Evidence map›Paper›PMID 26518419›Full record

ArticleReproductive toxicology (Elmsford, N.Y.)2016

Low level arsenic contaminated water consumption and birth outcomes in Romania-An exploratory study.

Michael S Bloom, Iulia A Neamtiu, Simona Surdu, Cristian Pop, Doru Anastasiu, Allison A Appleton, Edward F Fitzgerald, Eugen S Gurzau

Abstract read
In one paragraph

Article in Reproductive toxicology (Elmsford, N.Y.), 2016. 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
2.6field-weighted citation impact, top 12% 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

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

  1. Pooled it
  2. Article
  3. Article
  4. Review
  5. Article
  6. Update of the risk assessment of inorganic arsenic in food.EFSA journal. European Food Safety Authority · 2024
    Article
  7. Review
  8. Article
  9. Comparative Biomonitoring of Arsenic Exposure in Mothers and Their Neonates in Comarca Lagunera, Mexico.International journal of environmental research and public health · 2022
    Article
  10. Article
  11. Article
  12. Article
  13. Observational
  14. Article
  15. Article
  16. Article
  17. A Review of the Effects of Chronic Arsenic Exposure on Adverse Pregnancy Outcomes.International journal of environmental research and public health · 2017
    Review
  18. 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

8 authors at 3 institutions in 2 countries.

Michael S BloomDepartment of Environmental Health Sciences, School of Public Health, University at Albany, State University of New York, Rensselaer, NY, USA; Department of Epidemiology and Biostatistics, School of Public Health, University at Albany, State University of New York, Rensselaer, NY, USA. Electronic address: mbloom@albany.edu.
Iulia A NeamtiuEnvironmental Health Center, Cluj-Napoca, Romania.
Simona SurduDepartment of Environmental Health Sciences, School of Public Health, University at Albany, State University of New York, Rensselaer, NY, USA.
Cristian PopEnvironmental Health Center, Cluj-Napoca, Romania.
Doru AnastasiuUniversity of Medicine and Pharmacy "Victor Babes", Timisoara, Romania; Gynecology Department of the Emergency County Hospital, Timisoara, Romania.
Allison A AppletonDepartment of Epidemiology and Biostatistics, School of Public Health, University at Albany, State University of New York, Rensselaer, NY, USA.
Edward F FitzgeraldDepartment of Environmental Health Sciences, School of Public Health, University at Albany, State University of New York, Rensselaer, NY, USA; Department of Epidemiology and Biostatistics, School of Public Health, University at Albany, State University of New York, Rensselaer, NY, USA.
Eugen S GurzauEnvironmental Health Center, Cluj-Napoca, Romania; University of Medicine and Pharmacy "Iuliu Hatieganu", Cluj-Napoca, Romania.
University at Albany, State University of New York · USIuliu Hațieganu University of Medicine and Pharmacy · ROVictor Babeș University of Medicine and Pharmacy Timișoara · RO

Funding

Developmental Infrastructure CoreR24HD044943 · NICHD · STATE UNIVERSITY OF NEW YORK AT ALBANY · PI DENTON, NANCY A · 2004 to 2016
$4.8M
Arsenic Contaminated Water Consumption & Spontaneous Pregnancy Loss in RomaniaR03ES020446 · NIEHS · STATE UNIVERSITY OF NEW YORK AT ALBANY · PI BLOOM, MICHAEL S · 2011 to 2012
$151k
NICHD NIH HHS R24 HD044943NIEHS NIH HHS R03 ES020446NIEHS NIH HHS R03ES020446
6 · The paper itself

Abstract

Women are exposed to drinking water with low arsenic concentrations (<10.0μg/L) worldwide, yet little work has been done to assess the risk. To begin to address this data gap, we conducted an exploratory study of birth outcomes in Timis County, Romania. We prospectively followed 122 women with singleton deliveries, for whom we constructed individual exposure indicators using self-reported water consumption weighted by arsenic measured in drinking water sources. There were no overall confounder-adjusted effects for arsenic exposure on birth outcomes. Yet, higher average arsenic (10μg/L) was associated with a -2.45 lower birth weight Z-score (P=0.021) and a -1.17 shorter birth length Z-score (P=0.029) among smokers. Higher average iAs (10μg/L) was also associated with smaller ponderal index in boys (P=0.023). Our results suggest smoking may potentiate an otherwise benign arsenic exposure. A larger, more definitive biomarker-based study is needed to investigate the potential risks in conjunction with smoking.

Indexed as

DrinkingPregnancy OutcomeWater SupplyAdultArsenicBirth WeightBody SizeCase-Control StudiesFemaleGestational AgeHeadHumansLogistic ModelsMaternal ExposureMultivariate AnalysisOdds RatioArsenicWater Pollutants, ChemicalArsenicBirth lengthBirth outcomesBirth sizeBirth weightDrinking waterGestational agePonderal index

Identifiers

PMID26518419
PMCPMC4783180
OpenAlexW2211564907

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.