Evidence map›Paper›PMID 26715556›Full record

ArticleEnvironmental health : a global access science source2015

Differential association of lead on length by zinc status in two-year old Mexican children.

Alejandra Cantoral, Martha M Téllez-Rojo, Teresa Shamah Levy, Mauricio Hernández-Ávila, Lourdes Schnaas, Howard Hu, Karen E Peterson, Adrienne S Ettinger

Open access · goldAbstract read
In one paragraph

Article in Environmental health : a global access science source, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed
2.4field-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

17 citing papers in PubMed, 36 citations in OpenAlex.

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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

8 authors at 5 institutions in 3 countries.

Alejandra CantoralResearch Center for Nutrition and Health, National Institute of Public Health, Universidad No. 655 Colonia Santa María Ahuacatitlán, Cerrada Los Pinos y Caminera, C.P. 62100, Cuernavaca, Mor, Mexico. alejandra.cantoral@insp.mx.
Martha M Téllez-RojoResearch Center for Nutrition and Health, National Institute of Public Health, Universidad No. 655 Colonia Santa María Ahuacatitlán, Cerrada Los Pinos y Caminera, C.P. 62100, Cuernavaca, Mor, Mexico. mmtellez@insp.mx.
Teresa Shamah LevyResearch Center for Nutrition and Health, National Institute of Public Health, Universidad No. 655 Colonia Santa María Ahuacatitlán, Cerrada Los Pinos y Caminera, C.P. 62100, Cuernavaca, Mor, Mexico. tshamah@insp.mx.
Mauricio Hernández-ÁvilaNational Institute of Public Health, Universidad No. 655, Colonia Santa María Ahuacatitlán, Cerrada Los Pinos y Caminera, C.P. 62100, Cuernavaca, Mor, Mexico. mhernan@insp.mx.
Lourdes SchnaasNational Institute of Perinatology, Monte Urales Sur 800, Lomas Virreyes, C.P. 11000, Mexico City, Mexico. lschnaas@hotmail.com.
Howard HuDalla Lana School of Public Health, University of Toronto, 155 College St, 6th floor, Toronto, ON, M5T 3M7, Canada. howard.hu@utoronto.ca.
Karen E PetersonDepartment of Nutritional Sciences, University of Michigan School of Public Health, 1415 Washington Heights, Ann Arbor, MI, 48104, USA. karenep@umich.edu.
Adrienne S EttingerDepartment of Nutritional Sciences, University of Michigan School of Public Health, 1415 Washington Heights, Ann Arbor, MI, 48104, USA. adrienne.ettinger@gmail.com.
Instituto Nacional de Salud Pública · MXHarvard University · USInstituto Nacional de Perinatología · MXPublic Health Ontario · CAUniversity of Michigan–Ann Arbor · US

Funding

LEAD DOSE BIOMARKERS, REPRODUCTION, AND INFANT OUTCOMESR01ES007821 · NIEHS · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI PETERSON, KAREN EILEEN · 1998 to 2010
$4.7M
Project 3: Developmental Exposures and Diet: Epigenetics of Metabolic SyndromeP01ES022844 · NIEHS · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI DOLINOY, DANA, PADMANABHAN, VASANTHA · 2013 to 2018
$3.9M
Project 1: Prenatal Lead Exposure, Early Childhood Growth, and Sexual MaturationP20ES018171 · NIEHS · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI PETERSON, KAREN EILEEN · 2010 to 2012
$584k
Genetic & Epigenetic Modifiers of Maternal-Fetal Transfer of Toxicants & OutcomesK01ES014907 · NIEHS · YALE UNIVERSITY · PI ETTINGER, ADRIENNE S · 2008 to 2011
$502k
NIEHS NIH HHS K01 ES014907NIEHS NIH HHS K01-ES014907NIEHS NIH HHS P01 ES022844NIEHS NIH HHS P20 ES018171NIEHS NIH HHS P20-ES018171NIEHS NIH HHS R01 ES007821NIEHS NIH HHS R01-ES007821
6 · The paper itself

Abstract

backgroundBlood lead levels have decreased in Mexico since leaded fuel was banned in 1997, but other sources remain, including the use of lead-glazed ceramics for food storage and preparation. Zinc deficiency is present in almost 30% of children aged 1-2 years. Previous studies have documented negative associations of both lead exposure and zinc deficiency with stature, but have not considered the joint effects. Given that the prevalence of stunting in pre-school aged children was 13.6% in 2012, the aim of this study was to evaluate if the relationship between blood lead and child stature was modified by zinc status.

methodsAnthropometry, dietary energy intake, serum zinc and blood lead were measured in 291 children aged 24 months from an ongoing birth cohort study in Mexico City. Child stature was represented by recumbent length as appropriate for this age group. The association between blood lead (BPb) and length-for-age Z score (LAZ) was evaluated using a model stratified by zinc status measured by standard criteria and adjusted for: birth length, breastfeeding practices, energy intake, maternal height and education.

resultsMedian (IQR) BPb was: 0.17 (0.12-0.26) μmol/L and 17% of the sample had zinc deficiency (<9.9 μmol/L). BPb was inversely associated with LAZ in the overall sample (β = -0.19, p = 0.02). In stratified models, this negative association was more than three times higher and statistically significant only in the zinc deficient group (β = -0.43, p = 0.04) compared to the zinc replete group (β = -0.12, p = 0.22) (BPb*zinc status, p-for-interaction = 0.04).

conclusionsZinc adequacy is a key factor that may attenuate the negative association of lead on stature in young children.

Indexed as

Body HeightChild, PreschoolCross-Sectional StudiesEnvironmental ExposureEnvironmental PollutantsFemaleGrowth DisordersHumansLeadLinear ModelsMaleMexicoTrace ElementsZincEnvironmental PollutantsLeadTrace ElementsZinc

Identifiers

PMID26715556
PMCPMC4696318
OpenAlexW2215350325

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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.