DOI QR코드

DOI QR Code

Awareness of Reproductive Health Risks, Sex Hormone Levels and Sperm Indices among Farmers Exposed to Pesticides in Akungba Akoko, Nigeria

  • Yeiya, Evelyn Apiriboh (Department of Medical Laboratory Science, School of Basic Medical Sciences, University of Benin) ;
  • Emokpae, Mathias Abiodun (Department of Medical Laboratory Science, School of Basic Medical Sciences, University of Benin)
  • 투고 : 2022.05.25
  • 심사 : 2022.07.14
  • 발행 : 2022.08.31

초록

Background: The indiscriminate use of pesticides in Nigeria may have harmful effects on reproductive health of farmers. Objectives: This study assessed the awareness of reproductive health, serum follicle stimulating hormone (FSH), luteinizing hormone (LH), testosterone, estradiol, progesterone and sperm characteristics of male farmers occupationally exposed to pesticides. Methods: Eighty four male farmers were recruited for the study. Structured questionnaire was used to obtain the socio-demographic data. Blood and semen samples were collected from the subjects in the morning for hormonal assays and semen analysis using enzyme linked immunosorbent assay (ELISA) method and SQAV sperm quality analyzer. Data were analyzed using chi square, Student's-t-test, and Regression analysis. Results: Serum FSH (p<0.01), LH (p<0.005) and Estradiol (p<0.001) were significantly higher while prolactin (p<0.02) and testosterone (p<0.001) were significantly lower among pesticides exposed farmers than nonexposed subjects. Some 34/84 (40.5%) of the pesticides exposed farmers had serum testosterone levels below the lower limit of the reference range. Those with low testosterone levels (p<0.001), also had FSH (p<0.05), LH (p<0.001) and Estradiol (p<0.002) significantly lower than those with normal testosterone levels. The sperm count among pesticides exposed farmers; total motility and percentage morphology were significantly lower than non-pesticides exposed subjects. Some 14/84 (16.7%) of the pesticides exposed farmers had sperm count below 15 million/mL (oligozoospermia). More than 70% of the farmers were not aware of the reproductive health risks associated with pesticides and only 23.8% of the farmers were using protective devices. Conclusions: Deliberate efforts to improve awareness, knowledge, personal hygiene, and interventions necessary to lessen both pesticides exposure and health risks by adopting safe practices are suggested.

키워드

과제정보

We appreciate the contributions of all the Medical Laboratory Scientists and the research assistants toward the completion of this study.

