study investigated the concentration of total mercury (THg) in maternal blood, cord blood, and breast milk, and its association with dietary factors. A total of 127 pregnant women in Busan, Korea were recruited. Maternal blood, cord blood, and breast milk were collected at 36 weeks of gestation, at delivery, and at one week after birth, respectively. Information about dietary habits and other factors were obtained from each subject. The mean THg concentrations in maternal blood, cord blood, and breast milk were 3.12±1.36 μg/L, 5.46±2.41 μg/L, and 0.91±2.08 μg/L, respectively. Positive correlations were found between log-transformed THg concentrations in maternal blood and cord blood (r=0.829, p<0.001), and between maternal blood and breast milk (r=0.296, p=0.001). Multiple linear regression analysis showed that the log-transformed concentration of THg in maternal blood was positively correlated with fish consumption (β=0.345, p<0.0001) and negatively correlated with bean consumption (β=−0.055, p=0.048). Fish consumption (β=0.482, p<0.0001) and maternal age (β=0.025, p=0.033) were positively associated with the concentration of THg in cord blood, while negative correlations were found for bean consumption (β=−0.134, p=0.027) and parity (β=−0.172, p=0.015). Beef consumption (β=0.031, p=0.007) was positively associated with log-transformed THg concentrations in breast milk, while negative correlations were found for bean consumption (β=−0.019, p=0.003) and maternal age (β=−0.083, p=0.004). Our study found that both the dietary and demographic factors differently affected to THg concentrations among samples of maternal blood, cord blood, and breast milk.

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