The Relationship between the Blood Level of Persistent Organic Pollutants and Common Gastrointestinal Symptoms
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Background: Persistent organic pollutants (POPs) are toxic materials that cannot be broken down naturally and that easily accumulate in the body. Although several studies have attempted to reveal the effects of POPs on the en-docrine and nervous system and on cancer, few studies focus on the relationship between low-dose POPs and pub-lic health. We attempted to find a relationship between the level of POPs and common gastrointestinal symptoms, including abdominal discomfort, diarrhea, and constipation.Methods: We recruited 121 subjects who visited Kyungpook National University Hospital for a health screening. Plasma concentrations were evaluated for 40 kinds of POPs including 17 types of polychlorinated biphenyls and 23 types of organochlorine pesticides. Furthermore, the Korean version of the Rome III criteria was used to identify gastrointestinal symptoms.Results: Our results showed that abdominal discomfort had an inverse relationship with several polychlorinated biphenyls. Moreover, an inverted U-shaped relationship was observed between abdominal discomfort and several other organochlorine pesticides including p,p’-dichlorodiphenyldichloroethane and p,p’-dichlorodiphenyltrichlo-roethane, and the effects of these pesticides on abdominal discomfort were similar to that of organochlorine pesti-cides on obesity and metabolic syndrome.Conclusion: Our results suggest that mild and unspecified gastrointestinal symptoms with no clear cause could be related to POPs levels.
Abstract
Background: Persistent organic pollutants (POPs) are toxic materials that cannot be broken down naturally and that easily accumulate in the body. Although several studies have attempted to reveal the effects of POPs on the en-docrine and nervous system and on cancer, few studies focus on the relationship between low-dose POPs and pub-lic health. We attempted to find a relationship between the level of POPs and common gastrointestinal symptoms, including abdominal discomfort, diarrhea, and constipation.Methods: We recruited 121 subjects who visited Kyungpook National University Hospital for a health screening. Plasma concentrations were evaluated for 40 kinds of POPs including 17 types of polychlorinated biphenyls and 23 types of organochlorine pesticides. Furthermore, the Korean version of the Rome III criteria was used to identify gastrointestinal symptoms.Results: Our results showed that abdominal discomfort had an inverse relationship with several polychlorinated biphenyls. Moreover, an inverted U-shaped relationship was observed between abdominal discomfort and several other organochlorine pesticides including p,p’-dichlorodiphenyldichloroethane and p,p’-dichlorodiphenyltrichlo-roethane, and the effects of these pesticides on abdominal discomfort were similar to that of organochlorine pesti-cides on obesity and metabolic syndrome.Conclusion: Our results suggest that mild and unspecified gastrointestinal symptoms with no clear cause could be related to POPs levels.
참고문헌 (27)
- Balfanz E, "Sampling and analysis of polychlorinated biphenyls (PCB) in indoor air due to permanently elastic sealants", Chemosphere, 26, pp.871~880 (1993)
- Fromme H, "Polychlorinated biphenyls (PCB) in caulking compounds of buildings: assessment of current status in Berlin and new indoor air sources", Gesundheitswesen, 58, pp.666~672 (1996)
- Herrick RF, "An unrecognized source of PCB contamination in schools and other buildings", Environ Health Perspect, 112, pp.1051~1053 (2004)
- Priha E, "PCB contamination from polysulphide sealants in residential areas-exposure and risk assessment", Chemosphere, 59, pp.537~543 (2005)
- Voldner EC, "Global usage of selected persistent organochlorines", Sci Total Environ, 160, pp.201~210 (1995)
