Evidence map›Paper›PMID 26869268›Full record

ArticleBMC public health2016

Maternal urinary manganese and risk of low birth weight: a case-control study.

Wei Xia, Yanqiu Zhou, Tongzhang Zheng, Bin Zhang, Bryan A Bassig, Yuanyuan Li, John Pierce Wise, Aifen Zhou, Yanjian Wan, Youjie Wang and 7 more

Open access · goldAbstract read
In one paragraph

Article in BMC public health, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed
3.3field-weighted citation impact, top 10% 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

19 citing papers in PubMed, 39 citations in OpenAlex.

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  15. Urinary concentrations of environmental metals and associating factors in pregnant women.Environmental science and pollution research international · 2019
    Article
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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

17 authors at 7 institutions in 2 countries.

Wei XiaKey Laboratory of Environment and Health (HUST), Ministry of Education & Ministry of Environmental Protection, and State Key Laboratory of Environmental Health (Incubation), school of Public Health, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei, People's Republic of China. xiawei@hust.edu.cn.
Yanqiu ZhouKey Laboratory of Environment and Health (HUST), Ministry of Education & Ministry of Environmental Protection, and State Key Laboratory of Environmental Health (Incubation), school of Public Health, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei, People's Republic of China.
Tongzhang ZhengDepartment of Environmental Health Sciences, Brown School of Public Health, Providence, RI, USA.
Bin ZhangWomen and Children Medical and Healthcare Center of Wuhan, Wuhan, Hubei, People's Republic of China.
Bryan A BassigDepartment of Environmental Health Sciences, Yale School of Public Health, New Haven, CT, USA.
Yuanyuan LiKey Laboratory of Environment and Health (HUST), Ministry of Education & Ministry of Environmental Protection, and State Key Laboratory of Environmental Health (Incubation), school of Public Health, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei, People's Republic of China.
John Pierce WiseWise Laboratory of Environmental and Genetic Toxicology, Portland, ME, USA.
Aifen ZhouWomen and Children Medical and Healthcare Center of Wuhan, Wuhan, Hubei, People's Republic of China.
Yanjian WanKey Laboratory of Environment and Health (HUST), Ministry of Education & Ministry of Environmental Protection, and State Key Laboratory of Environmental Health (Incubation), school of Public Health, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei, People's Republic of China.
Youjie WangKey Laboratory of Environment and Health (HUST), Ministry of Education & Ministry of Environmental Protection, and State Key Laboratory of Environmental Health (Incubation), school of Public Health, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei, People's Republic of China.
Chao XiongKey Laboratory of Environment and Health (HUST), Ministry of Education & Ministry of Environmental Protection, and State Key Laboratory of Environmental Health (Incubation), school of Public Health, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei, People's Republic of China.
Jinzhu ZhaoWomen and Children Medical and Healthcare Center of Wuhan, Wuhan, Hubei, People's Republic of China.
Zhengkuan LiMacheng Maternal and Child Health Care Hospital, Macheng, Hubei, People's Republic of China.
Yuanxiang YaoEzhou Maternal and Child Health Hospital, Ezhou, Hubei, People's Republic of China.
Jie HuKey Laboratory of Environment and Health (HUST), Ministry of Education & Ministry of Environmental Protection, and State Key Laboratory of Environmental Health (Incubation), school of Public Health, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei, People's Republic of China.
Xinyun PanKey Laboratory of Environment and Health (HUST), Ministry of Education & Ministry of Environmental Protection, and State Key Laboratory of Environmental Health (Incubation), school of Public Health, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei, People's Republic of China.
Shunqing XuKey Laboratory of Environment and Health (HUST), Ministry of Education & Ministry of Environmental Protection, and State Key Laboratory of Environmental Health (Incubation), school of Public Health, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei, People's Republic of China. xust@hust.edu.cn.
Huazhong University of Science and Technology · CNMinistry of Ecology and Environment · CNWuhan Medical Center for Women and Children · CNEzhou Central Hospital · CNHubei Provincial Women and Children's Hospital · CNProvidence College · USSociety of Environmental Toxicology and Chemistry · US

Funding

Research Training for Cancer Epidemiology & Biostatistics in ChinaD43TW008323 · FIC · YALE UNIVERSITY · PI HOLFORD, THEODORE R, ZHENG, TONGZHANG · 2009 to 2013
$1.1M
Research Training for Study of Air Pollution Control in ChinaD43TW007864 · FIC · YALE UNIVERSITY · PI ZHENG, TONGZHANG · 2007 to 2011
$706k
FIC NIH HHS D43 TW007864FIC NIH HHS D43 TW008323
6 · The paper itself

Abstract

backgroundManganese (Mn) is an essential element for humans, but exposure to high levels has been associated with adverse developmental outcomes. Early epidemiological studies evaluating the effect of Mn on fetal growth are inconsistent.

methodsWe investigated the association between maternal urinary Mn during pregnancy and the risk of low birth weight (LBW). Mn concentrations in maternal urine samples collected before delivery were measured in 816 subjects (204 LBW cases and 612 matched controls) recruited between 2012 and 2014 in Hubei Province, China.

resultsThe median Mn concentration in maternal urine was 0.69 μg/g creatinine. Compared to the medium tertile of Mn levels, an increased risk of LBW was observed for the lowest tertile (≤0.30 μg/g creatinine) [adjusted odds ratio (OR) = 1.28; 95 % confidence interval (CI) = 0.67, 2.45], and a significantly increased risk of LBW was observed for the highest tertile (≥1.16 μg/g creatinine) [adjusted OR = 2.04; 95 % CI = 1.12, 3.72]. A curvilinear relationship between maternal urinary Mn and risk of LBW was observed, showing that the concentration at 0.43 μg/g creatinine was the point of inflection. Similar associations were observed among the mothers with female infants and among the younger mothers < 28 years old. However, among the mothers with male infants or the older mothers ≥ 28 years old, only higher levels of Mn were positively associated with LBW.

conclusionsLower or higher levels of maternal urinary Mn are associated with LBW, though only the association of LBW risk and higher levels of Mn was statistically significant. The findings also show that the associations may vary by maternal age and infant sex, but require confirmation in other populations.

Indexed as

Infant, Low Birth WeightAdultCase-Control StudiesChinaFemaleHumansInfant, NewbornMaleManganeseMaternal AgeOdds RatioPregnancyRiskManganese

Identifiers

PMID26869268
PMCPMC4751650
OpenAlexW2267387564

What OpenQuestion holds

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LicenceCC BY
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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.