Evidence map›Paper›PMID 27252152›Full record

ArticleInternational journal of hygiene and environmental health2016

Blood mercury levels and fish consumption in pregnancy: Risks and benefits for birth outcomes in a prospective observational birth cohort.

Caroline M Taylor, Jean Golding, Alan M Emond

Abstract 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 30 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
30citing papers in PubMed, 3 pooled it
–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

30 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Mercury and Prenatal Growth: A Systematic Review.International journal of environmental research and public health · 2021
    Pooled it
  4. Article
  5. Review
  6. Article
  7. Observational
  8. Article
  9. Article
  10. Review
  11. Article
  12. Article
  13. Article
  14. Article
  15. Occupational and environmental mercury exposure and human reproductive health - a review.Journal of the Turkish German Gynecological Association · 2022
    Article
  16. Article
  17. Article
  18. Article
  19. Article
  20. Fish as bioindicators: coal and mercury pollution in Colombia's ecosystems.Environmental science and pollution research international · 2020
    Review
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

3 authors.

Caroline M TaylorCentre for Child and Adolescent Health, School of Social and Community Medicine, University of Bristol, Bristol, UK. Electronic address: Caroline.m.taylor@bristol.ac.uk.
Jean GoldingCentre for Child and Adolescent Health, School of Social and Community Medicine, University of Bristol, Bristol, UK.
Alan M EmondCentre for Child and Adolescent Health, School of Social and Community Medicine, University of Bristol, Bristol, UK.

Funding

Medical Research Council G9815508Medical Research Council MC_PC_15018Wellcome Trust 102215Wellcome Trust 104077/Z/14/Z
6 · The paper itself

Abstract

backgroundTo avoid exposure to mercury, government advice on fish consumption during pregnancy includes information on fish species to avoid and to limit, while encouraging consumption of least two portions of fish per week. Some women may, however, chose to avoid fish completely during pregnancy despite potential benefits to the fetus.

objectivesOur aims were to evaluate the effects of blood mercury levels in pregnant women on birth outcomes in the UK, and to compare outcomes in those who ate fish with those who did not.

methodsPregnant women were enrolled in the Avon Longitudinal Study of Parents and Children (ALSPAC). Whole blood samples for singleton pregnancies with a live birth were analysed for Hg by inductively coupled plasma dynamic reaction cell mass spectrometry (n=4044). Fish intake was determined by a food frequency questionnaire during pregnancy. Data collected on the infants included anthropometric variables and gestational age at delivery. Regression models were adjusted for covariates using SPSS v23.

resultsThere were no significant associations of maternal blood Hg level with birthweight, head circumference or crown-heel length in adjusted linear regression models. Similarly, there were no increased odds of low birthweight or preterm delivery in adjusted logistic regression models. When the models were repeated after stratification into fish-eaters and there were no associations except for a negative association with birthweight in non-fish-eaters (unstandardised B coefficient -58.4 (95% confidence interval -113.8, -3.0) g, p=0.039).

conclusionModerate mercury levels in pregnancy were not associated with anthropometric variables, or on the odds of low birthweight or preterm birth. Fish consumption may have a protective effect on birthweight. Consumption of fish in line with government guidelines during pregnancy should be encouraged.

Indexed as

FishesFood ContaminationMaternal ExposureAnimalsBody SizeEnvironmental PollutantsFemaleHumansMaleMercuryPregnancyProspective StudiesRisk AssessmentUnited KingdomEnvironmental PollutantsMercuryALSPACBirth outcomesFish consumptionGuidelinesMercuryPregnancy

Identifiers

PMID27252152
PMCPMC4970655

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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.