Evidence map›Paper›PMID 17431502›Full record

ReviewEnvironmental health perspectives2007

Cumulative lead dose and cognitive function in adults: a review of studies that measured both blood lead and bone lead.

Regina A Shih, Howard Hu, Marc G Weisskopf, 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 112 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
112citing papers in PubMed, 2 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

112 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Review
  4. Article
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  7. 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
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52 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Regina A ShihDivision of Epidemiology, Statistics, and Prevention Research, National Institute of Child Health and Human Development, National Institutes of Health, Department of Health and Human Services, Rockville, Maryland 20892, USA.
Howard Hu
Marc G Weisskopf
Brian S Schwartz

Funding

Translational Research Support CoreP30ES000002 · NIEHS · HARVARD UNIVERSITY (SCH OF PUBLIC HLTH) · PI Marc G Weisskopf · 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
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
Mechanisms for Adverse Renal Effects from Lead ExposureR01ES007198 · NIEHS · JOHNS HOPKINS UNIVERSITY · PI WEAVER, VIRGINIA M · 1997 to 2009
$3.1M
GENE-METAL INTERACTIONS AND PARKINSON'S DISEASER01ES010798 · NIEHS · BRIGHAM AND WOMEN'S HOSPITAL · PI HU, HOWARD · 2002 to 2006
$3.0M
NEW BIOMARKERS OF NEUROTOXICITYK01ES012653 · NIEHS · HARVARD UNIVERSITY (SCH OF PUBLIC HLTH) · PI WEISSKOPF, MARC G · 2004 to 2008
$613k
Intramural NIH HHSNIA NIH HHS R01 AG010785NIA NIH HHS R01 AG019604NIA NIH HHS R01-AG10785NIA NIH HHS R01-AG19604NIEHS NIH HHS K01 ES012653NIEHS NIH HHS K01-ES012653NIEHS NIH HHS P30 ES000002NIEHS NIH HHS P30-ES00002NIEHS NIH HHS P42 ES005947NIEHS NIH HHS P42-ES05947NIEHS NIH HHS R01 ES005257NIEHS NIH HHS R01 ES007198NIEHS NIH HHS R01 ES010798NIEHS NIH HHS R01-ES05257NIEHS NIH HHS R01-ES07198NIEHS NIH HHS R01-ES10798
6 · The paper itself

Abstract

objectiveWe review empirical evidence for the relations of recent and cumulative lead dose with cognitive function in adults. DATA SOURCES: A systematic search of electronic databases resulted in 21 environmental and occupational studies from 1996 to 2006 that examined and compared associations of recent (in blood) and cumulative (in bone) lead doses with neurobehavioral outcomes. DATA EXTRACTION: Data were abstracted after consideration of exclusion criteria and quality assessment, and then compiled into summary tables.

conclusionsAt exposure levels encountered after environmental exposure, associations with bio-markers of cumulative dose (mainly lead in tibia) were stronger and more consistent than associations with blood lead levels. Similarly, in studies of former workers with past occupational lead exposure, associations were also stronger and more consistent with cumulative dose than with recent dose (in blood). In contrast, studies of currently exposed workers generally found associations that were more apparent with blood lead levels; we speculate that the acute effects of high, recent dose may mask the chronic effects of cumulative dose. There is moderate evidence for an association between psychiatric symptoms and lead dose but only at high levels of current occupational lead exposure or with cumulative dose in environmentally exposed adults.

Indexed as

AdultBone and BonesCognitionEnvironmental PollutantsHumansLeadEnvironmental PollutantsLead

Identifiers

PMID17431502
PMCPMC1849945

What OpenQuestion holds

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Read underepoch 390

Registered trials

None linked

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.