Evidence map›Paper›PMID 24370548›Full record

ArticleNeurotoxicology and teratology

Childhood exposure to manganese and postural instability in children living near a ferromanganese refinery in Southeastern Ohio.

Fedoria Rugless, Amit Bhattacharya, Paul Succop, Kim N Dietrich, Cyndy Cox, Jody Alden, Pierce Kuhnell, Mary Barnas, Robert Wright, Patrick J Parsons and 5 more

Open access · greenAbstract read
In one paragraph

Article in Neurotoxicology and teratology. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 36 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
36citing papers in PubMed, 1 pooled it
2.9field-weighted citation impact, top 11% 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

36 citing papers in PubMed, 1 synthesis or guideline pooled it, 67 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Elevated brain manganese induces motor disease by upregulating the kynurenine pathway of tryptophan metabolism.Proceedings of the National Academy of Sciences of the United States of America · 2025
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  4. Article
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  8. Article
  9. Article
  10. Consequences of Disturbing Manganese Homeostasis.International journal of molecular sciences · 2023
    Review
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  13. Review
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  15. Article
  16. Review
  17. Article
  18. Article
  19. Metal concentrations in pregnant women and neonates from informal electronic waste recycling.Journal of exposure science & environmental epidemiology · 2019
    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

15 authors at 7 institutions in 1 country.

Fedoria RuglessUniversity of Cincinnati College of Medicine, Department of Environmental Health, Division of Epidemiology and Biostatistics, 3223 Eden Ave., PO Box 670056, Cincinnati, OH 45267-0056, United States. Electronic address: ruglesfe@mail.uc.edu.
Amit BhattacharyaUniversity of Cincinnati College of Medicine, Department of Environmental Health, Division of Epidemiology and Biostatistics, 3223 Eden Ave., PO Box 670056, Cincinnati, OH 45267-0056, United States. Electronic address: bhattaat@ucmail.uc.edu.
Paul SuccopUniversity of Cincinnati College of Medicine, Department of Environmental Health, Division of Epidemiology and Biostatistics, 3223 Eden Ave., PO Box 670056, Cincinnati, OH 45267-0056, United States. Electronic address: succoppa@ucmail.uc.edu.
Kim N DietrichUniversity of Cincinnati College of Medicine, Department of Environmental Health, Division of Epidemiology and Biostatistics, 3223 Eden Ave., PO Box 670056, Cincinnati, OH 45267-0056, United States. Electronic address: DIETRIKN@UCMAIL.UC.EDU.
Cyndy CoxUniversity of Cincinnati College of Medicine, Department of Environmental Health, Division of Epidemiology and Biostatistics, 3223 Eden Ave., PO Box 670056, Cincinnati, OH 45267-0056, United States. Electronic address: coxcl@ucmail.uc.edu.
Jody AldenUniversity of Cincinnati College of Medicine, Department of Environmental Health, Division of Epidemiology and Biostatistics, 3223 Eden Ave., PO Box 670056, Cincinnati, OH 45267-0056, United States. Electronic address: aldenjy@ucmail.uc.edu.
Pierce KuhnellUniversity of Cincinnati College of Medicine, Department of Environmental Health, Division of Epidemiology and Biostatistics, 3223 Eden Ave., PO Box 670056, Cincinnati, OH 45267-0056, United States. Electronic address: kuhnelp@ucmail.uc.edu.
Mary BarnasMarietta College, 215 5th Street, Marietta, OH 45740, United States. Electronic address: barnasm@marietta.edu.
Robert WrightHarvard University, Channing Laboratory, 181 Longwood Ave., Boston, MA 02115, United States. Electronic address: ROWRIGHT@hsph.harvard.edu.
Patrick J ParsonsLaboratory of Inorganic and Nuclear Chemistry, Wadsworth Center, New York State Department of Health, PO Box 509, Albany, NY 12201-0509, United States; University at Albany, Department of Environmental Health Sciences, School of Public Health, Albany, NY, United States. Electronic address: pparsons@wadsworth.org.
Meredith L PraamsmaLaboratory of Inorganic and Nuclear Chemistry, Wadsworth Center, New York State Department of Health, PO Box 509, Albany, NY 12201-0509, United States; University at Albany, Department of Environmental Health Sciences, School of Public Health, Albany, NY, United States. Electronic address: mpraamsma@albany.edu.
Christopher D PalmerLaboratory of Inorganic and Nuclear Chemistry, Wadsworth Center, New York State Department of Health, PO Box 509, Albany, NY 12201-0509, United States; University at Albany, Department of Environmental Health Sciences, School of Public Health, Albany, NY, United States. Electronic address: palmer@wadsworth.org.
Caroline BeidlerNeighbors for Clean Air, Marietta, OH, United States. Electronic address: ccbeidler@gmail.com.
Richard WittbergMid-Ohio Valley Health Department, 211 6th St., Parkersburg, WV 26101, United States. Electronic address: Richard.a.wittberg@wv.gov.
Erin N HaynesUniversity of Cincinnati College of Medicine, Department of Environmental Health, Division of Epidemiology and Biostatistics, 3223 Eden Ave., PO Box 670056, Cincinnati, OH 45267-0056, United States. Electronic address: Erin.Haynes@uc.edu.
University of Cincinnati · USUniversity of Cincinnati Medical Center · USNew York State Department of Health · USClean Air Task Force · USHarvard Global Health Institute · USMarietta College · USValley Health System · US

