Evidence map›Paper›PMID 21947582›Full record

ArticleEnvironmental health perspectives2012

Association between prenatal lead exposure and blood pressure in children.

Aimin Zhang, Howard Hu, Brisa N Sánchez, Adrienne S Ettinger, Sung Kyun Park, David Cantonwine, Lourdes Schnaas, Robert O Wright, Hector Lamadrid-Figueroa, Martha Maria Tellez-Rojo

Open access · diamondAbstract read
In one paragraph

Article in Environmental health perspectives, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 40 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
40citing papers in PubMed, 1 pooled it
4.7field-weighted citation impact, top 6% of its field
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

40 citing papers in PubMed, 1 synthesis or guideline pooled it, 94 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Article
  4. Article
  5. Article
  6. Review
  7. Article
  8. Article
  9. Review
  10. Article
  11. Article
  12. Article
  13. Environmental health perspectives · 2021
    Article
  14. Sex-Specific Alterations in Cardiac DNA Methylation in Adult Mice by Perinatal Lead Exposure.International journal of environmental research and public health · 2021
    Article
  15. Prenatal metal mixtures and child blood pressure in the Rhea mother-child cohort in Greece.Environmental health : a global access science source · 2021
    Article
  16. Article
  17. Lead Toxicity and Pollution in Poland.International journal of environmental research and public health · 2020
    Review
  18. Article
  19. Article
  20. Article
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

10 authors at 4 institutions in 2 countries.

Aimin ZhangDepartment of Environmental Health Sciences, University of Michigan School of Public Health, Ann Arbor, Michigan 48109-2029, USA. aiminz@umich.edu
Howard Hu
Brisa N Sánchez
Adrienne S Ettinger
Sung Kyun Park
David Cantonwine
Lourdes Schnaas
Robert O Wright
Hector Lamadrid-Figueroa
Martha Maria Tellez-Rojo
University of Michigan · USBrigham and Women's Hospital · USInstituto Nacional de Salud Pública · MXInstituto Nacional de Perinatología · MX

Funding

Regional Pilot And Feasibility Study Grants ProgramP30DK020572 · NIDDK · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI Mehboob A Hussain · 2013 to 2026
$24.3M
Strategic Vision & Impact on Environmental HealthP30ES017885 · NIEHS · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI Dana Dolinoy · 2011 to 2026
$21.3M
Stress, Lead, Iron Deficiency and NeurodevelopmentR01ES013744 · NIEHS · ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI · PI Robert O Wright · 2007 to 2026
$13.4M
ENVIRONMENTAL TOXICOLOGY PRE/POST DOCTORAL RES.TRAININGT32ES007062 · NIEHS · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI Justin Adam Colacino · 1985 to 2026
$10.5M
Superfund Metal Mixtures, Biomarkers and NeurodevelopmentP42ES016454 · NIEHS · HARVARD SCHOOL OF PUBLIC HEALTH · PI BELLINGER, DAVID C · 2010 to 2015
$10.1M
Postdoc Stipend Supplement: Developmental Origins of Metabolic Disorders T32T32DK071212 · NIDDK · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI DAVID P OLSON, Kanakadurga Singer · 2005 to 2026
$5.4M
LEAD DOSE BIOMARKERS, REPRODUCTION, AND INFANT OUTCOMESR01ES007821 · NIEHS · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI PETERSON, KAREN EILEEN · 1998 to 2010
$4.7M
Metal Mixtures and NeurodevelopmentR01ES014930 · NIEHS · BRIGHAM AND WOMEN'S HOSPITAL · PI WRIGHT, ROBERT O · 2006 to 2010
$3.2M
Environment, Fetal Tissue DNA Methylation & BirthweightR01ES020268 · NIEHS · ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI · PI BACCARELLI, ANDREA, WRIGHT, ROBERT O · 2011 to 2013
$2.5M
NEUROCHEMICAL AND GENETIC MARKERS OF LEAD TOXICITYK23ES000381 · NIEHS · BRIGHAM AND WOMEN'S HOSPITAL · PI WRIGHT, ROBERT O · 2000 to 2004
$670k
Environment, Novel Aging Outcomes, and GeneticsK01ES016587 · NIEHS · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI PARK, SUNG KYUN · 2009 to 2013
$622k
Genetic & Epigenetic Modifiers of Maternal-Fetal Transfer of Toxicants & OutcomesK01ES014907 · NIEHS · YALE UNIVERSITY · PI ETTINGER, ADRIENNE S · 2008 to 2011
$502k
NIDDK NIH HHS DK071212NIDDK NIH HHS T32 DK071212NIEHS NIH HHS K01 ES014907NIEHS NIH HHS K01 ES016587NIEHS NIH HHS K23 ES000381NIEHS NIH HHS P30 ES017885NIEHS NIH HHS R01 ES007821NIEHS NIH HHS R01 ES013744NIEHS NIH HHS R01 ES014930NIEHS NIH HHS T32 ES007062NIEHS NIH HHS T32 ES07062
6 · The paper itself

Abstract

backgroundLead exposure in adults is associated with hypertension. Altered prenatal nutrition is associated with subsequent risks of adult hypertension, but little is known about whether prenatal exposure to toxicants, such as lead, may also confer such risks.

objectivesWe investigated the relationship of prenatal lead exposure and blood pressure (BP) in 7- to 15-year-old boys and girls.

methodsWe evaluated 457 mother-child pairs, originally recruited for an environmental birth cohort study between 1994 and 2003 in Mexico City, at a follow-up visit in 2008-2010. Prenatal lead exposure was assessed by measurement of maternal tibia and patella lead using in vivo K-shell X-ray fluorescence and cord blood lead using atomic absorption spectrometry. BP was measured by mercury sphygmomanometer with appropriate-size cuffs.

resultsAdjusting for relevant covariates, maternal tibia lead was significantly associated with increases in systolic BP (SBP) and diastolic BP (DBP) in girls but not in boys (p-interaction with sex = 0.025 and 0.007 for SBP and DBP, respectively). Among girls, an interquartile range increase in tibia lead (13 μg/g) was associated with 2.11-mmHg [95% confidence interval (CI): 0.69, 3.52] and 1.60-mmHg (95% CI: 0.28, 2.91) increases in SBP and DBP, respectively. Neither patella nor cord lead was associated with child BP.

conclusionsMaternal tibia lead, which reflects cumulative environmental lead exposure and a source of exposure to the fetus, is a predisposing factor to higher BP in girls but not boys. Sex-specific adaptive responses to lead toxicity during early-life development may explain these differences.

Indexed as

Blood PressureAdolescentBone and BonesChildCohort StudiesEnvironmental PollutantsFemaleFollow-Up StudiesHumansHypertensionLeadLongitudinal StudiesMaleMexicoPregnancyPrenatal Exposure Delayed EffectsEnvironmental PollutantsLead

Identifiers

PMID21947582
PMCPMC3295346
OpenAlexW1968782048

What OpenQuestion holds

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LicenceCC0
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.