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Associations between drinking water disinfection byproducts and menstrual cycle characteristics: A cross-sectional study among women attending an infertility clinic

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单位: [1]Huazhong Univ Sci & Technol, Tongji Med Coll, Sch Publ Hlth, Dept Occupat & Environm Hlth, Wuhan, Hubei, Peoples R China [2]Huazhong Univ Sci & Technol, Minist Educ, Key Lab Environm & Hlth, Wuhan, Hubei, Peoples R China [3]Huazhong Univ Sci & Technol, Minist Environm Protect, Wuhan, Hubei, Peoples R China [4]Huazhong Univ Sci & Technol, Tongji Med Coll, Sch Publ Hlth, State Key Lab Environm Hlth Incubating, Wuhan, Hubei, Peoples R China [5]Huazhong Univ Sci & Technol, Tongji Med Coll, Tongji Hosp, Reprod Med Ctr, 1095 Jiefang Ave, Wuhan, Hubei, Peoples R China
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关键词: Dichloroacetic acid Trichloroacetic acid Disinfection byproducts Menstrual cycle characteristics

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Disinfection byproducts (DBPs) have been shown to alter ovarian steroidogenesis and cause estrous cyclicity disturbance and prolongation in experimental studies, however human studies are lacking. We aimed to evaluate the cross-sectional associations between drinking water DBPs and menstrual cycle characteristics. A total of 1078 women attending an infertility clinic in Wuhan, China were included between December 2018 and January 2020. Characteristics of menstrual cycle were collected by questionnaires. Concentrations of dichloroacetic acid (DCAA) and trichloroacetic acid (TCAA) were measured in urine as biomarkers of drinking water DBPs. Multivariate logistic and linear regression models were used to evaluate the associations between urinary DCAA and TCAA concentrations and menstrual cycle characteristics. Higher urinary DCAA concentrations were associated with increased odds ratios (ORs) of irregular menstrual cycle (OR = 1.80; 95% CI: 0.97, 3.33 for the highest vs. lowest quartile; P for trend = 0.05) and long menstrual cycle (OR = 1.62; 95% CI: 0.97, 2.70 for the highest vs. lowest quartile; P for trend = 0.06), as well as prolonged variation in cycle length (beta & nbsp;= 1.27 days; 95% CI:-0.11, 2.66 for the highest vs. lowest quartile; P for trend = 0.04). Higher urinary TCAA concentrations were associated with prolonged bleeding duration (beta & nbsp;= 0.23 days; 95% CI:-0.06, 0.51 for the highest vs. lowest quartile; P for trend = 0.07). These results suggest that exposure to drinking water DBPs is associated with menstrual cycle disturbances. These findings are warranted to confirm in other studies.

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出版当年[2021]版:
大类 | 2 区 医学
小类 | 1 区 公共卫生、环境卫生与职业卫生 2 区 传染病学
最新[2025]版:
大类 | 2 区 医学
小类 | 2 区 公共卫生、环境卫生与职业卫生 3 区 传染病学
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出版当年[2020]版:
Q1 INFECTIOUS DISEASES Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
最新[2023]版:
Q1 INFECTIOUS DISEASES Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

影响因子: 最新[2023版] 最新五年平均 出版当年[2020版] 出版当年五年平均 出版前一年[2019版] 出版后一年[2021版]

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第一作者单位: [1]Huazhong Univ Sci & Technol, Tongji Med Coll, Sch Publ Hlth, Dept Occupat & Environm Hlth, Wuhan, Hubei, Peoples R China [2]Huazhong Univ Sci & Technol, Minist Educ, Key Lab Environm & Hlth, Wuhan, Hubei, Peoples R China [3]Huazhong Univ Sci & Technol, Minist Environm Protect, Wuhan, Hubei, Peoples R China [4]Huazhong Univ Sci & Technol, Tongji Med Coll, Sch Publ Hlth, State Key Lab Environm Hlth Incubating, Wuhan, Hubei, Peoples R China
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通讯机构: [1]Huazhong Univ Sci & Technol, Tongji Med Coll, Sch Publ Hlth, Dept Occupat & Environm Hlth, Wuhan, Hubei, Peoples R China [2]Huazhong Univ Sci & Technol, Minist Educ, Key Lab Environm & Hlth, Wuhan, Hubei, Peoples R China [3]Huazhong Univ Sci & Technol, Minist Environm Protect, Wuhan, Hubei, Peoples R China [4]Huazhong Univ Sci & Technol, Tongji Med Coll, Sch Publ Hlth, State Key Lab Environm Hlth Incubating, Wuhan, Hubei, Peoples R China
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