Journal of Rafsanjan University of Medical Sciences
مجله دانشگاه علوم پزشکی رفسنجان
JRUMS
Medical Sciences
http://journal.rums.ac.ir
69
journal69
1735-3165
2008-7268
10.66224/jrums
fa
jalali
1401
2
1
gregorian
2022
5
1
21
2
online
1
fulltext
fa
ارزیابی سطح سرب خون در کودکان ایرانی: یک مرور نظاممند
Evaluation of Blood Lead Levels in Iranian Children: A Systematic Review
اطفال
Pediatrics
مقاله مروري
Review Article
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" style="position:absolute; left:0; text-align:left; margin-left:21px; margin-top:1px; width:459pt; height:356.95pt; z-index:-251658240; v-text-anchor:top"> <w:wrap anchorx="margin"> </w:wrap></v:roundrect><b><span lang="AR-SA" style="font-size:12.0pt"><span style="line-height:125%"><span b="" nazanin="" style="font-family:">چکیده</span></span></span></b></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:130%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span new="" roman="" style="font-family:" times=""><b><span lang="FA" style="font-size:12.0pt"><span style="line-height:130%"><span b="" nazanin="" style="font-family:">زمینه و هدف:</span></span></span></b><span lang="FA" style="font-size:12.0pt"><span style="line-height:130%"><span b="" nazanin="" style="font-family:"> قرار گرفتن در معرض سرب و اثرات آن بر سلامت کودکان یکی از مهم­ ترین و گسترده ­ترین دغدغه ­های جوامع بشری امروز است. بنابراین هدف از این مطالعه مروری، ارزیابی سطح سرب خون در کودکان ایرانی میباشد.</span></span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:130%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span new="" roman="" style="font-family:" times=""><b><span lang="FA" style="font-size:12.0pt"><span style="line-height:130%"><span b="" nazanin="" style="font-family:">مواد و روش­ ها</span></span></span></b><span lang="FA" style="font-size:12.0pt"><span style="line-height:130%"><span b="" nazanin="" style="font-family:">: در این مطالعه مروری، پایگاه ­های اطلاعاتی پابمد، اسکوپوس، ساینس دایرکت، ایران مدکس، مگ ایران و پایگاه اطلاعات علمی جهاد دانشگاهی به طور جامع برای مقالات از سال 1384 تا پایان مهرماه 1400 منتشر شده بودند، جستجو شد. مطالعاتی که در آن</span></span></span><span lang="FA" style="font-size:12.0pt"><span style="line-height:130%"><span b="" nazanin="" style="font-family:">ها میزان سرب خون در کودکان ایرانی گزارش شده بود، جمع­آوری گردید. سپس مقالات مطابق چک لیست از پیش تهیه شده مورد ارزیابی قرار گرفتند.</span></span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:130%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span new="" roman="" style="font-family:" times=""><b><span lang="FA" style="font-size:12.0pt"><span style="line-height:130%"><span b="" nazanin="" style="font-family:">یافته ­ها:</span></span></span></b><span lang="FA" style="font-size:12.0pt"><span style="line-height:130%"><span b="" nazanin="" style="font-family:"> از مجموع 143 مقاله ­ای که در جستجوی اولیه یافت شد، 13 مطالعه در بررسی سیستماتیک حاضر گنجانده شد. کمترین و بیشترین سطح سرب خون به ترتیب در آبادان 65/0 میکروگرم بر دسی­ لیتر و در مشهد 1/57 میکروگرم بر دسی­ لیتر بود. در سه مطالعه انجام شده در مشهد و اصفهان، میزان سرب خون در همه کودکان مورد مطالعه بالاتر از 5 میکروگرم بر دسی­ لیتر گزارش شده است. سطح تحصیلات پدر، استفاده از غذاهای کنسروی، عادت خوردن خاک توسط کودک، آسیب به رنگ خانه و کاهش سطح آهن خون از عوامل مرتبط با افزایش سطح سرب خون در کودکان ایرانی بود.</span></span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:130%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span new="" roman="" style="font-family:" times=""><b><span lang="FA" style="font-size:12.0pt"><span style="line-height:130%"><span b="" nazanin="" style="font-family:">نتیجه­ گیری:</span></span></span></b><span lang="FA" style="font-size:12.0pt"><span style="line-height:130%"><span b="" nazanin="" style="font-family:"> با توجه به شیوع بالای نمونه­ های سرب خون بالای 5 میکروگرم بر دسی­لیتر در برخی از مطالعات، کاهش مواجهه با سرب باید به طور جدی توسط سیاست­گذاران سلامت و سیستم­ های بهداشتی دنبال شود.</span></span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:130%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span new="" roman="" style="font-family:" times=""><b><span lang="FA" style="font-size:12.0pt"><span style="line-height:130%"><span b="" nazanin="" style="font-family:">واژه­ های کلیدی:</span></span></span></b><span lang="FA" style="font-size:12.0pt"><span style="line-height:130%"><span b="" nazanin="" style="font-family:"> غلظت خونی سرب، کودکان، ایران، مرور نظام ­مند</span></span></span><span dir="LTR" style="font-size:4.0pt"><span style="line-height:130%"></span></span></span></span></span></span></span>