- Sanders G, "The rise and fall of PCBs: timetrend data from temperate industrialised countries", Chemosphere, 29, pp.2201~2208 (1994)
- Schettgen T, "Plasma polychlorinated biphenyls (PCB) levels of workers in a transformer recycling company, their family members, and employees of surrounding companies", J Toxicol Environ Health A, 75, pp.414~422 (2012)
- Yu ML, "Menstruation and reproduction in women with polychlorinated biphenyl (PCB) poisoning: long-term follow-up interviews of the women from the Taiwan Yucheng cohort", Int J Epidemiol, 29, pp.672~677 (2000)
- Masuda Y, "Fate of PCDF", PCB congeners and change of clinical symptoms in patients with Yusho PCB poisoning for 30 years, 2001, pp.43, 925~930
- Welshons WV, "Large effects from small exposures: I. Mechanisms for endocrinedisrupting chemicals with estrogenic activity", Environ Health Perspect, 111, pp.994~1006 (2003)
- Lee DH, "A strong dose-response relation between serum concentrations of persistent organic pollutants and diabetes: results from the National Health and Examination Survey 1999-2002", Diabetes Care, 29, pp.1638~1644 (2006)
- Lee DH, "Association between serum concentrations of persistent organic pollutants and insulin resistance among nondiabetic adults: results from the National Health and Nutrition Examination Survey 1999-2002", Diabetes Care, 30, pp.622~628 (2007)
- Lee DH, "Low dose of some persistent organic pollutants predicts type 2 diabetes:a nested case-control study", Environ Health Perspect, 118, pp.1235~1242 (2010)
- Lee DH, "Low dose organochlorine pesticides and polychlorinated biphenyls predict obesity, dyslipidemia, and insulin resistance among people free of diabetes", PLoS One, 6, pp.e15977~ (2011)
- Lee DH, "Associations of persistent organic pollutants with abdominal obesity in the elderly: the Prospective Investigation of the Vasculature in Uppsala Seniors (PIVUS) study", Environ Int, 40, pp.170~178 (2012)
- Gascon M, "Evaluating the neurotoxic effects of lactational exposure to persistent organic pollutants (POPs) in Spanish children", Neurotoxicology, 34, pp.9~15 (2013)
- Prince MM, "Mortality and exposure response among 14,458 electrical capacitor manufacturing workers exposed to polychlorinated biphenyls (PCBs)", Environ Health Perspect, 114, pp.1508~1514 (2006)
- Fisk AT, "Influence of chemical and biological factors on trophic transfer of persistent organic pollutants in the northwater polynya marine food web", Environ Sci Technol, 35, pp.732~738 (2001)
- Jacobs MN, "Investigation of selected persistent organic pollutants in farmed Atlantic salmon (Salmo salar), salmon aquaculture feed, and fish oil components of the feed", Environ Sci Technol, 36, pp.2797~2805 (2002)
- Kelly BC, "Food webspecific biomagnification of persistent organic pollutants", Science, 317, pp.236~239 (2007)
- Bouchoucha M, "Anxiety and depression as markers of multiplicity of sites of functional gastrointestinal disorders: a gender issue?", Clin Res Hepatol Gastroenterol, 37, pp.422~430 (2013)
- Broding HC, "Subjective complaints in persons under chronic low-dose exposure to lower polychlorinated biphenyls (PCBs)", Int J Hyg Environ Health, 211, pp.648~657 (2008)
- 김익성, "한국인의 기능성 위장 장애의 진단에 있어서 로마기준 Ⅲ의 유용성", Journal of Neurogastroenterology and Motility (JNM), 14(1), pp.39~44 (2008), 대한소화기 기능성질환∙운동학회
- Drossman DA, "The functional gastrointestinal disorders and the Rome III process", Gastroenterology, 130, pp.1377~1390 (2006)
- Lee DH, "Relationship between serum concentrations of persistent organic pollutants and the prevalence of metabolic syndrome among non-diabetic adults: results from the National Health and Nutrition Examination Survey 1999-2002", Diabetologia, 50, pp.1841~1851 (2007)
- Posserud I, "Altered visceral perceptual and neuroendocrine response in patients with irritable bowel syndrome during mental stress", Gut, 53, pp.1102~1108 (2004)
- Atkinson W, "Food elimination based on IgG antibodies in irritable bowel syndrome: a randomised controlled trial", Gut, 53, pp.1459~1464 (2004)
