Evidence map›Paper›PMID 28270159›Full record

ArticleEnvironmental health : a global access science source2017

A path analysis of multiple neurotoxic chemicals and cognitive functioning in older US adults (NHANES 1999-2002).

Jennifer Przybyla, E Andres Houseman, Ellen Smit, Molly L Kile

Open access · goldAbstract read
In one paragraph

Article in Environmental health : a global access science source, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 1 pooled it
2.0field-weighted citation impact, top 16% 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

15 citing papers in PubMed, 1 synthesis or guideline pooled it, 35 citations in OpenAlex.

  1. Pooled it
  2. Mixture of organic pollutants is associated with cognitive aging.Alzheimer's & dementia : the journal of the Alzheimer's Association · 2026
    Trial
  3. Article
  4. Ethnic and Sex Differences in the Association Between Organochlorine Exposure and Cognitive Function in Late Life.The journals of gerontology. Series A, Biological sciences and medical sciences · 2025
    Article
  5. Review
  6. Inflammation, metabolic dysregulation and environmental neurotoxins and risk of cognitive decline and impairment in midlife.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2023
    Article
  7. Path Analysis Reveals the Direct Effect of PCB28 Exposure on Cognitive Dysfunction in Older Chinese Females.International journal of environmental research and public health · 2022
    Article
  8. Article
  9. Review
  10. Article
  11. Review
  12. Review
  13. Article
  14. Article
  15. Overview of air pollution and endocrine disorders.International journal of general medicine · 2018
    Review
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

4 authors at 1 institution in 1 country.

Jennifer PrzybylaSchool of Biological and Population Health, College of Public Health and Human Sciences, 101 Milam Hall, Corvallis, OR, 97330, USA. jennifer.przybyla@oregonstate.edu.ORCID 0000-0003-0561-2068
E Andres HousemanSchool of Biological and Population Health, College of Public Health and Human Sciences, 101 Milam Hall, Corvallis, OR, 97330, USA.
Ellen SmitSchool of Biological and Population Health, College of Public Health and Human Sciences, 101 Milam Hall, Corvallis, OR, 97330, USA.
Molly L KileSchool of Biological and Population Health, College of Public Health and Human Sciences, 101 Milam Hall, Corvallis, OR, 97330, USA.
Oregon State University · US

Funding

Reducing Susceptibility to Environmental Stress Throughout the Life SpanP30ES000210 · NIEHS · OREGON STATE UNIVERSITY · PI BECKMAN, JOSEPH S · 1985 to 2015
$21.4M
MODE OF ACTION OF ENVIRONMENTAL TOXICANTST32ES007060 · NIEHS · OREGON STATE UNIVERSITY · PI Jamie DeWitt, Siva Kumar Kolluri · 1985 to 2026
$11.6M
NIEHS NIH HHS P30 ES000210NIEHS NIH HHS T32 ES007060
6 · The paper itself

Abstract

backgroundPolychlorinated biphenyls (PCBs) and metals (lead and cadmium) are neurotoxic and affect neurobehavioral performance. Yet little is known about the association between exposure to multiple neurotoxic compounds and cognitive functioning in older adults.

methodsUsing data from two consecutive cycles of the National Health and Nutrition and Examination Survey (1999-2002), path analysis was used to simultaneously evaluate the association between whole blood concentrations of 14 neurotoxic compounds and cognitive functioning measured by the Digit Symbol Coding Test of the Weschler Adult Intelligence Scale, 3

resultsThe final path model fit 5 compounds (i.e. PCB 74, PCB 118, PCB 146, PCB 153, and lead). After controlling for co-exposures and confounders, PCB 146 (β = -0.16, 95% CI: -0.29, -0.02, p = 0.02) and lead (β = -0.10, 95% CI: -0.20, -0.006, p = 0.04) were negatively associated with DSC scores in 60-84 year olds. Whereas, PCB 153 was positively associated with DSC scores (β =0.20, 95% CI: 0.05, 0.35; p = 0.01).

conclusionsThis cross-sectional analysis which controlled for collinear exposure to several neurotoxic compounds demonstrated an association between non-dioxin like polychlorinated biphenyl exposure, specifically PCB 146, and lower cognitive functioning, in older adults. Lead exposure was also weakly associated with lower cognitive functioning. Additional studies are needed to determine the causality of the observed associations.

Indexed as

AgedAged, 80 and overCadmiumCognitionCognitive DysfunctionEnvironmental ExposureEnvironmental PollutantsFemaleHumansIntelligence TestsLeadMaleMiddle AgedNutrition SurveysPolychlorinated BiphenylsUnited StatesCadmiumEnvironmental PollutantsLeadPolychlorinated BiphenylsCadmiumCognitive declineDigit symbol coding testLeadPath analysisPCBsPolychlorinated biphenyls

Identifiers

PMID28270159
PMCPMC5341442
OpenAlexW2594224000

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.