Associa??o entre a polui??o ambiental e a incid?ncia do transtorno do espectro autista : uma revis?o sistem?tica
Ano de defesa: | 2019 |
---|---|
Autor(a) principal: | |
Orientador(a): | |
Banca de defesa: | |
Tipo de documento: | Tese |
Tipo de acesso: | Acesso aberto |
Idioma: | por |
Instituição de defesa: |
Pontif?cia Universidade Cat?lica do Rio Grande do Sul
|
Programa de Pós-Graduação: |
Programa de P?s-Gradua??o em Medicina/Pediatria e Sa?de da Crian?a
|
Departamento: |
Escola de Medicina
|
País: |
Brasil
|
Palavras-chave em Português: | |
Palavras-chave em Inglês: | |
Área do conhecimento CNPq: | |
Link de acesso: | http://tede2.pucrs.br/tede2/handle/tede/9926 |
Resumo: | Autistic Spectrum Disorder (ASD), also known as autism, is a heterogeneous and highly hereditary neurodevelopmental disorder, characterized by clinical manifestations, such as deficiencies in social communication, sensory anomalies, varying levels of intellectual disability and repetitive behaviors. ASD is multifactorial and its incidence has increased significantly in recent years, suggesting that environmental risk factors, such as pollution, may be related to this occurrence. It is a systematic review, followed by a meta-analysis, whose objective was to verify the association between exposure to environmental pollutants and the incidence of ASD. The databases consulted were MEDLINE, EMBASE, PsycINFO, SciELO, CINAHL, LILACS, COCHRANE CENTRAL, Web of Science and gray literature, investigated until January 2020. Cohort studies that provided data on exposure to environmental pollutants were included in the research, and ASD, in children aged 0 to 18 years. For the meta-analysis calculations, the MetaXL 5.3 program was used. The systematic review included 10 studies, which totaled 844,225 individuals, and the meta-analysis 7 studies, totaling 831,173 individuals. The sample consisted of individuals from different countries, such as the United States, Taiwam, Korea, Sweden, Spain, Canada, the Netherlands and Italy. The analysis showed that children exposed to higher levels of environmental pollution have a higher risk of developing ASD (RR: 1.08, 95% CI: 1.04 to 1.12; I2: 76%) than those exposed to minors levels. The research allowed to identify possible associations between environmental pollutants and ASD, assisting in research on the search and understanding of the causality of a chronic non-communicable disease with exponential incidence in children. Knowing the reasons that provide this increase or its probability of occurrence, enables the effective insertion of preventive public policies and comprehensive child health care. |
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Mattiello, Ritahttp://lattes.cnpq.br/4920515067971772http://lattes.cnpq.br/7535098968236791Castro, Fernanda Cristina de Abreu Quintela2021-10-25T13:23:35Z2019-12-16http://tede2.pucrs.br/tede2/handle/tede/9926Autistic Spectrum Disorder (ASD), also known as autism, is a heterogeneous and highly hereditary neurodevelopmental disorder, characterized by clinical manifestations, such as deficiencies in social communication, sensory anomalies, varying levels of intellectual disability and repetitive behaviors. ASD is multifactorial and its incidence has increased significantly in recent years, suggesting that environmental risk factors, such as pollution, may be related to this occurrence. It is a systematic review, followed by a meta-analysis, whose objective was to verify the association between exposure to environmental pollutants and the incidence of ASD. The databases consulted were MEDLINE, EMBASE, PsycINFO, SciELO, CINAHL, LILACS, COCHRANE CENTRAL, Web