Evidence map›Paper›PMID 27929609›Full record

ArticleThe Journal of clinical psychiatry2017

Cadmium, Lead, and Depressive Symptoms: Analysis of National Health and Nutrition Examination Survey 2011-2012.

Melanie C Buser, Franco Scinicariello

Abstract read
In one paragraph

Article in The Journal of clinical psychiatry, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers.

0numbers the graph read from it
0cells of the map it votes in
24citing 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

24 citing papers in PubMed.

  1. Molecular Characterization of the Progressive Landscape of Depression.bioRxiv : the preprint server for biology · 2026
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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

2 authors.

Melanie C BuserDivision of Toxicology and Human Health Sciences, Agency for Toxic Substances and Disease Registry (ATSDR), Atlanta, Georgia, USA.
Franco ScinicarielloCenters for Disease Control and Prevention, Agency for Toxic Substances and Disease Registry, 4770 Buford Hwy, MS F57, Atlanta, GA 30341. fes6@cdc.gov.

Funding

Intramural CDC HHS CC999999
6 · The paper itself

Abstract

backgroundSeveral studies have noted an association between tobacco smoke and depression. Cadmium and lead are neurotoxicant components of tobacco smoke. The objective of the present study is to investigate the potential association between blood cadmium (BCd) and blood lead (BPb) with current depressive symptoms in the US adult population.

methodsWe conducted cross-sectional analyses of adult participants (≥ 20 years) from the National Health and Nutrition Examination Survey 2011-2012 (N = 3,905). Multivariate logistic regressions were used to analyze the association between BCd and BPb with depressive symptoms; analyses were also stratified on sex and age groups (20-47 years and ≥ 48 years). Presence or absence of depressive symptoms was determined using the Patient Health Questionnaire module.

resultsIndividuals in the highest quartile of BCd had higher odds of having depressive symptoms (odds ratio = 1.68; 95% confidence limits: 1.12, 2.51). This association was found only in male participants and, more specifically, in younger adult male participants (20-47 years). We found that BPb, cigarette smoking, and obesity were associated with depressive symptoms in younger female adults.

conclusionsIn this study, we report associations between BCd and BPb with current depressive symptoms that were modified by age and sex. Reverse causation cannot be ruled out as a possible explanation since depression may lead to behavioral changes that increase exposure to cadmium and lead (ie, tobacco smoke). The continued efforts at reducing cadmium through tobacco smoking cessation programs may decrease the prevalence of current depressive symptoms.

Indexed as

Nutrition SurveysAdultCadmiumCross-Sectional StudiesDepressive DisorderFemaleHumansLeadMaleMiddle AgedOdds RatioRisk FactorsSmokingSmoking CessationUnited StatesCadmiumLead

Identifiers

PMID27929609
PMCPMC8117117

What OpenQuestion holds

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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.