Evidence map›Paper›PMID 27742626›Full record

ArticleBMJ open2016

Are prenatal mercury levels associated with subsequent blood pressure in childhood and adolescence? The Avon prebirth cohort study.

Steve Gregory, Yasmin Iles-Caven, Joseph R Hibbeln, Caroline M Taylor, Jean Golding

Abstract read
In one paragraph

Article in BMJ open, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 2 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

12 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Chronic mercury exposure and blood pressure in children and adolescents: a systematic review.Environmental science and pollution research international · 2019
    Pooled it
  3. Review
  4. Article
  5. Article
  6. Review
  7. Article
  8. Environmental health perspectives · 2021
    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

5 authors.

Steve GregoryCentre for Child and Adolescent Health, School of Social and Community Medicine, University of Bristol, Bristol, UK.
Yasmin Iles-CavenCentre for Child and Adolescent Health, School of Social and Community Medicine, University of Bristol, Bristol, UK.ORCID 0000-0002-9965-9133
Joseph R HibbelnDepartment of Nutritional Neurosciences, LMBB, National Institute on Alcohol Abuse and Alcoholism, National Institutes of Health, Bethesda, Maryland, USA.
Caroline M TaylorCentre for Child and Adolescent Health, School of Social and Community Medicine, University of Bristol, Bristol, UK.
Jean GoldingCentre for Child and Adolescent Health, School of Social and Community Medicine, University of Bristol, Bristol, UK.

Funding

Essential Fatty Acids In Psychiatric DisordersZIAAA000115 · NIAAA · NATIONAL INSTITUTE ON ALCOHOL ABUSE AND ALCOHOLISM · PI HIBBELN, JOSEPH · 2009 to 2020
$7.8M
Medical Research Council G9815508Medical Research Council MC_PC_15018Wellcome TrustWellcome Trust 102215/2/13/2Wellcome Trust 104077/Z/14/Z
6 · The paper itself

Abstract

objectivesThere have been conflicting data suggesting that prenatal mercury exposure is associated with adverse cardiovascular measures in children. We therefore analysed a large prospective population study to investigate whether prenatal mercury exposure might influence offspring blood pressure (BP) and heart rate adversely.

designProspective birth cohort.

settingThe Avon Longitudinal Study of Parents and Children (ALSPAC).

participantsMaternal whole blood collected in the first half of pregnancy was assayed for mercury and selenium. The offspring were followed throughout childhood and adolescence. OUTCOME MEASURES: Offspring resting BP and heart rates measured under standard conditions on six occasions between ages 7 and 17 years (numbers analysed: 1754 at 7 years to 1102 at 17).

resultsStatistical analyses took account of various factors present in pregnancy, including family adversity, maternal age, parity, smoking and alcohol intake. Unadjusted and adjusted regression analyses assessed the relationship between maternal prenatal mercury levels and offspring resting systolic and diastolic BP, and heart rates. A final set of analyses took account of selenium. Each analysis was carried out for all offspring, those whose mothers had, and those that had not, consumed fish during pregnancy. Further analysis for all offspring ascertained whether there were significant interaction effects between the sexes. There was little evidence to suggest that prenatal mercury exposure resulted in a clinically important increase in offspring BP in the whole group, since no effect size for an increase of 1 SD of blood mercury level was >0.3 mm Hg. Only 1 association was significant at p<0.05 and therefore likely due to chance.

conclusionsThis study reveals no evidence to support the hypothesis that prenatal mercury exposure has adverse long-term effects on offspring BP or heart rates during childhood or adolescence.

Indexed as

Blood PressureHeart RateAdolescentAdultBlood Pressure DeterminationChildFemaleHumansLongitudinal StudiesMaleMaternal AgeMaternal ExposureMercuryPregnancyPrenatal Exposure Delayed EffectsProspective StudiesMercuryALSPACCardiovascular systemPrenatal mercuryPUBLIC HEALTHSeleniumTOXICOLOGY

Identifiers

PMID27742626
PMCPMC5073590

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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.