of Science and gray literature, investigated until January 2020. Cohort studies that provided data on exposure to environmental pollutants were included in the research, and ASD, in children aged 0 to 18 years. For the meta-analysis calculations, the MetaXL 5.3 program was used. The systematic review included 10 studies, which totaled 844,225 individuals, and the meta-analysis 7 studies, totaling 831,173 individuals. The sample consisted of individuals from different countries, such as the United States, Taiwam, Korea, Sweden, Spain, Canada, the Netherlands and Italy. The analysis showed that children exposed to higher levels of environmental pollution have a higher risk of developing ASD (RR: 1.08, 95% CI: 1.04 to 1.12; I2: 76%) than those exposed to minors levels. The research allowed to identify possible associations between environmental pollutants and ASD, assisting in research on the search and understanding of the causality of a chronic non-communicable disease with exponential incidence in children. Knowing the reasons that provide this increase or its probability of occurrence, enables the effective insertion of preventive public policies and comprehensive child health care.O Transtorno do Espectro Autista (TEA), tamb?m conhecido como autismo, ? um transtorno do neurodesenvolvimento heterog?neo e altamente heredit?rio, caracterizado por manifesta??es cl?nicas, como defici?ncias na comunica??o social, anomalias sensoriais, n?veis vari?veis de defici?ncia intelectual e comportamentos repetitivos. O TEA ? multifatorial e sua incid?ncia tem aumentado de maneira expressiva nos ?ltimos anos, sugerindo que os fatores de risco ambientais, como a polui??o, possam ter rela??o com esta ocorr?ncia. Trata-se de uma revis?o sistem?tica, seguida de meta-an?lise, cujo objetivo foi verificar a associa??o entre a exposi??o a poluentes ambientais e a incid?ncia de TEA. As bases de dados consultadas foram MEDLINE, EMBASE, PsycINFO, SciELO, CINAHL, LILACS, COCHRANE CENTRAL, Web of Science e literatura cinzenta, investigada at? janeiro de 2020. Foram inclu?das na pesquisa estudos de coortes que forneceram dados sobre a exposi??o a poluentes ambientais e TEA, em crian?as de 0 a 18 anos. Para os c?lculos da meta-an?lise foi utilizado o programa MetaXL 5.3. A revis?o sistem?tica incluiu 10 estudos, que totalizaram 844.225 indiv?duos, e a meta-an?lise 7 estudos, totalizando 831.173 indiv?duos. A amostra foi constitu?da por indiv?duos de diferentes pa?ses, como Estados Unidos, Taiwam, Korea, Su?cia, Espanha, Canad?, Holanda e It?lia. A an?lise mostrou que as crian?as expostas a n?veis mais elevados de polui??o ambiental apresentam maior risco de desenvolver TEA (RR: 1,08, IC 95%: 1,04 a 1,12; I2: 76%) do que as expostas a menores n?veis. A pesquisa permitiu identificar poss?veis associa??es entre poluentes ambientais e TEA, auxiliando nas pesquisas sobre a busca e compreens?o da causalidade de uma doen?a cr?nica n?o transmiss?vel com incid?ncia exponencial no p?blico infantil. Conhecer os motivos que proporcionam esse aumento ou sua probabilidade de ocorr?ncia, possibilita a inser??o efetiva de pol?ticas p?blicas preventivas e cuidados amplos a sa?de infantil. N?mero de registro no PROSPERO: CRD42018093510.Submitted by PPG Pediatria e Sa?de da Crian?a (pediatria-pg@pucrs.br) on 2021-10-25T12:39:50Z No. of bitstreams: 1 TESE 16112020 FERNANDA CRISTINA DE ABREU QUINTELA CASTRO.pdf: 2356347 bytes, checksum: 7f3189a71d6dfc5288eadd2861c2dae8 (MD5)Approved for entry into archive by Sheila Dias (sheila.dias@pucrs.br) on 2021-10-25T13:20:39Z (GMT) No. of bitstreams: 1 TESE 16112020 FERNANDA CRISTINA DE ABREU QUINTELA CASTRO.pdf: 2356347 