Evidence map›Paper›PMID 22405996›Full record

ArticleEnvironmental research2012

Lower acetylcholinesterase activity among children living with flower plantation workers.

Jose R Suarez-Lopez, David R Jacobs, John H Himes, Bruce H Alexander, Deann Lazovich, Megan Gunnar

Abstract read
In one paragraph

Article in Environmental research, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 39 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
39citing papers in PubMed, 1 pooled it
3.2field-weighted citation impact, top 8% 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

39 citing papers in PubMed, 1 synthesis or guideline pooled it, 66 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Acetylcholinesterase activity from childhood to young adulthood.Journal of exposure science & environmental epidemiology · 2026
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  15. Serum PFAS and lipid concentrations in Ecuadorian adolescents.Archives of environmental & occupational health · 2025
    Article
  16. Biomarkers of Pesticide Exposure in a Traditional Brazilian Amazon Community.International journal of environmental research and public health · 2024
    Article
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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

6 authors at 2 institutions in 3 countries.

Jose R Suarez-LopezDivision of Epidemiology and Community Health, University of Minnesota, 1300 South 2nd Street, Suite 300, Minneapolis, MN 55454, USA. suarez@umn.edu
David R Jacobs
John H Himes
Bruce H Alexander
Deann Lazovich
Megan Gunnar
University of Minnesota · USFundación Para La Investigación Y Gestión En Servicios de Salud · EC

Funding

Cardiovascular Disease Epidemiology &Prevention TrngT32HL007779 · NHLBI · UNIVERSITY OF MINNESOTA TWIN CITIES · PI PAMELA L. Lutsey, JAMES S PANKOW · 1994 to 2026
$9.3M
Effects of Secondary Occupational Pesticide Exposure on Childhood GrowthR36OH009402 · OH · UNIVERSITY OF MINNESOTA · PI SUAREZ, JOSE RICARDO · 2007 to 2007
$38k
NHLBI NIH HHS T32 HL007779NHLBI NIH HHS T32-HL007779NIOSH CDC HHS R36 OH009402
6 · The paper itself

Abstract

backgroundChildren of workers exposed to pesticides are at risk of secondary pesticide exposure. We evaluated the potential for lower acetylcholinesterase activity in children cohabiting with fresh-cut flower plantation workers, which would be expected from organophosphate and carbamate insecticide exposure. Parental home surveys were performed and acetylcholinesterase activity was measured in 277 children aged 4-9 years in the Secondary Exposure to Pesticides among Infants, Children and Adolescents (ESPINA) study. Participants lived in a rural county in Ecuador with substantial flower plantation activity.

resultsMean acetylcholinesterase activity was 3.14 U/ml, standard deviation (SD) of 0.49. It was lower by 0.09 U/ml (95% confidence interval (CI) -0.19, -0.001) in children of flower workers (57% of participants) than non-flower workers' children, after adjustment for gender, age, height-for-age, hemoglobin concentration, income, pesticide use within household lot, pesticide use by contiguous neighbors, examination date and residence distance to nearest flower plantation. Using a 4 level polychotomous acetylcholinesterase activity dependent variable, flower worker cohabitation (vs. not) had odds ratio 3.39 (95% CI 1.19, 9.64) for being <15th percentile compared to the highest tertile. Children cohabitating for ≥5 years (vs. never) had OR of 4.11 (95% CI: 1.17, 14.38) of AChE activity within <15th percentile compared to the highest tertile.

conclusionsCohabitation with a flower worker was related to lower acetylcholinesterase activity in children. This supports the hypothesis that the amount of take-home pesticides from flower workers suffices to decrease acetylcholinesterase activity, with lower activity associated with longer exposure.

Indexed as

Environmental ExposureOccupational ExposureAcetylcholinesteraseCarbamatesChildChild, PreschoolEcuadorFemaleFlowersHumansInsecticidesMaleOdds RatioOrganophosphatesTime FactorsAcetylcholinesteraseCarbamatesInsecticidesOrganophosphates

Identifiers

PMID22405996
PMCPMC3319289
OpenAlexW2114559574

What OpenQuestion holds

Textmetadata
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.