Studientyp:
Epidemiologische Studie
(Beobachtungsstudie)
Occupational exposure to magnetic fields and electric shocks and risk of ALS: The Swiss National Cohort
epidem.
[Berufliche Exposition bei Magnetfeldern und Stromschlägen und das Risiko für ALS: die nationale Schweizer Kohorte]
Von:
Huss A, Spoerri A, Egger M, Kromhout H, Vermeulen R
Veröffentlicht in: Amyotroph Lateral Scler Frontotemporal Degener 2015; 16 (1-2): 80-85
Ziel der Studie (lt. Autor)
Weitere Details
Endpunkt/Art der Risikoabschätzung
Exposition
Abschätzung
- Liste: Klassifizierung der Berufsbezeichnung in Elektroberufe
- Job-Exposure-Matrix: Daten zum Beruf aus den Volkszählungen von 1990 und 2000
Expositionsgruppen
Gruppe
|
Charakteristik
|
Referenzgruppe 1
|
Magnetfeld-Exposition (Job-Exposure-Matrix): niedrig
|
Gruppe 2
|
Magnetfeld-Exposition (Job-Exposure-Matrix): mittel
|
Gruppe 3
|
Magnetfeld-Exposition (Job-Exposure-Matrix): hoch
|
Referenzgruppe 4
|
Stromschläge (Job-Exposure-Matrix): niedrig
|
Gruppe 5
|
Stromschläge (Job-Exposure-Matrix): mittel
|
Gruppe 6
|
Stromschläge (Job-Exposure-Matrix): hoch
|
Referenzgruppe 7
|
Elektro-Berufe (nach Deapen et al., 1988): nein
|
Gruppe 8
|
Elektro-Berufe (nach Deapen et al., 1988): ja
|
Referenzgruppe 9
|
Elektro-Berufe (nach Feychting et al., 2003): nein
|
Gruppe 10
|
Elektro-Berufe (nach Feychting et al., 2003): ja
|
Population
-
Gruppe:
-
Alter:
≥ 30 Jahre
-
Merkmale:
Teilnehmer der nationalen Schweizer Kohorte
-
Beobachtungszeitraum:
1990 - 2008
-
Studienort:
Schweiz
-
Datenquelle:
Einwohnermeldeamt, nationale Schweizer Kohorte
-
Ausschlusskriterien:
Rentner
Studiengröße
Typ |
Wert |
Gesamtzahl |
2.167.046 |
Statistische Analysemethode:
- proportionale Hazard-Regression nach Cox
(
Anpassung:
)
Ergebnisse (lt. Autor)
Insgesamt starben 278 Personen der Studienpopulation an amyotropher Lateralsklerose.
Bei einer getrennten Analyse der Daten aus den Volkszählungen von 1990 und 2000 war die Mortalität an amyotropher Lateralsklerose bei Arbeitern mit Exposition bei extrem niederfrequenten Magnetfeldern, Arbeitern mit einem Risiko für Stromschlag und Arbeitern in Elektroberufen nicht erhöht. Die Mortalität war bei Arbeitern mit einer mittleren oder hohen Magnetfeld-Exposition in beiden Volkszählungen (HR 1,55; KI 1,11-2.15) erhöht, bei Arbeitern mit einem Risiko für Stromschläge (HR 1,17; KI 0.83-1.65) war die Mortalität leicht erhöht. Wenn beide Expositionen gemeinsam ausgewertet wurden, veränderte sich die Hazard-Rate für niederfrequente Magnetfelder wenig (HR 1,56; KI 1,09-2,25), jedoch war die Hazard-Rate für Stromschläge abgeschwächt (HR 0,97; KI 0.66-1,42).
Die Autoren schlussfolgerten, dass es einen Zusammenhang zwischen der Exposition bei niederfrequenten Magnetfeldern und der Mortalität von amyotropher Lateralsklerose bei Arbeitern mit einer höheren Wahrscheinlichkeit für eine Langzeit-Exposition gab.
Studie gefördert durch
-
Swiss National Science Foundation (SNF)
-
ZonMw, The Netherlands
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