Evidence map›Paper›PMID 27923585›Full record

ArticleEnvironment international2017

Prenatal lead exposure and fetal growth: Smaller infants have heightened susceptibility.

Rodosthenis S Rodosthenous, Heather H Burris, Katherine Svensson, Chitra J Amarasiriwardena, Alejandra Cantoral, Lourdes Schnaas, Adriana Mercado-García, Brent A Coull, Robert O Wright, Martha M Téllez-Rojo and 1 more

Registry-linked trialAbstract read
In one paragraph

Article in Environment international, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03420872 (Prenatal and Childhood Nutrient Mixtures Predict Neurodevelopmental Outcomes Among Children in Mexico City), which is not on this map. Cited by 28 papers.

0numbers the graph read from it
0cells of the map it votes in
28citing 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.

NCT03420872 completednot on this map

Prenatal and Childhood Nutrient Mixtures Predict Neurodevelopmental Outcomes Among Children in Mexico City

TypeobservationalSponsorIcahn School of Medicine at Mount SinaiRan2006 to 2018Enrolled329ConditionsNeurodevelopmentArmsNutrient mixtures
3 · Its place in the literature

Who cites it

28 citing papers in PubMed.

  1. Early-life dentine-based elemental biodynamics and cord blood telomere length.medRxiv : the preprint server for health sciences · 2026
    Article
  2. Article
  3. Article
  4. Article
  5. iScience · 2024
    Article
  6. Article
  7. Prenatal blood lead levels and Birth Weight: a Meta-analysis study.Journal of environmental health science & engineering · 2023
    Review
  8. Article
  9. Article
  10. Article
  11. Article
  12. Observational
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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

11 authors.

Rodosthenis S RodosthenousDepartment of Environmental Health, Harvard T.H. Chan School of Public Health, Boston, MA, USA. Electronic address: rrodosth@hsph.harvard.edu.
Heather H BurrisDepartment of Environmental Health, Harvard T.H. Chan School of Public Health, Boston, MA, USA; Department of Neonatology, Beth Israel Deaconess Medical Center and Division of Newborn Medicine, Boston Children's Hospital and Harvard Medical School, Boston, MA, USA. Electronic address: heburris@bidmc.harvard.edu.
Katherine SvenssonDepartment of Preventive Medicine, Icahn School of Medicine at Mount Sinai, New York, NY, USA. Electronic address: Katherine.svensson@mssm.edu.
Chitra J AmarasiriwardenaDepartment of Preventive Medicine, Icahn School of Medicine at Mount Sinai, New York, NY, USA. Electronic address: Chitra.amarasiriwardena@mssm.edu.
Alejandra CantoralDivision of Research in Community Interventions, National Institute of Perinatology, Mexico City, Mexico. Electronic address: alejandra.cantoral@insp.mx.
Lourdes SchnaasDivision of Research in Community Interventions, National Institute of Perinatology, Mexico City, Mexico. Electronic address: lschnaas@hotmail.com.
Adriana Mercado-GarcíaDivision of Research in Community Interventions, National Institute of Perinatology, Mexico City, Mexico. Electronic address: adrianam@insp.mx.
Brent A CoullDepartment of Environmental Health, Harvard T.H. Chan School of Public Health, Boston, MA, USA. Electronic address: bcoull@hsph.harvard.edu.
Robert O WrightDepartment of Preventive Medicine, Icahn School of Medicine at Mount Sinai, New York, NY, USA. Electronic address: Robert.wright@mssm.edu.
Martha M Téllez-RojoDivision of Research in Community Interventions, National Institute of Perinatology, Mexico City, Mexico. Electronic address: mmtellez@insp.mx.
Andrea A BaccarelliLaboratory of Precision Environmental Biosciences, Columbia University Mailman School of Public Health, New York, NY, USA. Electronic address: andrea.baccarelli@columbia.edu.

Funding

True Metal fac coreP30ES009089 · NIEHS · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI MATTHEW S PERZANOWSKI · 1998 to 2026
$44.7M
Translational Research Support CoreP30ES000002 · NIEHS · HARVARD UNIVERSITY (SCH OF PUBLIC HLTH) · PI Marc G Weisskopf · 1985 to 2026
$44.6M
The Mount Sinai Transdisciplinary Center on Early Environmental ExposuresP30ES023515 · NIEHS · ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI · PI Robert O Wright · 2014 to 2026
$21.3M
Stress, Lead, Iron Deficiency and NeurodevelopmentR01ES013744 · NIEHS · ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI · PI Robert O Wright · 2007 to 2026
$13.4M
BPA, Phthalates & Stress: Mechanisms and Interactions for Childhood ObesityR01ES021357 · NIEHS · HARVARD SCHOOL OF PUBLIC HEALTH · PI BACCARELLI, ANDREA, WRIGHT, ROBERT O · 2012 to 2016
$3.3M
Metal Mixtures and NeurodevelopmentR01ES014930 · NIEHS · BRIGHAM AND WOMEN'S HOSPITAL · PI WRIGHT, ROBERT O · 2006 to 2010
$3.2M
Environment, Fetal Tissue DNA Methylation & BirthweightR01ES020268 · NIEHS · ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI · PI BACCARELLI, ANDREA, WRIGHT, ROBERT O · 2011 to 2013
$2.5M
The Toxic Environment and the Epigenetics of Fetal GrowthK23ES022242 · NIEHS · CHILDREN'S HOSP OF PHILADELPHIA · PI BURRIS, HEATHER HERSON · 2013 to 2017
$790k
NIEHS NIH HHS K23 ES022242NIEHS NIH HHS P30 ES000002NIEHS NIH HHS P30 ES009089NIEHS NIH HHS P30 ES023515NIEHS NIH HHS R01 ES013744NIEHS NIH HHS R01 ES014930NIEHS NIH HHS R01 ES020268NIEHS NIH HHS R01 ES021357
6 · The paper itself

Abstract

backgroundAs population lead levels decrease, the toxic effects of lead may be distributed to more sensitive populations, such as infants with poor fetal growth.

objectivesTo determine the association of prenatal lead exposure and fetal growth; and to evaluate whether infants with poor fetal growth are more susceptible to lead toxicity than those with normal fetal growth.

methodsWe examined the association of second trimester maternal blood lead levels (BLL) with birthweight-for-gestational age (BWGA) z-score in 944 mother-infant participants of the PROGRESS cohort. We determined the association between maternal BLL and BWGA z-score by using both linear and quantile regression. We estimated odds ratios for small-for-gestational age (SGA) infants between maternal BLL quartiles using logistic regression. Maternal age, body mass index, socioeconomic status, parity, household smoking exposure, hemoglobin levels, and infant sex were included as confounders.

resultsWhile linear regression showed a negative association between maternal BLL and BWGA z-score (β=-0.06 z-score units per log

conclusionsWhile both linear and quantile regression showed a negative association between prenatal lead exposure and birthweight, quantile regression revealed that smaller infants may represent a more susceptible subpopulation.

Indexed as

Maternal ExposureAdultBirth WeightEnvironmental PollutantsFemaleFetal DevelopmentGestational AgeHumansInfant, Small for Gestational AgeLeadMaleMexicoPregnancyPregnancy Trimester, SecondProspective StudiesRiskEnvironmental PollutantsLeadBirth weightFetal growthLeadPregnancyQuantile regressionSmall-for-gestational age

Identifiers

PMID27923585
PMCPMC5285303

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Registered trials

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.