참고문헌

  1. Okonofua FE. Infertility in sub-Saharan Africa. In: Okonofua FE, Odunsi K. editors. Contemporary Obstetrics and Gynaecology for Developing Countries, 1st ed. Benin City: Women's Health and Action Research Centre; 2003. p.128-155.
  2. Fucic A, Duca RC, Galea KS, Maric T, Garcia K, Bloom MS, et al. Reproductive health risks associated with occupational and environmental exposure to pesticides. Int J Environ Res Public Health. 2021; 18(12): 6576.
  3. Sharma A, Sharma P, Sharma P, Joshi SC. A review on organochlorine pesticides and reproductive toxicity in males. Int J Pharm Sci Res. 2015; 6(8): 3123-3138.
  4. Alliance for Action on Pesticides in Nigeria. Nigerian Farmers Using Large Amount of Toxic Pesticides Banned in EU. Available: https://www.premiumtimesng.com/news/headlines/497623-nigerian-farmers-using-large-amount-of-toxic-pesticides-banned-in-eu-report.html [accessed 1 July 2021].
  5. Uadia PO, Emokpae AM. Male infertility in Nigeria: a neglected reproductive health issue requiring attention. J Basic Clin Reprod Sci. 2015; 4(2): 45-53. https://doi.org/10.4103/2278-960X.161042
  6. Lwanga SK, Lemeshow S. Sample Size Determination in Health Studies: A Practical Manual, 1st ed. Geneva: World Health Organization; 1991.
  7. Desalu O, Busari O, Adeoti A. Respiratory symptoms among crop farmers exposed to agricultural pesticide in three rural communities in South Western Nigeria: a preliminary study. Ann Med Health Sci Res. 2014; 4(4): 662-666. https://doi.org/10.4103/2141-9248.139370
  8. Cremonese C, Piccoli C, Pasqualotto F, Clapauch R, Koifman RJ, Koifman S, et al. Occupational exposure to pesticides, reproductive hormone levels and sperm quality in young Brazilian men. Reprod Toxicol. 2017; 67: 174-185. https://doi.org/10.1016/j.reprotox.2017.01.001
  9. Dziewirska E, Radwan M, Wielgomas B, Klimowska A, Radwan P, Kaluzny P, et al. Human semen quality, sperm DNA damage, and the level of urinary concentrations of 1N and TCPY, the biomarkers of nonpersistent insecticides. Am J Mens Health. 2019; 13(1): 1557988318816598.
  10. Hu Y, Zhang Y, Vinturache A, Wang Y, Shi R, Chen L, et al. Effects of environmental pyrethroids exposure on semen quality in reproductive-age men in Shanghai, China. Chemosphere. 2020; 245: 125580.
  11. Cesaire Momo Tetsatsi A, Alumeti Munyali D, Romeo Bonsou Fozin G, Ngadjui E, Wankeu-Nya M, Watcho P. Semen quality among men attending urology services in the Dschang Health District, west Cameroon: a retrospective study on 379 cases. Int J Reprod Biomed. 2020; 18(2): 121-128.
  12. Berni I, Menouni A, Ghazi El I, Radu-Corneliu D, Marie-Paule K, Godderis L, et al. Understanding farmers' safety behavior regarding pesticide use in Morocco. Sustain Prod Consum. 2021; 25: 471-483. https://doi.org/10.1016/j.spc.2020.11.019
  13. Neghab M, Momenbella-Fard M, Naziaghdam R, Salahshour N, Kazemi M, Alipour H. The effects of exposure to pesticides on the fecundity status of farm workers resident in a rural region of Fars province, southern Iran. Asian Pac J Trop Biomed. 2014; 4(4): 324-328. https://doi.org/10.12980/APJTB.4.2014C586
  14. Nabi G, Amin M, Rauf T, Khan KM, Khan AA. Link between chronic pesticides exposure and reproductive problems in male farmers. J Biol Life Sci. 2014; 5(2): 65-76. https://doi.org/10.5296/jbls.v5i2.5501
  15. Lwin TZ, Than AA, Min AZ, Robson MG, Siriwong W. Effects of pesticide exposure on reproductivity of male groundnut farmers in Kyauk Kan village, Nyaung-U, Mandalay region, Myanmar. Risk Manag Healthc Policy. 2018; 11: 235-241. https://doi.org/10.2147/RMHP.S175230
  16. Gomina M, Kakpo AK, Houndetoungan DG, Salifou T, Awede B, Amoussou-Guenou MK. Male reproductive hormonal profile of cotton farmers exposed to synthetic pesticides in the North-East of Benin. Asian J Biochem. 2020; 15(1): 7-11.
  17. Azmi MA, Naqvi SN, Azmi MA, Aslam M. Effect of pesticide residues on health and different enzyme levels in the blood of farm workers from Gadap (rural area) Karachi-Pakistan. Chemosphere. 2006; 64(10): 1739-1744. https://doi.org/10.1016/j.chemosphere.2006.01.016
