From: Exposure to pesticides and the risk of hypothyroidism: a systematic review and meta-analysis
Authors (year) | Study site/Study design | Population | Sample size | Type of hypothyroidism | Outcome assessment | Source of exposure | Exposure assessment | Name of pesticides | Findings OR/HR (95%CI) | Confounding variables |
---|---|---|---|---|---|---|---|---|---|---|
Goldner et al. (2010) [27] | USA/ Cohort study | Female spouses of applicators | 15,600 -Hypothyroidism (1,114) -No disease (14,486) | Any hypothyroidism | Self-reported history of physician diagnosis | Occ | Interview | 2,4-D 2,4,5-T Alachlor Atrazine Butylate Chlorimuron-ethyl Cyanazine Dicamba EPTC Glyphosate Imazatapyr Metolachlor Metribuzin Paraquat Pendimethalin Petroleum oil Trifluralin | OR = 0.96 (0.80, 1.1) OR = 1.01 (0.46, 2.2) OR = 0.83 (0.59, 1.2) OR = 0.84(0.61, 1.2) OR = 0.98 (0.56,1.7) OR = 1.0 (0.63, 1.7) OR = 0.69 (0.44, 1.1) OR = 0.66(0.45, 0.98) OR = 0.75 (0.40, 1.4) OR = 1.0 (0.91, 1.2) OR = 0.84 (0.55, 1.3) OR = 0.66 (0.43, 1.0) OR = 1.1 (0.69, 1.7) OR = 1.8 (1.1, 2.8)a OR = 0.93 (0.59, 1.5) OR = 1.1 (0.76, 1.5) OR = 1.1 (0.80, 1.4) | Education, age, smoking status, body mass index, hormone replacement therapy |
Goldner et al. (2013) [28] | USA/ Cohort study | Male pesticide applicators | 21,788 -Hypothyroidism (461) -No disease (21,327) | Any hypothyroidism | Self-reported history of physician diagnosis | Occ | Interview | 2,4-D 2,4,5-T 2,4,5-TP Alachlor Atrazine Butylate Chlorimuron-ethyl Cyanazine Dicamba EPTC Glyphosate Imazetapyr Metolachlor Metribuzin Paraquat Pendimethalin Petroleum oil Trifluralin | OR = 1.35 (1.04, 1.76)a OR = 1.38 (1.12, 1.69)a OR = 1.39 (1.06, 1.82)a OR = 1.24 (1.02, 1.50)a OR = 0.99 (0.80, 1.22) OR = 0.98 (0.81, 1.19) OR = 0.85 (0.70, 1.04) OR = 1.13 (0.94, 1.36) OR = 1.37 (1.13, 1.66)a OR = 1.19 (0.96, 1.48) OR = 1.18 (0.94, 1.49) OR = 0.95 (0.79, 1.15) OR = 1.14(0.95, 1.38) OR = 1.07 (0.89, 1.29) OR = 1.11 (0.9, 1.38) OR = 0.86 (0.71,1.04) OR = 1.23 (1.02, 1.48)a OR = 1.11 (0.92, 1.34) | Body mass index, age, education |
Lerro et al. (2017) [30] | USA/ Cohort study | Male pesticide applicators | 679 -Hypothyroidism (127) -No disease (552) | Subclinical hypothyroidism | Laboratory | Occ | Interview | Pendimethalin Trifluralin Butylate EPC 2,4-D 2,4,5-T Atrazine Cyanazine Metribuzin Alachlor Metolachlor Chlorimuron-ethyl Dicamba Glyphosate Imazethapyr Petroleum oil | OR = 2.78 (1.30, 5.95)a OR = 1.09 (0.55, 2.17) OR = 1.78 (0.74, 4.28) OR = 2.05 (0.91, 4.63) OR = 0.80 (0.40, 1.58) OR = 2.10 (0.78, 5.71) OR = 1.16 (0.49, 2.78) OR = 1.26 (0.61, 2.61) OR = 0.73 (0.27, 1.95) OR = 0.99 (0.48, 2.01) OR = 1.44 ( 0.72, 2.88) OR = 1.45 (0.60, 3.50) OR = 1.06 (0.57, 1.98) OR = 1.21 (0.66, 2.24) OR = 1.54 (0.81, 2.95) OR = 0.97 (0.35, 2.69) | Age, state, body mass index, smoking status, correlated pesticides |
Shrestha et al. (2018)a [20] | USA/ Cohort study | Pesticide applicators | 34,879 -Hypothyroidism (829) -No disease (34,050) | Any hypothyroidism | Self-reported history of physician diagnosis | Occ | Interview | Alachlor Butylate Chlorimuron ethyl Dicamba EPTC Glyphosate Imazetapyr Metolachlor Paraquat Pendimethalin Petroleum oil (age ≤ 62) Petroleum oil (age > 62) Trifularin 2,4-D 2,4,5-T 2,4,5-TP Atrazine (age ≤ 62) Atrazine (age > 62) Cyanzine Metribuzin | HR = 1.05(0.91,1.22) HR = 1.09(0.94,1.27) HR = 0.93(0.80,1.08) HR = 1.27(1.08,1.50)a HR = 1.08(0.91,1.29) HR = 1.28(1.07,1.52)a HR = 1.01(0.86,1.18) HR = 0.98(0.85,1.13) HR = 0.91(0.76,1.10) HR = 0.90(0.78,1.04) HR = 0.92(0.76,1.11) HR = 1.21(0.97,1.51) HR = 1.11(0.95,1.30) HR = 1.30(1.07,1.58)a HR = 1.06(0.90,1.24) HR = 1.11(0.89,1.39) HR = 0.89(0.72,1.11) HR = 1.18(0.91,1.51) HR = 1.09(0.93,1.27) HR = 1.02(0.88,1.19) | Sex, education, state, smoking status |
Shrestha et al. (2018)b [21] | USA/ Cohort study | Spouses of private pesticide applicators | 23,561 -Hypothyroidism (1,627) -No disease (21,934) | Any hypothyroidism | Self-reported history of physician diagnosis | Occ | Interview | Alachlor Butylate Chlorimuron ethyl Dicamba EPTC Glyphosate Imazethapyr Metolachlor Pendimethalin Trifluralin 2,4-D Atrazine Cyanazine Metribuzin | HR = 1.15(0.83,1.59) HR = 0.75(0.43,1.32) HR = 0.89(0.55,1.44) HR = 1.17(0.85,1.60) HR = 0.70(0.37,1.30) HR = 1.07(0.95,1.20) HR = 0.63(0.40,0.97) HR = 0.72(0.48,1.08) HR = 1.77(1.19,2.62)a HR = 1.15(0.87,1.52) HR = 0.90(0.77,1.05) HR = 0.99(0.71,1.05) HR = 0.84(0.55,1.27) HR = 1.04(0.64,1.69) | Education, state, smoking status, correlated pesticides |