Evidence map›Paper›PMID 28709058›Full record

ArticlePsychiatry research2017

Blood cadmium and depressive symptoms: Confounded by cigarette smoking.

Danielle E Kostrubiak, Caterina Vacchi-Suzzi, Dylan M Smith, Jaymie R Meliker

Open access · greenAbstract read
In one paragraph

Article in Psychiatry research, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
0.6field-weighted citation impact, top 33% 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

8 citing papers in PubMed, 21 citations in OpenAlex.

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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

4 authors at 1 institution in 1 country.

Danielle E KostrubiakStony Brook University School of Medicine, Stony Brook, NY, USA. Electronic address: Danielle.kostrubiak@stonybrookmedicine.edu.
Caterina Vacchi-SuzziProgram in Public Health, Department of Family, Population and Preventive Medicine, Stony Brook University, Stony Brook, NY, USA.
Dylan M SmithProgram in Public Health, Department of Family, Population and Preventive Medicine, Stony Brook University, Stony Brook, NY, USA.
Jaymie R MelikerProgram in Public Health, Department of Family, Population and Preventive Medicine, Stony Brook University, Stony Brook, NY, USA; Consortium for Inter-Disciplinary Environmental Research, USA.
Stony Brook University · US

Funding

Urinary cadmium and risk of breast cancerR01ES019209 · NIEHS · STATE UNIVERSITY NEW YORK STONY BROOK · PI MELIKER, JAYMIE R · 2011 to 2014
$1.9M
NIEHS NIH HHS R01 ES019209
6 · The paper itself

Abstract

Our aim was to explore the association between blood cadmium (BCd) and depressive symptoms, adjusting for pack years and blood cotinine, and also stratifying by smoking status. Using data from the US National Health and Nutrition Examination Survey (NHANES) 2005-2012, we categorized depressive symptoms using the PHQ-9 (Patient Health Questionnaire-9) survey and modeled depressive symptoms in relation to BCd adjusted for blood cotinine, pack years of smoking, and other covariates. We also stratified by self-reported smoking status (current, former, never). There were 11,209 subjects from 2005 to 2012, age ≥ 18 with PHQ-9, smoking, and blood cadmium data available. 876 (7.8%) met criteria for depressive symptoms. Depressive symptoms were associated with BCd levels in a crude model and with adjustment for pack years and cotinine. The association disappeared when analyzed among current, former, or never smokers. Consistent with the literature, we found an association between BCd and depressive symptoms; however, that association disappears in analyses stratified by smoking status. This suggests residual confounding may be present. It is important to stratify by smoking status when investigating health outcomes associated with BCd.

Indexed as

AdultCadmiumCigarette SmokingDepressionFemaleHumansMaleMiddle AgedNutrition SurveysSelf ReportSurveys and QuestionnairesCadmiumDepressionHeavy metalsTobacco

Identifiers

PMID28709058
PMCPMC6152875
OpenAlexW2736299374

What OpenQuestion holds

Textmetadata
LicenceTDM
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.