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sabato 11 agosto 2018

ASSOCIATION BETWEEN PARENTAL OCCUPATIONAL EXPOSURE TO EXTREMELY LOW FREQUENCY MAGNETIC FIELDS AND CHILDHOOD NERVOUS SYSTEM TUMORS RISK: A META-ANALYSIS.



Una recente metanalisi (21 studi caso/controllo ed 1 di coorte) riporta come l'esposizione prenatale per lavoratrici esposte a basse frequenze (elettrodotti, cabine di trasformazione, macchinari elettrici, ecc…) possa essere la causa di un aumento statisticamente significativo di tumori del sistema nervoso centrale nell'età infantile.

Si ricorda che nel 2002 lo IARC classificò le "basse frequenze” come possibili cancerogeni per l'uomo, 2B.

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Association between parental occupational exposure to extremely low frequency magnetic fields and childhood nervous system tumors risk: A meta-analysis.
Su L1Zhao C2Jin Y2Lei Y3Lu L4Chen G5.

ABSTRACT
BACKGROUND AND OBJECTIVE:
Previous epidemiological studies suggested association between parental occupational exposure to extremely low frequency magnetic fields (ELF-MF) and risk of childhood nervous system tumors, but the results were inconsistent. We conducted a meta-analysis of case-control and cohort studies to re-evaluate this association.
METHODS:
Relevant studies were identified by searching PubMed and Web of Science databases as well as by manual searching. Summary odds ratio (OR) with 95% confidence interval (CI) were pooled with a fixed-effects or random-effects model.
RESULTS:
A total of 22 eligible articles (21 case-control studies and 1 cohort study) were included for the quantitative analysis. The results showed that parental occupational ELF-MF exposure was significantly associated with an increased risk of childhood nervous system tumors (OR = 1.11, 95% CI = 1.02-1.21), and this association remained in studies on central nervous system (CNS) tumors (OR = 1.13, 95% CI = 1.02-1.27) but not neuroblastoma (OR = 1.02, 95% CI = 0.92-1.14). Furthermore, maternal (OR = 1.14, 95% CI = 1.05-1.23) but not paternal (OR = 1.05, 95% CI = 0.98-1.13) occupational ELF-MF exposure significantly increased risk of childhood nervous system tumors. Increased risk of childhood CNS tumors was significant associated with maternal (OR = 1.16, 95% CI = 1.06-1.26) but not paternal (OR = 1.15, 95% CI = 0.98-1.34) occupational ELF-MF exposure.
CONCLUSION:
In conclusion, our results provide limited evidence for the association between maternal occupational exposure to ELF-MF and increased risk of childhood CNS tumors, which should be explained with cautions. Future studies are needed to further evaluate the association of paternal occupational ELF-MF exposure with risk of childhood CNS tumors.