  18. Abdallah MS, Saad-Hussein A, Shahy EM, Seleem M, Abdel-Aleem AM. Effects of occupational exposure to pesticides on male sex hormones. J Biosci Appl Res. 2017; 3(3): 70-79. https://doi.org/10.21608/jbaar.2017.125169
  19. Padungtod C, Lasley BL, Christiani DC, Ryan LM, Xu X. Reproductive hormone profile among pesticide factory workers. J Occup Environ Med. 1998; 40(12): 1038-1047.
  20. Meeker JD, Ryan L, Barr DB, Hauser R. Exposure to nonpersistent insecticides and male reproductive hormones. Epidemiology. 2006; 17(1): 61-68. https://doi.org/10.1097/01.ede.0000190602.14691.70
  21. Manfo FP, Moundipa PF, Dechaud H, Tchana AN, Nantia EA, Zabot MT, et al. Effect of agropesticides use on male reproductive function: a study on farmers in Djutitsa (Cameroon). Environ Toxicol. 2012; 27(7): 423-432. https://doi.org/10.1002/tox.20656
  22. Rey F, Gonzalez M, Zayas MA, Stoker C, Durando M, Luque EH, et al. Prenatal exposure to pesticides disrupts testicular histoarchitecture and alters testosterone levels in male Caiman latirostris. Gen Comp Endocrinol. 2009; 162(3): 286-292. https://doi.org/10.1016/j.ygcen.2009.03.032
  23. Karami-Mohajeri S, Abdollahi M. Toxic influence of organophosphate, carbamate, and organochlorine pesticides on cellular metabolism of lipids, proteins, and carbohydrates: a systematic review. Hum Exp Toxicol. 2011; 30(9): 1119-1140. https://doi.org/10.1177/0960327110388959
  24. Dewan P, Jain V, Gupta P, Banerjee BD. Organochlorine pesticide residues in maternal blood, cord blood, placenta, and breastmilk and their relation to birth size. Chemosphere. 2013; 90(5): 1704-1710. https://doi.org/10.1016/j.chemosphere.2012.09.083
  25. Pirsaheb M, Limoee M, Namdari F, Khamutian R. Organochlorine pesticides residue in breast milk: a systematic review. Med J Islam Repub Iran. 2015; 29: 228.
  26. Nicolopoulou-Stamati P, Maipas S, Kotampasi C, Stamatis P, Hens L. Chemical pesticides and human health: the urgent need for a new concept in agriculture. Front Public Health. 2016; 4: 148.
  27. Ghafouri-Khosrowshahi A, Ranjbar A, Mousavi L, Nili-Ahmadabadi H, Ghaffari F, Zeinvand-Lorestani H, et al. Chronic exposure to organophosphate pesticides as an important challenge in promoting reproductive health: a comparative study. J Educ Health Promot. 2019; 8: 149.
  28. Perez-Herrera N, Polanco-Minaya H, Salazar-Arredondo E, Solis-Heredia MJ, Hernandez-Ochoa I, Rojas-Garcia E, et al. PON1Q192R genetic polymorphism modifies organophosphorous pesticide effects on semen quality and DNA integrity in agricultural workers from southern Mexico. Toxicol Appl Pharmacol. 2008; 230(2): 261-268. https://doi.org/10.1016/j.taap.2008.02.021
  29. Ojo J. Pesticides use and health in Nigeria. Ife J Sci. 2016; 18(4): 981-992.
  30. Erhunmwunse NO, Dirisu A, Olomukoro JO. Implications of pesticide usage in Nigeria. Trop Freshw Biol. 2012; 21(1): 15-25.
  31. Konradsen F, van der Hoek W, Cole DC, Hutchinson G, Daisley H, Singh S, et al. Reducing acute poisoning in developing countries--options for restricting the availability of pesticides. Toxicology. 2003; 192(2-3): 249-261. https://doi.org/10.1016/S0300-483X(03)00339-1
  32. Nnamonu LA, Onekutu A. Green pesticides in Nigeria: an overview. J Biol Agric Healthc. 2015; 5(9): 48-62.
  33. Moraes R, Molander S. A procedure for ecological tiered assessment of risks (PETAR). Human and Ecological Risk Assessment. 2004; 10(2): 349-371. https://doi.org/10.1080/10807030490438427
  34. PAN Germany. [Pesticides and Health Hazards. Facts and Figures]. Available: https://www.pan-germany.org/download/Vergift_DE-110612_F.pdf [accessed 12 March 2020]. German.
  35. Natural Resources Defense Council. Trouble on the Farm: Growing Up With Pesticides in Agricultural Communities. Chapter 1 Health Hazards of Pesticides. Available: http://lib.ncfh.org/pdfs/5082.pdf [accessed 5 June 2020].