<span style="font-size:10pt"><span style="line-height:155%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span new="" roman="" style="font-family:" times=""><b><span style="line-height:155%">Background and Objectives: </span></b><span style="line-height:155%">Exposure to lead and its effects on children's health is one of the most important and widespread concerns of human societies today. Therefore, the purpose of this systematic study was to evaluate blood lead levels in Iranian children.</span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:155%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span new="" roman="" style="font-family:" times=""><b><span style="line-height:155%">Materials and Methods:</span></b><span style="line-height:155%"> In this systematic review, PubMed, Scopus, Science Direct,</span> <span style="line-height:155%">Scientific Information Database (SID), and Iran Medex databases were comprehensively searched for papers published from 2005 to the end of October 2021. Studies that reported blood lead levels in Iranian children were collected. Then the articles were evaluated according to a pre-prepared checklist.</span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:155%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span new="" roman="" style="font-family:" times=""><b><span style="line-height:155%">Results</span></b><span style="line-height:155%">: Of a total of 143 articles found in the initial search, 13 studies were included in our systematic review. The lowest and highest mean blood lead levels were 0.65 micrograms per deciliter in Abadan and 57.1 micrograms per deciliter in Mashhad, respectively. In three studies conducted in Mashhad and Isfahan, blood lead levels were reported to be higher than 5 Micrograms per deciliter in all children studied. The level of education of the father, the use of canned food, the habit of eating soil by the child, damage to the paint of the house, and the reduction of blood iron levels were the effective factors in increasing the blood lead levels in Iranian children.</span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:155%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span new="" roman="" style="font-family:" times=""><b><span style="line-height:155%">Conclusion</span></b><span style="line-height:155%">: Due to the high prevalence of blood lead samples above 5 micrograms per deciliter in some studies, reducing the exposure to lead should be seriously pursued by health policy makers and health systems.</span><span lang="FA" dir="RTL" style="line-height:155%"></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:155%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span new="" roman="" style="font-family:" times=""><b><span style="line-height:155%">Key words:</span></b><span style="line-height:155%"> Blood lead levels, Children, Iran, Systematic review</span><span lang="FA" dir="RTL" style="line-height:155%"></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:140%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span new="" roman="" style="font-family:" times=""><span style="line-height:140%"></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:140%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span new="" roman="" style="font-family:" times=""><b><span style="line-height:140%">Funding:</span></b><span style="line-height:140%"> This study did not have any funds. </span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:140%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span new="" roman="" style="font-family:" times=""><b><span style="line-height:140%">Conflict of interest:</span></b><span style="line-height:140%"> None declared.</span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:140%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span new="" roman="" style="font-family:" times=""><b><span style="line-height:140%">Ethical approval:</span></b><span style="line-height:140%"> None applicable.</span><span lang="FA" dir="RTL" style="line-height:140%"></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:140%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span new="" roman="" style="font-family:" times=""><b><span lang="FA" dir="RTL" style="line-height:140%"></span></b></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:140%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span new="" roman="" style="font-family:" times=""><b><span style="line-height:140%">How to cite this article:</span></b><span style="font-size:9.0pt"><span style="line-height:140%"> Ghaffarian Bahraman Ali, Rezaeian Mohsen. Evaluation of Blood Lead Levels in Iranian Children: A Systematic Review. <i>J Rafsanjan</i></span></span><span style="font-size:9.0pt"><span style="line-height:140%"> <i>Univ Med Sci</i> 2022; 21 (02): 221-44. [Farsi]</span></span></span></span></span></span></span><br>
غلظت خونی سرب, کودکان, ایران, مرور نظام مند
Blood lead levels, Children, Iran, Systematic review
221
244
http://journal.rums.ac.ir/browse.php?a_code=A-10-1557-2&slc_lang=fa&sid=1
Ali
Ghaffarian Bahraman
علی
غفاریان بهرمان
ghafarian91@gmail.com
6900319475328460049625
6900319475328460049625
No
Rafsanjan University of Medical Sciences
علوم پزشکی رفسنجان
Mohsen
Rezaeian
محسن
رضائیان
moeygmr2@yahoo.co.uk
6900319475328460049626
6900319475328460049626
Yes
Rafsanjan University of Medical Sciences
علوم پزشکی رفسنجان