Evidence map›Paper›PMID 27809911›Full record

ArticleEnvironmental health : a global access science source2016

Stunting is associated with blood lead concentration among Bangladeshi children aged 2-3 years.

Kelsey M Gleason, Linda Valeri, A H Shankar, Md Omar Sharif Ibne Hasan, Quazi Quamruzzaman, Ema G Rodrigues, David C Christiani, Robert O Wright, David C Bellinger, Maitreyi Mazumdar

Abstract read
In one paragraph

Article in Environmental health : a global access science source, 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
–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

19 citing papers in PubMed.

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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

10 authors.

Kelsey M GleasonDepartment of Environmental Health - EOME Program, Harvard T.H. Chan School of Public Health, Landmark Center, 401 Park Drive, 3rd Floor East, Boston, MA, 02215, USA. kgleason@mail.harvard.edu.
Linda ValeriDepartment of Psychiatry (Biostatistics), McClean Hospital, Belmont Campus, North Belknap, Room 310A, Belmont, MA, 02478, USA.
A H ShankarDepartment of Nutrition, Harvard T.H. Chan School of Public Health, 655 Huntington Avenue, Building 2, Room 331A, Boston, MA, 02115, USA.
Md Omar Sharif Ibne HasanDhaka Community Hospital, 190/1, Wireless Railgate Bara Moghbazar, Dhaka, 1217, Bangladesh.
Quazi QuamruzzamanDhaka Community Hospital, 190/1, Wireless Railgate Bara Moghbazar, Dhaka, 1217, Bangladesh.
Ema G RodriguesDepartment of Environmental Health - EOME Program, Harvard T.H. Chan School of Public Health, Landmark Center, 401 Park Drive, 3rd Floor East, Boston, MA, 02215, USA.
David C ChristianiDepartment of Environmental Health - EOME Program, Harvard T.H. Chan School of Public Health, Landmark Center, 401 Park Drive, 3rd Floor East, Boston, MA, 02215, USA.
Robert O WrightDepartment of Preventive Medicine, Mount Sinai School of Medicine, 17 East 102nd Street, New York, NY, 10029, USA.
David C BellingerDepartment of Environmental Health - EOME Program, Harvard T.H. Chan School of Public Health, Landmark Center, 401 Park Drive, 3rd Floor East, Boston, MA, 02215, USA.
Maitreyi MazumdarDepartment of Environmental Health - EOME Program, Harvard T.H. Chan School of Public Health, Landmark Center, 401 Park Drive, 3rd Floor East, Boston, MA, 02215, USA.

Funding

Translational Research Support CoreP30ES000002 · NIEHS · HARVARD UNIVERSITY (SCH OF PUBLIC HLTH) · PI JAIME ELIZABETH HART · 1985 to 2026
$44.6M
The HSPH Education and Research Center of Occupational Safety and HealthT42OH008416 · OH · HARVARD UNIVERSITY (SCH OF PUBLIC HLTH) · PI CHRISTIANI, DAVID C · 2005 to 2025
$30.5M
Superfund Metal Mixtures, Biomarkers and NeurodevelopmentP42ES016454 · NIEHS · HARVARD SCHOOL OF PUBLIC HEALTH · PI BELLINGER, DAVID C · 2010 to 2015
$10.1M
Does arsenic increase risk of neural tube defects in a highly-exposed population?R01ES026317 · NIEHS · BOSTON CHILDREN'S HOSPITAL · PI MAZUMDAR, MAITREYI · 2016 to 2020
$2.2M
Neurodevelopmental Effects of Early Life Arsenic ExposureK23ES017437 · NIEHS · BOSTON CHILDREN'S HOSPITAL · PI MAZUMDAR, MAITREYI · 2009 to 2013
$735k
NIEHS NIH HHS K23 ES017437NIEHS NIH HHS P30 ES000002NIEHS NIH HHS P42 ES016454NIEHS NIH HHS R01 ES026317NIOSH CDC HHS T42 OH008416
6 · The paper itself

Abstract

backgroundLead toxicity is of particular public health concern given its near ubiquitous distribution in nature and established neurotoxicant properties. Similar in its ubiquity and ability to inhibit neurodevelopment, early childhood stunting affects an estimated 34 % of children under 5 in low- and middle-income countries. Both lead and stunting have been shown to be associated with decreased neurodevelopment, although the relationship between these childhood burdens is underexplored. The association between lead exposure and stunting has been previously established, yet limited data are available on susceptibility windows.

methodsWhole blood lead samples were collected from rural Bangladeshi children at delivery (umbilical cord blood) and at age 20-40 months (fingerstick blood). Stunting was determined using the Child Growth Standards developed from the World Health Organization Multicentre Growth Reference Study. Children with height for age < -2 z-scores below the median of the WHO Child Growth Standards were classified as stunted in all analyses.

resultsMedian (IQR) umbilical cord and fingerstick blood lead levels were 3.1 (1.6-6.3) μg/dl and 4.2 (1.7-7.6) μg/dl, respectively. In adjusted multivariable regression models, the odds of stunting at 20-40 months increased by 1.12 per μg/dl increase in blood lead level (OR = 1.12, 95 % CI: 1.02-1.22). No association was found between cord blood lead level and risk of stunting (OR = 0.97, 95 % CI: 0.94-1.00).

conclusionsThere is a significant association between stunting and concurrent lead exposure at age 20-40 months. This association is slightly attenuated after controlling for study clinic site. Additional research including more precise timing of lead exposure during these critical 20-40 months is needed.

Indexed as

BangladeshChild Nutrition DisordersChild, PreschoolEnvironmental MonitoringEnvironmental PollutantsFemaleFetal BloodGrowth DisordersHumansInfantInfant, NewbornLeadMaleRural PopulationEnvironmental PollutantsLeadBangladeshChildrenEnvironmental toxinsHeavy metalsLead exposureNeurodevelopmentStunting

Identifiers

PMID27809911
PMCPMC5096334

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LicenceCC BY
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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.