Increased dioxin-like compounds in the serum of women with peritoneal endometriosis and deep endometriotic (adenomyotic) nodules
| Autor: | Violaine Verougstraete, Jacques Donnez, Dominique Lison, Jean-François Heilier, René Tonglet, Fabienne Nackers |
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| Rok vydání: | 2005 |
| Předmět: |
Adult
medicine.medical_specialty Endometriosis Dioxins Logistic regression Statistics Nonparametric medicine Humans Gynecology Chi-Square Distribution business.industry Case-control study Obstetrics and Gynecology Nodule (medicine) Odds ratio medicine.disease Confidence interval Logistic Models Reproductive Medicine Case-Control Studies Female Peritoneum medicine.symptom business Body mass index Chi-squared distribution |
| Zdroj: | Fertility and Sterility. 84:305-312 |
| ISSN: | 0015-0282 |
| Popis: | OBJECTIVE: To investigate the possible association between the body burden of dioxin-like compounds and endometriotic disease. DESIGN: Case-control study. SETTING: Gynecology ward in a university hospital. PATIENT(S): Seventy-one women with peritoneal endometriosis (n = 25) or deep endometriotic (adenomyotic) nodules (n = 25) and controls (n = 21). INTERVENTION(S): Collection of 200 mL of blood (fasted) and face-to-face interview. MAIN OUTCOME MEASURE(S): Assessment of dioxin (PCDD), furan (PCDF), and dioxin-like PCB serum concentrations (picograms toxic equivalent [TEQ]/g lipids). RESULT(S): Age and body mass index were traced by linear multiple regression as determinants of total TEQ levels. After standardization for these variables (30 years and 22.5 kg/m2), the mean TEQ levels were 24.21 (controls), 30.62 (peritoneal endometriosis), and 37.60 (deep endometriotic [adenomyotic] nodules) pg TEQ/g lipids. Logistic regression analysis indicated a significantly increased risk of deep endometriotic (adenomyotic) nodules (odds ratio [OR], 3.3; 95% confidence interval [CI], 1.4-7.6) for an increment of 10 pg in total TEQ levels/g lipids. An increased risk was also found for peritoneal endometriosis (OR, 1.9; 95% CI, 0.9-3.8) for total TEQ levels and for dioxins alone (OR, 3.2; 95% CI, 1.0-9.9). CONCLUSION(S): The results provide the first epidemiological evidence of an association between increased PCDD/PCDF and PCB body burden and endometriosis. |
| Databáze: | OpenAIRE |
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