  36. Sarkar R, Mohanakumar KP, Chowdhury M. Effects of an organophosphate pesticide, quinalphos, on the hypothalamo-pituitary-gonadal axis in adult male rats. J Reprod Fertil. 2000; 118(1): 29-38. https://doi.org/10.1530/reprod/118.1.29
  37. Recio R, Ocampo-Gomez G, Moran-Martinez J, Borja-Aburto V, Lopez-Cervante M, Uribe M, et al. Pesticide exposure alters folliclestimulating hormone levels in Mexican agricultural workers. Environ Health Perspect. 2005; 113(9): 1160-1163. https://doi.org/10.1289/ehp.7374
  38. Jabbour SA. Follicle-Stimulating Hormone Abnormalities. Available: https://emedicine.medscape.com/article/118810-overview [accessed 11 June 2020].
  39. Straube E, Straube W, Kruger E, Bradatsch M, Jacob-Meisel M, Rose HJ. Disruption of male sex hormones with regard to pesticides: pathophysiological and regulatory aspects. Toxicol Lett. 1999; 107(1-3): 225-231. https://doi.org/10.1016/S0378-4274(99)00051-X
  40. Butler AM, Murray M. Inhibition and inactivation of constitutive cytochromes P450 in rat liver by parathion. Mol Pharmacol. 1993; 43(6): 902-908.
  41. Murray M, Butler AM. Identification of a reversible component in the in vitro inhibition of rat hepatic cytochrome P450 2B1 by parathion. J Pharmacol Exp Ther. 1995; 272(2): 639-644.
  42. Hossain F, Ali O, D'Souza UJ, Naing DK. Effects of pesticide use on semen quality among farmers in rural areas of Sabah, Malaysia. J Occup Health. 2010; 52(6): 353-360. https://doi.org/10.1539/joh.L10006
  43. Terasawa E, Fernandez DL. Neurobiological mechanisms of the onset of puberty in primates. Endocr Rev. 2001; 22(1): 111-151.
  44. Di Chiara G. Role of dopamine in the behavioural actions of nicotine related to addiction. Eur J Pharmacol. 2000; 393(1-3): 295-314. https://doi.org/10.1016/S0014-2999(00)00122-9
  45. Watkins SS, Koob GF, Markou A. Neural mechanisms underlying nicotine addiction: acute positive reinforcement and withdrawal. Nicotine Tob Res. 2000; 2(1): 19-37. https://doi.org/10.1080/14622200050011277
  46. Kokka N, Clemons GK, Lomax P. Relationship between the temperature and endocrine changes induced by cholinesterase inhibitors. Pharmacology. 1987; 34(2-3): 74-79. https://doi.org/10.1159/000138255
  47. Kapoor U, Srivastava MK, Bhardwaj S, Srivastava LP. Effect of imidacloprid on antioxidant enzymes and lipid peroxidation in female rats to derive its No Observed Effect Level (NOEL). J Toxicol Sci. 2010; 35(4): 577-581. https://doi.org/10.2131/jts.35.577
  48. Kapoor U, Srivastava MK, Srivastava LP. Toxicological impact of technical imidacloprid on ovarian morphology, hormones and antioxidant enzymes in female rats. Food Chem Toxicol. 2011; 49(12): 3086-3089. https://doi.org/10.1016/j.fct.2011.09.009
  49. Bal R, Naziroglu M, Turk G, Yilmaz O, Kuloglu T, Etem E, et al. Insecticide imidacloprid induces morphological and DNA damage through oxidative toxicity on the reproductive organs of developing male rats. Cell Biochem Funct. 2012; 30(6): 492-499. https://doi.org/10.1002/cbf.2826
  50. Evenson DP, Larson KL, Jost LK. Sperm chromatin structure assay: its clinical use for detecting sperm DNA fragmentation in male infertility and comparisons with other techniques. J Androl. 2002; 23(1): 25-43. https://doi.org/10.1002/j.1939-4640.2002.tb02599.x
  51. Sergerie M, Laforest G, Bujan L, Bissonnette F, Bleau G. Sperm DNA fragmentation: threshold value in male fertility. Hum Reprod. 2005; 20(12): 3446-3451. https://doi.org/10.1093/humrep/dei231
  52. Pina-Guzman B, Solis-Heredia MJ, Quintanilla-Vega B. Diazinon alters sperm chromatin structure in mice by phosphorylating nuclear protamines. Toxicol Appl Pharmacol. 2005; 202(2): 189-198. https://doi.org/10.1016/j.taap.2004.06.028
  53. Boe-Hansen GB, Fedder J, Ersboll AK, Christensen P. The sperm chromatin structure assay as a diagnostic tool in the human fertility clinic. Hum Reprod. 2006; 21(6): 1576-1582. https://doi.org/10.1093/humrep/del019