Evidence map›Paper›PMID 21038758›Full record

SynthesisReviews on environmental health

Lead levels in human milk and children's health risk: a systematic review.

Gina Ayumi Kobayashi Koyashiki, Monica Maria Bastos Paoliello, Paul B Tchounwou

Abstract readSystematic Review
In one paragraph

Synthesis in Reviews on environmental health. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 1 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

18 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Contamination of breast milk with lead, mercury, arsenic, and cadmium in Iran: a systematic review and meta-analysis.Biometals : an international journal on the role of metal ions in biology, biochemistry, and medicine · 2022
    Pooled it
  2. Review
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Review
  9. Lead Toxicity: an Australian Perspective.The Clinical biochemist. Reviews · 2018
    Review
  10. A randomized controlled trial on the effects of jujube fruit on the concentrations of some toxic trace elements in human milk.Journal of research in medical sciences : the official journal of Isfahan University of Medical Sciences · 2016
    Article
  11. Improving Concordance in Environmental Epidemiology: A Three-Part Proposal.Journal of toxicology and environmental health. Part B, Critical reviews · 2015
    Article
  12. Article
  13. Article
  14. Review
  15. Lead dietary exposure in the European population.EFSA journal. European Food Safety Authority · 2012
    Article
  16. Article
  17. Review
  18. Review
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

3 authors.

Gina Ayumi Kobayashi KoyashikiDepartment of Collective Health, Health Science Center, State University of Londrina, Parana, Brazil. ginakoyashiki@yahoo.com.br
Monica Maria Bastos Paoliello
Paul B Tchounwou

Funding

TRANSCRIPTOMICS OF GIARDIA LAMBLIAG12RR013459 · NCRR · JACKSON STATE UNIVERSITY · PI TCHOUNWOU, PAUL B. · 1998 to 2011
$18.0M
NCRR NIH HHS G12 RR013459
6 · The paper itself

Abstract

Lead (Pb), a naturally-occurring element and industrially-produced metal, is highly toxic to children, causing intellectual and behavioral deficits, hyperactivity, fine motor function deficits, decreased intelligence quotient, alteration of hand-eye coordination, and problems in reaction time. Children's exposure to Pb occurs mainly through ingestion of contaminated food, water and soil. Few discussions have been held on the magnitude and potential risk associated with exposure from the consumption of breast milk. Hence, this research was designed to systematically review the scientific literature on published epidemiologic studies, with an emphasis on the study designs and analytical procedures used for Pb assessment in breast milk. From a total of 112 selected articles published since the 1980s, 11 met the inclusion criteria. A review of the data indicated that Pb levels varied from 0.15 to 6.1 microg L(-1) in mature milk samples, from 0.48 to 14.6 microg L(-1) in colostrum samples, and were non-detectable in some samples. The milk/blood ratio, which estimates the mean efficiency transfer of lead from blood to milk, varied between 0.01 and 0.48. The heterogeneity of methods revealed by our assessment of published studies underscores the need for harmonization of study designs and sample collection and analysis protocols to reflect specific exposure scenarios. Human milk seems to be one of the relevant biological matrices for use as a biomarker for assessing children's health risk to Pb poisoning.

Indexed as

BiomarkersBreast FeedingColostrumEnvironmental ExposureFemaleHumansInfantLeadLead PoisoningMilk, HumanBiomarkersLead

Identifiers

PMID21038758
PMCPMC3086649

What OpenQuestion holds

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LicenceTDM
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.