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Antimullerian hormone in relation to tobacco and marijuana use and sources of indoor heating/cooking.


ABSTRACT: OBJECTIVE:To evaluate exposure to tobacco, marijuana, and indoor heating/cooking sources in relation to antimüllerian hormone (AMH) levels. DESIGN:Cross-sectional analysis in a sample of premenopausal women (n = 913) enrolled in the Sister Study cohort (n = 50,884). SETTING:Not applicable. PATIENT(S):Women, ages 35-54 years at time of enrollment, with an archived serum sample and at least one intact ovary and classified as premenopausal. INTERVENTION(S):Not applicable. MAIN OUTCOME MEASURE(S):Serum AMH (ng/mL) levels ascertained by ultrasensitive ELISA assay. RESULT(S):Lower AMH levels were associated with sources of indoor heating, including burning wood (-36.0%; 95% confidence interval [CI], -55.7%, -7.8%) or artificial fire logs (-45.8%; 95% CI, -67.2%, -10.4%) at least 10 times/year in a residential indoor stove/fireplace. Lower AMH levels were also observed in women who were current smokers of ?20 cigarettes/day relative to nonsmokers (-56.2%; 95% CI, -80.3%, -2.8%) and in women with 10+ years of adult environmental tobacco smoke (ETS) exposure (-31.3%; 95% CI, -51.3%, -3.1%), but no associations were observed for marijuana use. CONCLUSION(S):We confirmed previously reported findings of lower AMH levels in current heavy smokers and also found associations for long-term ETS exposure and indoor burning of wood or artificial fire logs. These findings suggest that combustion by-products from common exposures can have toxic effects on the human ovary.

SUBMITTER: White AJ 

PROVIDER: S-EPMC5010988 | biostudies-literature | 2016 Sep

REPOSITORIES: biostudies-literature

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Antimüllerian hormone in relation to tobacco and marijuana use and sources of indoor heating/cooking.

White Alexandra J AJ   Sandler Dale P DP   D'Aloisio Aimee A AA   Stanczyk Frank F   Whitworth Kristina W KW   Baird Donna D DD   Nichols Hazel B HB  

Fertility and sterility 20160527 3


<h4>Objective</h4>To evaluate exposure to tobacco, marijuana, and indoor heating/cooking sources in relation to antimüllerian hormone (AMH) levels.<h4>Design</h4>Cross-sectional analysis in a sample of premenopausal women (n = 913) enrolled in the Sister Study cohort (n = 50,884).<h4>Setting</h4>Not applicable.<h4>Patient(s)</h4>Women, ages 35-54 years at time of enrollment, with an archived serum sample and at least one intact ovary and classified as premenopausal.<h4>Intervention(s)</h4>Not ap  ...[more]

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