Evidence map›Paper›PMID 28686224›Full record

ReviewNutrients2017

A Balanced Risk-Benefit Analysis to Determine Human Risks Associated with Pyrrolizidine Alkaloids (PA)-The Case of Tea and Herbal Infusions.

Michael Habs, Karin Binder, Stefan Krauss, Karolina Müller, Brigitte Ernst, Luzia Valentini, Michael Koller

Abstract readReview
In one paragraph

Review in Nutrients, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing 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

9 citing papers in PubMed.

  1. Article
  2. Pyrrolizidine Alkaloids from Monofloral and Multifloral Italian Honey.International journal of environmental research and public health · 2023
    Article
  3. Article
  4. Review
  5. Review
  6. Article
  7. Article
  8. Review
  9. 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

7 authors.

Michael HabsFaculty of Medicine, LMU-University of Munich, 80333 Munich, Germany. info@michael-habs.de.
Karin BinderDidactics of Mathematics, University of Regensburg, 93053 Regensburg, Germany. Karin.Binder@mathematik.uni-regensburg.de.
Stefan KraussDidactics of Mathematics, University of Regensburg, 93053 Regensburg, Germany. stefan1.krauss@mathematik.uni-regensburg.de.
Karolina MüllerCentre for Clinical Studies, University Hospital Regensburg, 93042 Regensburg, Germany. Karolina.Mueller@ukr.de.
Brigitte ErnstGeneral Medicine Unit, University Hospital Regensburg, 93053 Regensburg, Germany. dr.b.ernst@t-online.de.
Luzia ValentiniInstitute of Evidence-based Dietetics, University of Applied Sciences Neubrandenburg, 17033 Neubrandenburg, Germany. valentini@hs-nb.de.
Michael KollerCentre for Clinical Studies, University Hospital Regensburg, 93042 Regensburg, Germany. michael.koller@ukr.de.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Humans are exposed to pyrrolizidine alkaloids (PA) through different sources, mainly from contaminated foodstuff. Teas and herbal infusions (T&HI) can be contaminated by PA producing weed. PA can possess toxic, mutagenic, genotoxic, and carcinogenic properties. Thus, possible health risks for the general population are under debate. There is a strong safety record for T&HI and additionally epidemiological evidence for the preventive effects of regular tea consumption on cardiovascular events and certain types of cancer. There is no epidemiological evidence, however, for human risks of regular low dose PA exposure. Recommended regulatory PA-threshold values are based on experimental data only, accepting big uncertainties. If a general risk exists through PA contaminated T&HI, it must be small compared to other frequently accepted risks of daily living and the proven health effects of T&HI. Decision making should be based on a balanced riskbenefit analysis. Based on analyses of the scientific data currently available, it is concluded that the benefits of drinking T&HI clearly outweigh the negligible health risk of possible PA contamination. At the same time, manufacturers must continue their efforts to secure good product quality and to be transparent on their measures of quality control and risk communication.

Indexed as

Risk AssessmentCardiovascular DiseasesFood ContaminationHealth PromotionHumansNeoplasmsPyrrolizidine AlkaloidsRisk FactorsTeaTeas, HerbalPyrrolizidine AlkaloidsTeaTeas, Herbalpyrrolizidine alkaloids (PA)risk–benefit analysistea and herbal infusions

Identifiers

PMID28686224
PMCPMC5537832

What OpenQuestion holds

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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.