Evidence map›Paper›PMID 23774576›Full record

ArticleEnvironmental health perspectives2013

Associations of urinary cadmium with age and urinary proteins: further evidence of physiological variations unrelated to metal accumulation and toxicity.

Agnes Chaumont, Catherine Voisin, Gladys Deumer, Vincent Haufroid, Isabella Annesi-Maesano, Harry Roels, Lutgarde Thijs, Jan Staessen, Alfred Bernard

Abstract read
In one paragraph

Article in Environmental health perspectives, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 37 papers.

0numbers the graph read from it
0cells of the map it votes in
37citing papers in PubMed
–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

37 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. The MAK collection for occupational health and safety · 2025
    Review
  5. Review
  6. Article
  7. Tobacco Smoke Exposure and Urinary Cadmium in Women from Northern Mexico.International journal of environmental research and public health · 2021
    Article
  8. Article
  9. Low-Level Cadmium Exposure and Atherosclerosis.Current environmental health reports · 2021
    Review
  10. Review
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Temporal variability of urinary cadmium in spot urine samples and first morning voids.Journal of exposure science & environmental epidemiology · 2017
    Article
  19. Article
  20. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

9 authors.

Agnes ChaumontLaboratory of Toxicology and Applied Pharmacology, Catholic University of Louvain, Brussels, Belgium.
Catherine Voisin
Gladys Deumer
Vincent Haufroid
Isabella Annesi-Maesano
Harry Roels
Lutgarde Thijs
Jan Staessen
Alfred Bernard

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe current risk assessment for environmental cadmium (Cd) largely relies on the assumption that urinary Cd (U-Cd) is a reliable biomarker of the Cd body burden. Recent studies have questioned the validity of this assumption.

objectivesWe studied the lifetime trend of U-Cd as a function of diuresis, gender, smoking status, and protein tubular reabsorption. We also analyzed the associations between U-Cd and urinary proteins.

methodsCd, retinol-binding protein, and albumin were measured in the urine of six cohorts of the general population of Belgium, with a mean age ranging from 5.7 to 88.1 years (n = 1,567). Variations of U-Cd with age were modeled using natural cubic splines.

resultsIn both genders, U-Cd decreased to a minimum (~ 0.20 μg/L) at the end of adolescence, then increased until 60-70 years of age (~ 0.60 μg/L in never-smokers) before leveling off or decreasing. When U-Cd was expressed in micrograms per gram of creatinine, these variations were amplified (minimum, 0.15 µg/g creatinine; maximum, 0.70 µg/g creatinine) and much higher U-Cd values were observed in women. We observed no difference in U-Cd levels between never-smokers and former smokers, and the difference with current smokers did not increase over time. Lifetime curves of U-Cd were higher with increasing urinary retinol-binding protein or albumin, a consequence of the coexcretion of Cd with proteins.

conclusionsAt low Cd exposure levels, U-Cd and age are associated through nonlinear and nonmonotonic relationships that appear to be driven mainly by recent Cd intake and physiological variations in the excretion of creatinine and proteins.

Indexed as

AdolescentAdultAgedAged, 80 and overAgingBelgiumCadmiumChildCreatinineFemaleGlycoproteinsHumansMaleMiddle AgedRetinol-Binding ProteinsSerum AlbuminALB protein, humanCadmiumCreatinineGlycoproteinsRetinol-Binding ProteinsSerum AlbuminSerum Albumin, Human

Identifiers

PMID23774576
PMCPMC3764089

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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.