ارتباط بین غلظت نیترات در آب آشامیدنی و میزان سرطان کولورکتال: یک مطالعه در شمال غرب ایران

Association between nitrate concentration in drinking water and rate of colorectal cancer: a case study in northwestern Iran


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دانشگاه علوم پزشکی تبریز
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نویسندگان: ژیلا خامنیان , سعید دستگیری , حسین قدرتی اروق

کلمات کلیدی: Water pollution; nitrates; colorectal cancer; water supply

نشریه: 0 , 8 , 32 , 2022

اطلاعات کلی مقاله
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نویسنده ثبت کننده مقاله ژیلا خامنیان
مرحله جاری مقاله تایید نهایی
دانشکده/مرکز مربوطه دانشکده پزشکی
کد مقاله 76972
عنوان فارسی مقاله ارتباط بین غلظت نیترات در آب آشامیدنی و میزان سرطان کولورکتال: یک مطالعه در شمال غرب ایران
عنوان لاتین مقاله Association between nitrate concentration in drinking water and rate of colorectal cancer: a case study in northwestern Iran
ناشر 6
آیا مقاله از طرح تحقیقاتی و یا منتورشیپ استخراج شده است؟ بلی
عنوان نشریه (خارج از لیست فوق) International Journal of Environmental Health Research
نوع مقاله Original Article
نحوه ایندکس شدن مقاله ایندکس شده سطح یک – ISI - Web of Science
آدرس لینک مقاله/ همایش در شبکه اینترنت

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Nitrate, as a major pollutant of drinking water, is associated with colorectal cancer (CRC) and serves as an environmental health concern, especially in the districts with unregulated agriculture. In this case study in north-western Iran, we used two databases of nitrate concentration (1999–2013) and age-standardized incidence rate (ASR) for CRC (2002–2012) from 19 counties of East Azerbaijan province. The trend and correlation between nitrate and ASR was investigated. Inverse distance weighted technique was used to spatially interpolate the maps. Expectedly, drinking water nitrate has increased throughout the province (8–20.5 mg/L) as well as the ASR for CRC of men (from 2.07 to 18.05 mg/L) and women (from 1.57 to 10.94 mg/L). While ASR for CRC of men was positively correlated to nitrate (Pearson’s r = 0.624, p-value = 0.040), no statistically significant correlation was found between nitrate and ASR for women’s CRC (Pearson’s r = 0.289, p-value = 0.351). According to our findings, the incidence of CRC was not higher for those residing in the regions with higher nitrate, suggesting that risk factors such as genetic predisposition and diet that were not taken into account could be determinants of this pattern. However, even a small increase in CRC rate due to water nitrate could translate into a large public health concern. The incremental pattern observed in nitrate levels of different counties over the years gives the health policymakers a better perspective of the problem and how the control of water nitrate level as a CRC risk factor might contribute to the prevention of CRC.

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نویسنده نفر چندم مقاله
ژیلا خامنیانسوم
سعید دستگیریپنجم
حسین قدرتی اروقششم

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