Evidence map›Paper›PMID 28778209›Full record

ArticleEnvironmental health : a global access science source2017

Maternal occupational exposure and oral clefts in offspring.

Nynke Spinder, Jorieke E H Bergman, H Marike Boezen, Roel C H Vermeulen, Hans Kromhout, Hermien E K de Walle

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 11 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 2 pooled it
–field-weighted citation impact, top 92% 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

11 citing papers in PubMed, 2 syntheses or guidelines pooled it, 5 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Evaluating Geographic Distribution and Potential Environmental Risk Factors of Orofacial Cleft Anomalies Utilizing a Statewide Birth Defects Registry.The Cleft palate-craniofacial journal : official publication of the American Cleft Palate-Craniofacial Association · 2026
    Article
  4. Review
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  7. Article
  8. Article
  9. Review
  10. Prenatal exposure to pesticides and risk for holoprosencephaly: a case-control study.Environmental health : a global access science source · 2020
    Article
  11. Article
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

6 authors at 2 institutions in 1 country.

Nynke SpinderDepartment of Epidemiology, University of Groningen, University Medical Center Groningen, HPC FA 40, P.O. Box 30.001, 9700 RB, Groningen, the Netherlands. n.spinder@umcg.nl.ORCID 0000-0002-7841-8007
Jorieke E H BergmanDepartment of Genetics, University of Groningen, University Medical Center Groningen, HPC CB 51, P.O. Box 30.001, 9700 RB, Groningen, the Netherlands.
H Marike BoezenDepartment of Epidemiology, University of Groningen, University Medical Center Groningen, HPC FA 40, P.O. Box 30.001, 9700 RB, Groningen, the Netherlands.
Roel C H VermeulenDivision of Environmental Epidemiology, Institute for Risk Assessment Science, Utrecht University, Postbox 80178, 3508 TD, Utrecht, the Netherlands.
Hans KromhoutDivision of Environmental Epidemiology, Institute for Risk Assessment Science, Utrecht University, Postbox 80178, 3508 TD, Utrecht, the Netherlands.
Hermien E K de WalleDepartment of Genetics, University of Groningen, University Medical Center Groningen, HPC CB 51, P.O. Box 30.001, 9700 RB, Groningen, the Netherlands.
University Medical Center Groningen · NLUtrecht University · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPrevious studies suggest that periconceptional maternal occupational exposure to solvents and pesticides increase the risk of oral clefts in the offspring. Less is known about the effect of occupational exposure to metals, dust, and gases and fumes on development of oral clefts.

methodsThis case-malformed control study used data from a population-based birth defects registry (Eurocat) of children and foetuses born in the Northern Netherlands between 1997 and 2013. Cases were defined as non-syndromic oral clefts. The first control group had chromosomal/monogenic defects, and the second control group was defined as non-chromosomal/non-monogenic malformed controls. Maternal occupational exposure was estimated through linkage of mothers' occupation with a community-based Job Exposure Matrix (JEM). Multivariate logistic regression was used to estimate the effect of occupational exposures. Odds ratios were adjusted (aORs) for relevant confounders.

resultsA total of 387 cases, 1135 chromosomal and 4352 non-chromosomal malformed controls were included in this study. Prevalence of maternal occupational exposures to all agents was 43.9% and 41.0%/37.7% among cases and controls, respectively. Oral clefts had significantly increased ORs of maternal occupational exposure to pesticides (aOR = 1.7, 95% confidence interval [CI] 1.0-3.1) and dust (aOR = 1.3, 95% CI 1.1-1.6) when using non-chromosomal controls. Subgroup analysis for CL(P) stratified by gender showed a significantly increased risk for male infants exposed to 'other solvents' and exposure to mineral dust for female infants.

conclusionOur study showed that maternal occupational exposure to pesticides and dust are risk factors for oral clefts in the offspring. Larger studies are needed to confirm this finding.

Indexed as

Maternal ExposureOccupational ExposureAdolescentAdultCase-Control StudiesCleft LipCleft PalateDustEnvironmental PollutantsFemaleGasesHumansInfant, NewbornMaleMetalsNetherlandsDustEnvironmental PollutantsGasesMetalsPesticidesSolventsBiological dustCongenital anomaliesJob-exposure matrixMetalsMineral dustOccupational exposurePesticidesSolventsTeratology

Identifiers

PMID28778209
PMCPMC5545025
OpenAlexW2737869973

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.