PMID- 37286485 OWN - NLM STAT- MEDLINE DCOM- 20230609 LR - 20230609 IS - 1882-6482 (Electronic) IS - 0021-5082 (Linking) VI - 78 DP - 2023 TI - [New Methods of Evaluating Health Effects of Combined Exposures to Chemicals and Their Problems to Be Solved]. LID - 10.1265/jjh.22009 [doi] AB - There are several basic prerequisites for the risk assessment of combined exposures to pesticides and dioxins using human health effects as the endpoint. First, all the target chemical substances exert the same toxicity to humans through the same mechanisms. Second, there is a linear dose-response relationship between the toxicity and effects of individual chemicals. With these two prerequisites, the effects of combined exposures are estimated as the sum of the toxicities of individual chemicals. For example, the toxicities of dioxins are calculated using their toxic equivalent quantities (TEQ) by considering the assigned toxic equivalent factor (TEF) of 2,3,7,8-tetrachlorodibenzo-p-dioxin (2,3,7,8-TCDD) set individually from their isomers and homologs. In conventional epidemiological studies, when the impact of each of multiple chemical substances is examined, methods such as multiple regression analysis or using a generalized linear model (GLM) have been used on the basis of the same prerequisites. However, in practice, some of the chemicals exhibit collinearity in their effects or do not show a linear dose-response relationship. In recent years, there have been several methods developed in the field of machine learning being applied to epidemiological research. Typical examples were methods using Bayesian kernel machine regression (BKMR) and weighted quantile sum (WQS), and the shrinkage method, i.e., using the least absolute shrinkage and selection operator (Lasso) and elastic network model (ENM). In the future, while taking into account the findings of experimental studies in biology, epidemiology, and other fields, it is expected that various methods will be applied and selected. FAU - Imai, Hideki AU - Imai H AD - Department of Health Sciences, Ishikawa Prefectural Nursing University. FAU - Mizuno, Yuki AU - Mizuno Y AD - Department of Human Ecology, School of International Health, Graduate School of Medicine, The University of Tokyo. FAU - Aisyah, Cindy Rahman AU - Aisyah CR AD - Department of Human Ecology, School of International Health, Graduate School of Medicine, The University of Tokyo. FAU - Masuda, Momoka AU - Masuda M AD - Department of Human Ecology, School of International Health, Graduate School of Medicine, The University of Tokyo. FAU - Konishi, Shoko AU - Konishi S AD - Department of Human Ecology, School of International Health, Graduate School of Medicine, The University of Tokyo. LA - jpn PT - English Abstract PT - Journal Article PL - Japan TA - Nihon Eiseigaku Zasshi JT - Nihon eiseigaku zasshi. Japanese journal of hygiene JID - 0417457 RN - 0 (Dioxins) RN - 0 (Polychlorinated Dibenzodioxins) SB - IM MH - Humans MH - *Dioxins MH - Bayes Theorem MH - *Polychlorinated Dibenzodioxins MH - Linear Models OTO - NOTNLM OT - chemicals OT - combined exposures OT - epidemiology OT - health effects OT - statistical methods EDAT- 2023/06/08 01:08 MHDA- 2023/06/09 06:41 CRDT- 2023/06/07 22:43 PHST- 2023/06/09 06:41 [medline] PHST- 2023/06/08 01:08 [pubmed] PHST- 2023/06/07 22:43 [entrez] AID - 10.1265/jjh.22009 [doi] PST - ppublish SO - Nihon Eiseigaku Zasshi. 2023;78. doi: 10.1265/jjh.22009.