Evidence map›Paper›PMID 26852280›Full record

ArticleInternational journal of hygiene and environmental health2016

Urinary and blood cadmium and lead and kidney function: NHANES 2007-2012.

Melanie C Buser, Susan Z Ingber, Nathan Raines, David A Fowler, Franco Scinicariello

Open access · greenAbstract read
In one paragraph

Article in International journal of hygiene and environmental health, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 63 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
63citing papers in PubMed, 3 pooled it
13.2field-weighted citation impact, top 1% 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

63 citing papers in PubMed, 3 syntheses or guidelines pooled it, 189 citations in OpenAlex.

  1. Blood Lead Level and Renal Impairment among Adults: A Meta-Analysis.International journal of environmental research and public health · 2021
    Pooled it
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  12. The MAK collection for occupational health and safety · 2025
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3 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

5 authors at 1 institution in 1 country.

Melanie C BuserDivision of Toxicology and Human Health Sciences, Agency for Toxic Substances and Disease Registry (ATSDR), Atlanta, GA 30341, USA.
Susan Z IngberDivision of Toxicology and Human Health Sciences, Agency for Toxic Substances and Disease Registry (ATSDR), Atlanta, GA 30341, USA.
Nathan RainesDivision of Toxicology and Human Health Sciences, Agency for Toxic Substances and Disease Registry (ATSDR), Atlanta, GA 30341, USA.
David A FowlerDivision of Community Health Investigations, Agency for Toxic Substances and Disease Registry (ATSDR), Atlanta, GA 30341, USA.
Franco ScinicarielloDivision of Toxicology and Human Health Sciences, Agency for Toxic Substances and Disease Registry (ATSDR), Atlanta, GA 30341, USA. Electronic address: fes6@cdc.gov.
Agency for Toxic Substances and Disease Registry · US

Funding

Intramural CDC HHS CC999999
6 · The paper itself

Abstract

backgroundCadmium (Cd) and lead (Pb) are widespread environmental contaminants that are known nephrotoxins. However, their nephrotoxic effects at low-environmental exposure levels are debated.

objectiveWe examined the association of blood Pb (B-Pb), blood Cd (B-Cd), urinary Pb (U-Pb) and urinary Cd (U-Cd) with estimated glomerular filtration rate (eGFR) and urinary albumin (ALB).

methodsWe used multivariate linear regression to analyze the association between B-Pb, B-Cd, U-Pb, and U-Cd with eGFR and ALB in adult participants (≥20 years of age) in NHANES 2007-2012. The dataset was limited to NHANES individuals with both blood and urinary metal measurements.

resultsWe found a statistically significant inverse association between eGFR and B-Cd and statistically significant positive associations between eGFR and both U-Cd and U-Pb, as well as statistically significant associations between ALB and the 3rd and 4th quartiles of U-Cd.

conclusionsThe inverse association between eGFR and B-Cd, in conjunction with positive associations between eGFR and ALB with U-Cd, suggest that U-Cd measurement at low levels of exposure may result from changes in renal excretion of Cd due to kidney function and protein excretion. However, renal effects such as hyperfiltration from Cd-mediated kidney damage or creatinine-specific Cd effects cannot be excluded with this cross-sectional design.

Indexed as

CadmiumEnvironmental PollutantsLeadAdultAlbuminuriaEnvironmental MonitoringFemaleGlomerular Filtration RateHumansKidneyMaleNutrition SurveysUnited StatesCadmiumEnvironmental PollutantsLeadAlbuminuriaBlood cadmiumBlood leadEstimated glomerular filtration rateUrinary cadmiumUrinary lead

Identifiers

PMID26852280
PMCPMC5685486
OpenAlexW2292491339

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.