Evidence map›Paper›PMID 27783356›Full record

SynthesisCurrent environmental health reports2016

Environmental Metals and Cardiovascular Disease in Adults: A Systematic Review Beyond Lead and Cadmium.

Anne E Nigra, Adrian Ruiz-Hernandez, Josep Redon, Ana Navas-Acien, Maria Tellez-Plaza

Open access · greenAbstract readSystematic Review
In one paragraph

Synthesis in Current environmental health reports, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 62 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
62citing papers in PubMed, 1 pooled it
6.4field-weighted citation impact, top 3% 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

62 citing papers in PubMed, 1 synthesis or guideline pooled it, 148 citations in OpenAlex.

  1. Pooled it
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  8. Review
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  16. Ameliorating effects ofFood science & nutrition · 2024
    Article
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2 more citing papers are in PubMed but not listed here.

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 at 4 institutions in 2 countries.

Anne E NigraDepartment of Environmental Health Sciences, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA.
Adrian Ruiz-HernandezDepartment of Internal Medicine, Hospital Clínico de Valencia, Avenida Blasco Ibañez, 17, 46010, Valencia, Spain.
Josep RedonDepartment of Internal Medicine, Hospital Clínico de Valencia, Avenida Blasco Ibañez, 17, 46010, Valencia, Spain.
Ana Navas-AcienDepartment of Environmental Health Sciences, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA.
Maria Tellez-PlazaDepartment of Environmental Health Sciences, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA. maria.tellez@uv.es.
Columbia University · USHospital Clínico Universitario de Valencia · ESINCLIVA Health Research Institute · ESJohns Hopkins University · US

Funding

Arsenic Exposure, Cardiovascular Disease and Diabetes in Native AmericansR01HL090863 · NHLBI · JOHNS HOPKINS UNIVERSITY · PI NAVAS-ACIEN, ANA · 2008 to 2011
$3.1M
Arsenic Exposure, Genetic Determinants and Diabetes Risk in a Family StudyR01ES021367 · NIEHS · JOHNS HOPKINS UNIVERSITY · PI NAVAS-ACIEN, ANA, VAIDYA, DHANANJAY MADHUKAR · 2012 to 2015
$2.4M
Arsenic, Epigenetics and Incident Cardiovascular Disease in American IndiansR01ES025216 · NIEHS · JOHNS HOPKINS UNIVERSITY · PI FALLIN, M DANIELE, NAVAS-ACIEN, ANA · 2015 to 2018
$2.2M
NHLBI NIH HHS R01 HL090863NIEHS NIH HHS R01 ES021367NIEHS NIH HHS R01 ES025216
6 · The paper itself

Abstract

Published systematic reviews concluded that there is moderate to strong evidence to infer a potential role of lead and cadmium, widespread environmental metals, as cardiovascular risk factors. For other non-essential metals, the evidence has not been appraised systematically. Our objective was to systematically review epidemiologic studies on the association between cardiovascular disease in adults and the environmental metals antimony, barium, chromium, nickel, tungsten, uranium, and vanadium. We identified a total of 4 articles on antimony, 1 on barium, 5 on chromium, 1 on nickel, 4 on tungsten, 1 on uranium, and 0 on vanadium. We concluded that the current evidence is not sufficient to inform on the cardiovascular role of these metals because of the small number of studies. Few experimental studies have also evaluated the role of these metals in cardiovascular outcomes. Additional epidemiologic and experimental studies, including prospective cohort studies, are needed to understand the role of metals, including exposure to metal mixtures, in cardiovascular disease development.

Indexed as

CadmiumCardiovascular DiseasesEnvironmental ExposureEnvironmental PollutantsHumansLeadMetalsRisk FactorsCadmiumEnvironmental PollutantsLeadMetalsAtherosclerosisCardiovascularEpidemiologic studiesMetalsSystematic review

Identifiers

PMID27783356
PMCPMC5801549
OpenAlexW2535610450

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.