bytes, checksum: 7f3189a71d6dfc5288eadd2861c2dae8 (MD5)Made available in DSpace on 2021-10-25T13:23:35Z (GMT). No. of bitstreams: 1 TESE 16112020 FERNANDA CRISTINA DE ABREU QUINTELA CASTRO.pdf: 2356347 bytes, checksum: 7f3189a71d6dfc5288eadd2861c2dae8 (MD5) Previous issue date: 2019-12-16application/pdfhttp://tede2.pucrs.br:80/tede2/retrieve/182375/TES_FERNANDA_CRISTINA_DE_ABREU_QUINTELA_CASTRO_CONFIDENCIAL.pdf.jpgporPontif?cia Universidade Cat?lica do Rio Grande do SulPrograma de P?s-Gradua??o em Medicina/Pediatria e Sa?de da Crian?aPUCRSBrasilEscola de MedicinaPolui??o AmbientalTranstorno do Espectro AutistaSa?de Ambiental InfantilCrian?aEnvironmental PollutionAutistic Spectrum DisorderChild Environmental HealthChildCIENCIAS DA SAUDE::MEDICINAMEDICINA::SAUDE MATERNO-INFANTILAssocia??o entre a polui??o ambiental e a incid?ncia do transtorno do espectro autista : uma revis?o sistem?ticainfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/doctoralThesisTrabalho ser? publicado como artigo ou livro60 meses25/10/2026557290555552975733500500500600-224747486637135387-969369452308786627-8067417953925345752info:eu-repo/semantics/openAccessreponame:Biblioteca Digital de Teses e Dissertações da PUC_RSinstname:Pontifícia Universidade Católica do Rio Grande do Sul (PUCRS)instacron:PUC_RSTHUMBNAILTES_FERNANDA_CRISTINA_DE_ABREU_QUINTELA_CASTRO_CONFIDENCIAL.pdf.jpgTES_FERNANDA_CRISTINA_DE_ABREU_QUINTELA_CASTRO_CONFIDENCIAL.pdf.jpgimage/jpeg4075http://tede2.pucrs.br/tede2/bitstream/tede/9926/4/TES_FERNANDA_CRISTINA_DE_ABREU_QUINTELA_CASTRO_CONFIDENCIAL.pdf.jpg3aa8f4f0ca7de5e2aa038eb1064c4f3aMD54TEXTTES_FERNANDA_CRISTINA_DE_ABREU_QUINTELA_CASTRO_CONFIDENCIAL.pdf.txtTES_FERNANDA_CRISTINA_DE_ABREU_QUINTELA_CASTRO_CONFIDENCIAL.pdf.txttext/plain1717http://tede2.pucrs.br/tede2/bitstream/tede/9926/3/TES_FERNANDA_CRISTINA_DE_ABREU_QUINTELA_CASTRO_CONFIDENCIAL.pdf.txt8d79de5f1580a1fd8f1fd92ba0708978MD53ORIGINALTES_FERNANDA_CRISTINA_DE_ABREU_QUINTELA_CASTRO_CONFIDENCIAL.pdfTES_FERNANDA_CRISTINA_DE_ABREU_QUINTELA_CASTRO_CONFIDENCIAL.pdfapplication/pdf477307http://tede2.pucrs.br/tede2/bitstream/tede/9926/2/TES_FERNANDA_CRISTINA_DE_ABREU_QUINTELA_CASTRO_CONFIDENCIAL.pdf55f0128ffb94bd234517fca26f58b1b4MD52LICENSElicense.txtlicense.txttext/plain; charset=utf-8590http://tede2.pucrs.br/tede2/bitstream/tede/9926/1/license.txt220e11f2d3ba5354f917c7035aadef24MD51tede/99262021-10-25 13:00:25.34oai:tede2.pucrs.br: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Biblioteca Digital de Teses e Dissertaçõeshttp://tede2.pucrs.br/tede2/PRIhttps://tede2.pucrs.br/oai/requestbiblioteca.central@pucrs.br||opendoar:2021-10-25T15:00:25Biblioteca Digital de Teses e Dissertações da PUC_RS - Pontifícia Universidade Católica do Rio Grande do Sul (PUCRS)false |
dc.title.por.fl_str_mv |
Associa??o entre a polui??o ambiental e a incid?ncia do transtorno do espectro autista : uma revis?o sistem?tica |
title |
Associa??o entre a polui??o ambiental e a incid?ncia do transtorno do espectro autista : uma revis?o sistem?tica |
spellingShingle |
Associa??o entre a polui??o ambiental e a incid?ncia do transtorno do espectro autista : uma revis?o sistem?tica Castro, Fernanda Cristina de Abreu Quintela Polui??o Ambiental Transtorno do Espectro Autista Sa?de Ambiental Infantil Crian?a Environmental Pollution Autistic Spectrum Disorder Child Environmental Health Child CIENCIAS DA SAUDE::MEDICINA MEDICINA::SAUDE MATERNO-INFANTIL |
title_short |
Associa??o entre a polui??o ambiental e a incid?ncia do transtorno do espectro autista : uma revis?o sistem?tica |
title_full |
Associa??o entre a polui??o ambiental e a incid?ncia do transtorno do espectro autista : uma revis?o sistem?tica |
