Acetylcholinesterase Levels in Farmers Exposed to Pesticides in Malaysia.

ABSTRACT

Agriculture is an important component of the Malaysian economy. Pesticides are widely used by farmers to increase crop production. Acetylcholinesterase (AChE) is known to play an important role in the degradation of acetylcholine (ACh) at the neuromuscular junction of the nervous system. The purpose of this study was to determine the effect of pesticide exposure on serum levels of AChE of farmers. A cross-sectional study was conducted. A total of 95 farmers from Kelantan (n = 49) and Selangor (n = 46) aged between 23 and 71 years were recruited. AChE concentration was measured by spectrophotometry. The results of this study showed that the mean AChE concentrations in farmers from Kelantan and Selangor were 2,715 and 2,660 U/L, respectively, significantly different (p < 0.05) from normal reference value (3500 U/l). Pearson correlation test showed a moderate correlation between AChE level and age (r = - 0.551) and a strong correlation between AChE level and working period (r = -0.872) in farmers in Kelantan. AChE levels in Selangor were also moderately correlated with age (r = -0.353) and working period (r = -0.515). In conclusion, increasing age and long-term pesticide exposure reduce AChE levels in farmers.