1. A case-control study of thallium exposure with the risk of premature ovarian insufficiency in women
- Author
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Jianhong Zhou, Chunming Li, Jing Liu, Wuye Pan, Xiaochen Ma, Xiaoqing Ye, and Zheying Zhu
- Subjects
China ,Health, Toxicology and Mutagenesis ,Urinary system ,chemistry.chemical_element ,Physiology ,Primary Ovarian Insufficiency ,010501 environmental sciences ,Toxicology ,Premature ovarian insufficiency ,01 natural sciences ,03 medical and health sciences ,chemistry.chemical_compound ,0302 clinical medicine ,Humans ,Medicine ,Thallium ,0105 earth and related environmental sciences ,General Environmental Science ,Creatinine ,business.industry ,Public Health, Environmental and Occupational Health ,Case-control study ,Odds ratio ,Luteinizing Hormone ,030210 environmental & occupational health ,chemistry ,Case-Control Studies ,Female ,Follicle Stimulating Hormone ,Luteinizing hormone ,business ,Hormone - Abstract
Thallium exposure has been associated with female reproductive health, but little is known about its potential association with premature ovarian insufficiency (POI). In this study, a total of 169 patients with POI and 209 healthy women were recruited from Zhejiang province, China. Urinary thallium concentrations were significantly positively associated with the risk of POI [adjusted odds ratio (OR) = 1.63, 95% CI: 1.25-2.13, p < 0.001], geometric mean values of which were significantly higher in POI cases (0.213 μg/L, 0.302 μg/g for creatinine adjustment) than those of controls (0.153 μg/L, 0.233 μg/g for creatinine adjustment). Furthermore, the serum levels of follicle-stimulating hormone and luteinizing hormone were positively associated with urinary thallium concentrations, whereas anti-Mullerian hormone and estradiol were negatively correlated with thallium. To the best of our knowledge, this is the first study to provide evidence that thallium exposure at currently environmental levels is the potential risk factor for POI in women.
- Published
- 2021