Evidence map›Paper›PMID 26999177›Full record

ArticleInternational journal of environmental research and public health2016

Dose-Response Relationship between Cumulative Occupational Lead Exposure and the Associated Health Damages: A 20-Year Cohort Study of a Smelter in China.

Yue Wu, Jun-Ming Gu, Yun Huang, Yan-Ying Duan, Rui-Xue Huang, Jian-An Hu

Abstract read
In one paragraph

Article in International journal of environmental research and public health, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
–field-weighted citation impact
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

8 citing papers in PubMed.

  1. Article
  2. Article
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  5. Article
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  7. Article
  8. Editorial: Lead Risk Assessment and Health Effects.International journal of environmental research and public health · 2016
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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

6 authors.

Yue WuDepartment of Occupational and Environmental Health, School of Public Health, Central South University, 110# Xiang-ya Rd., Changsha 410078, Hunan, China. wuyue7802@csu.edu.cn.
Jun-Ming GuDepartment of Occupational and Environmental Health, School of Public Health, Central South University, 110# Xiang-ya Rd., Changsha 410078, Hunan, China. 13826391706m@sina.cn.
Yun HuangDepartment of Occupational and Environmental Health, School of Public Health, Central South University, 110# Xiang-ya Rd., Changsha 410078, Hunan, China. lwhw2010@163.com.
Yan-Ying DuanDepartment of Occupational and Environmental Health, School of Public Health, Central South University, 110# Xiang-ya Rd., Changsha 410078, Hunan, China. duanyy2010@126.com.
Rui-Xue HuangDepartment of Occupational and Environmental Health, School of Public Health, Central South University, 110# Xiang-ya Rd., Changsha 410078, Hunan, China. arsenite@163.com.
Jian-An HuDepartment of Occupational and Environmental Health, School of Public Health, Central South University, 110# Xiang-ya Rd., Changsha 410078, Hunan, China. jiananhu@csu.edu.cn.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Long-term airborne lead exposure, even below official occupational limits, has been found to cause lead poisoning at higher frequencies than expected, which suggests that China's existing occupational exposure limits should be reexamined. A retrospective cohort study was conducted on 1832 smelting workers from 1988 to 2008 in China. These were individuals who entered the plant and came into continuous contact with lead at work for longer than 3 months. The dose-response relationship between occupational cumulative lead exposure and lead poisoning, abnormal blood lead, urinary lead and erythrocyte zinc protoporphyrin (ZPP) were analyzed and the benchmark dose lower bound confidence limits (BMDLs) were calculated. Statistically significant positive correlations were found between cumulative lead dust and lead fumes exposures and workplace seniority, blood lead, urinary lead and ZPP values. A dose-response relationship was observed between cumulative lead dust or lead fumes exposure and lead poisoning (p < 0.01). The BMDLs of the cumulative occupational lead dust and fumes doses were 0.68 mg-year/m³ and 0.30 mg-year/m³ for lead poisoning, respectively. The BMDLs of workplace airborne lead concentrations associated with lead poisoning were 0.02 mg/m³ and 0.01 mg/m³ for occupational exposure lead dust and lead fume, respectively. In conclusion, BMDLs for airborne lead were lower than occupational exposure limits, suggesting that the occupational lead exposure limits need re-examination and adjustment. Occupational cumulative exposure limits (OCELs) should be established to better prevent occupational lead poisoning.

Indexed as

Manufacturing IndustryAdultAir Pollutants, OccupationalChinaDose-Response Relationship, DrugFemaleFollow-Up StudiesHumansLeadLead PoisoningMaleMiddle AgedOccupational DiseasesOccupational ExposureRetrospective StudiesAir Pollutants, OccupationalLeadbenchmark dosebiological effectscumulative lead exposuredose-response relationshiplead poisoningoccupational exposure limits

Identifiers

PMID26999177
PMCPMC4808991

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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.