title_fullStr |
Associa??o entre a polui??o ambiental e a incid?ncia do transtorno do espectro autista : uma revis?o sistem?tica |
title_full_unstemmed |
Associa??o entre a polui??o ambiental e a incid?ncia do transtorno do espectro autista : uma revis?o sistem?tica |
title_sort |
Associa??o entre a polui??o ambiental e a incid?ncia do transtorno do espectro autista : uma revis?o sistem?tica |
author |
Castro, Fernanda Cristina de Abreu Quintela |
author_facet |
Castro, Fernanda Cristina de Abreu Quintela |
author_role |
author |
dc.contributor.advisor1.fl_str_mv |
Mattiello, Rita |
dc.contributor.advisor1Lattes.fl_str_mv |
http://lattes.cnpq.br/4920515067971772 |
dc.contributor.authorLattes.fl_str_mv |
http://lattes.cnpq.br/7535098968236791 |
dc.contributor.author.fl_str_mv |
Castro, Fernanda Cristina de Abreu Quintela |
contributor_str_mv |
Mattiello, Rita |
dc.subject.por.fl_str_mv |
Polui??o Ambiental Transtorno do Espectro Autista Sa?de Ambiental Infantil Crian?a |
topic |
Polui??o Ambiental Transtorno do Espectro Autista Sa?de Ambiental Infantil Crian?a Environmental Pollution Autistic Spectrum Disorder Child Environmental Health Child CIENCIAS DA SAUDE::MEDICINA MEDICINA::SAUDE MATERNO-INFANTIL |
dc.subject.eng.fl_str_mv |
Environmental Pollution Autistic Spectrum Disorder Child Environmental Health Child |
dc.subject.cnpq.fl_str_mv |
CIENCIAS DA SAUDE::MEDICINA MEDICINA::SAUDE MATERNO-INFANTIL |
description |
Autistic Spectrum Disorder (ASD), also known as autism, is a heterogeneous and highly hereditary neurodevelopmental disorder, characterized by clinical manifestations, such as deficiencies in social communication, sensory anomalies, varying levels of intellectual disability and repetitive behaviors. ASD is multifactorial and its incidence has increased significantly in recent years, suggesting that environmental risk factors, such as pollution, may be related to this occurrence. It is a systematic review, followed by a meta-analysis, whose objective was to verify the association between exposure to environmental pollutants and the incidence of ASD. The databases consulted were MEDLINE, EMBASE, PsycINFO, SciELO, CINAHL, LILACS, COCHRANE CENTRAL, Web of Science and gray literature, investigated until January 2020. Cohort studies that provided data on exposure to environmental pollutants were included in the research, and ASD, in children aged 0 to 18 years. For the meta-analysis calculations, the MetaXL 5.3 program was used. The systematic review included 10 studies, which totaled 844,225 individuals, and the meta-analysis 7 studies, totaling 831,173 individuals. The sample consisted of individuals from different countries, such as the United States, Taiwam, Korea, Sweden, Spain, Canada, the Netherlands and Italy. The analysis showed that children exposed to higher levels of environmental pollution have a higher risk of developing ASD (RR: 1.08, 95% CI: 1.04 to 1.12; I2: 76%) than those exposed to minors levels. The research allowed to identify possible associations between environmental pollutants and ASD, assisting in research on the search and understanding of the causality of a chronic non-communicable disease with exponential incidence in children. Knowing the reasons that provide this increase or its probability of occurrence, enables the effective insertion of preventive public policies and comprehensive child health care. |
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2019 |
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2019-12-16 |
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2021-10-25T13:23:35Z |
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