Evidence map›Paper›PMID 17431499›Full record

ReviewEnvironmental health perspectives2007

The epidemiology of lead toxicity in adults: measuring dose and consideration of other methodologic issues.

Howard Hu, Regina Shih, Stephen Rothenberg, Brian S Schwartz

Abstract readReview
In one paragraph

Review in Environmental health perspectives, 2007. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 124 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
124citing papers in PubMed, 4 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

124 citing papers in PubMed, 4 syntheses or guidelines pooled it.

  1. Association between proximity to a lead-releasing facility and cognition in diverse cohorts.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2026
    Pooled it
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  5. Review
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  8. Exposure to lead and incidence of Alzheimer's disease and all-cause dementia in the United States.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2026
    Article
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  18. Lead exposure across the life course and age at death.The Science of the total environment · 2024
    Article
  19. Article
  20. Article

64 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

4 authors.

Howard HuDepartment of Environmental Health, Harvard School of Public Health, Boston, Massachusetts, USA. howardhu@umich.edu
Regina Shih
Stephen Rothenberg
Brian S Schwartz

Funding

Translational Research Support CoreP30ES000002 · NIEHS · HARVARD UNIVERSITY (SCH OF PUBLIC HLTH) · PI SUSAN A KORRICK · 1985 to 2026
$44.6M
VANADIUM AND HUMAN HEALTHP42ES005947 · NIEHS · HARVARD UNIVERSITY (SCH OF PUBLIC HLTH) · PI KELSEY, KARL TIMOTHY · 1992 to 2006
$19.6M
EXPLAINING DISPARITIES IN COGNITIVE FUNCTION IN SENIORSR01AG019604 · NIA · JOHNS HOPKINS UNIVERSITY · PI SCHWARTZ, BRIAN SETH · 2000 to 2011
$5.1M
LEAD DOSE BIOMARKERS, REPRODUCTION, AND INFANT OUTCOMESR01ES007821 · NIEHS · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI PETERSON, KAREN EILEEN · 1998 to 2010
$4.7M
AGE, LEAD EXPOSURE, AND NEUROBEHAVIORAL DECLINER01AG010785 · NIA · JOHNS HOPKINS UNIVERSITY · PI SCHWARTZ, BRIAN SETH · 1993 to 2007
$4.4M
LEAD-GENE INTERACTIONS AND CONGNITIONR01ES005257 · NIEHS · BRIGHAM AND WOMEN'S HOSPITAL · PI WEISSKOPF, MARC G · 1991 to 2007
$4.2M
GENE-METAL INTERACTIONS AND PARKINSON'S DISEASER01ES010798 · NIEHS · BRIGHAM AND WOMEN'S HOSPITAL · PI HU, HOWARD · 2002 to 2006
$3.0M
Intramural NIH HHSNIA NIH HHS R01 AG010785NIA NIH HHS R01 AG019604NIA NIH HHS R01-AG10785NIA NIH HHS R01-AG19604NIEHS NIH HHS P30 ES000002NIEHS NIH HHS P30-ES00002NIEHS NIH HHS P42 ES005947NIEHS NIH HHS P42-ES05947NIEHS NIH HHS R01 ES005257NIEHS NIH HHS R01 ES007821NIEHS NIH HHS R01 ES010798NIEHS NIH HHS R01-ES05257NIEHS NIH HHS R01-ES07821NIEHS NIH HHS R01-ES10798
6 · The paper itself

Abstract

We review several issues of broad relevance to the interpretation of epidemiologic evidence concerning the toxicity of lead in adults, particularly regarding cognitive function and the cardiovascular system, which are the subjects of two systematic reviews that are also part of this mini-monograph. Chief among the recent developments in methodologic advances has been the refinement of concepts and methods for measuring individual lead dose in terms of appreciating distinctions between recent versus cumulative doses and the use of biological markers to measure these parameters in epidemiologic studies of chronic disease. Attention is focused particularly on bone lead levels measured by K-shell X-ray fluorescence as a relatively new biological marker of cumulative dose that has been used in many recent epidemiologic studies to generate insights into lead's impact on cognition and risk of hypertension, as well as the alternative method of estimating cumulative dose using available repeated measures of blood lead to calculate an individual's cumulative blood lead index. We review the relevance and interpretation of these lead biomarkers in the context of the toxico-kinetics of lead. In addition, we also discuss methodologic challenges that arise in studies of occupationally and environmentally exposed subjects and those concerning race/ethnicity and socioeconomic status and other important covariates.

Indexed as

AdultBiomarkersBone and BonesEnvironmental ExposureHumansLeadLead PoisoningBiomarkersLead

Identifiers

PMID17431499
PMCPMC1849918

What OpenQuestion holds

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Read underepoch 390

Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.