Funding

LCenter for Clinical and Translational Science and TrainingUL1TR001425 · NCATS · UNIVERSITY OF CINCINNATI · PI HEUBI, JAMES E., KISSELA, BRETT M · 2015 to 2024
$37.5M
REPRODUCTIVE AND DEVELOPMENTAL TOXICOLOGY RESEARCHP30ES006096 · NIEHS · UNIVERSITY OF CINCINNATI · PI YADAV, JAGJIT S · 1992 to 2022
$35.4M
CTSA INFRASTRUCTURE FOR PEDIATRIC RESEARCHUL1RR026314 · NCRR · UNIVERSITY OF CINCINNATI · PI HEUBI, JAMES E. · 2009 to 2011
$14.3M
Molecular Epidemiology in Children's Environmental Health Training Program (MECEH)T32ES010957 · NIEHS · UNIVERSITY OF CINCINNATI · PI Kelly J Brunst · 2001 to 2026
$11.1M
Cincinnati Center for Clinical and Translational Sciences and TrainingUL1TR000077 · NCATS · UNIVERSITY OF CINCINNATI · PI HEUBI, JAMES E. · 2012 to 2014
$9.9M
Marietta Community Actively Researching Exposure StudyR01ES016531 · NIEHS · UNIVERSITY OF CINCINNATI · PI HAYNES, ERIN N · 2008 to 2012
$3.0M
Neurobehavioral Effect of Low Level Mangenese ExposureR21ES013524 · NIEHS · UNIVERSITY OF CINCINNATI · PI HAYNES, ERIN N · 2005 to 2006
$336k
University of Cincinnati-Marietta-Parkersburg Metropolitan Area Reciprocal ResearR03ES017362 · NIEHS · UNIVERSITY OF CINCINNATI · PI HAYNES, ERIN N · 2008 to 2009
$125k
NCATS NIH HHS 8UL1TR000077-04NCATS NIH HHS UL1 TR000077NCATS NIH HHS UL1 TR001425NCRR NIH HHS UL1 RR026314NICHD NIH HHS R03 HD059615-01NIEHS NIH HHS 5T32ES10957,NIEHS NIH HHS P30 ES006096NIEHS NIH HHS P30-ES06096NIEHS NIH HHS R01 ES016531NIEHS NIH HHS R01ES016531NIEHS NIH HHS R03 ES017362NIEHS NIH HHS R21 ES013524NIEHS NIH HHS T32 ES010957
6 · The paper itself

Abstract

Airborne manganese (Mn) exposure can result in neurotoxicity and postural instability in occupationally exposed workers, yet few studies have explored the association ambient exposure to Mn in children and postural stability. The goal of this study was to determine the association between Mn and lead (Pb) exposure, as measured by blood Pb, blood and hair Mn and time weighted distance (TWD) from a ferromanganese refinery, and postural stability in children. A subset of children ages 7-9 years enrolled in the Marietta Community Actively Researching Exposure Study (CARES) were invited to participate. Postural balance was conducted on 55 children residing in Marietta, Ohio and the surrounding area. Samples of blood were collected and analyzed for Mn and Pb, and samples of hair were analyzed for Mn. Neuromotor performance was assessed using postural balance testing with a computer force platform system. Pearson correlations were calculated to identify key covariates. Associations between postural balance testing conditions and Mn and Pb exposure were estimated with linear regression analyses adjusting for gender, age, parent IQ, and parent age. Mean blood Mn was 10 μg/L (SEM=0.36), mean blood Pb was 0.85 μg/dL (SEM=0.05), and mean hair Mn was 0.76 μg/g (SEM=0.16). Mean residential distance from the refinery was 11.5 km (SEM=0.46). All three measures of Mn exposure were significantly associated with poor postural balance. In addition, low-level blood Pb was also negatively associated with balance outcomes. We conclude that Mn exposure and low-level blood Pb are significantly associated with poor postural balance.

Indexed as

Environmental ExposureAge FactorsChildEnvironmentFemaleHumansIntelligenceIronMaleManganeseManganese PoisoningOhioPostural BalanceSensation DisordersSpectrophotometry, Atomicferro-manganese alloyIronManganeseAppalachian AmericanChildrenLeadManganesePostural balance

Identifiers

PMID24370548
PMCPMC3943914
OpenAlexW2051448185

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Registered trials

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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.