Evidence map›Paper›PMID 29136419›Full record

ArticleAnnals of work exposures and health2017

Occupational Exposure to Manganese and Fine Motor Skills in Elderly Men: Results from the Heinz Nixdorf Recall Study.

Beate Pesch, Swaantje Casjens, Tobias Weiss, Benjamin Kendzia, Marina Arendt, Lewin Eisele, Thomas Behrens, Nadin Ulrich, Noreen Pundt, Anja Marr and 8 more

Open access · bronzeAbstract read
In one paragraph

Article in Annals of work exposures and health, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
0.6field-weighted citation impact, top 32% 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

6 citing papers in PubMed, 10 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

18 authors at 6 institutions in 2 countries.

Beate PeschInstitute for Prevention and Occupational Medicine of the German Social Accident Insurance, Institute of the Ruhr-Universität Bochum (IPA), Bochum, Germany.
Swaantje CasjensInstitute for Prevention and Occupational Medicine of the German Social Accident Insurance, Institute of the Ruhr-Universität Bochum (IPA), Bochum, Germany.
Tobias WeissInstitute for Prevention and Occupational Medicine of the German Social Accident Insurance, Institute of the Ruhr-Universität Bochum (IPA), Bochum, Germany.
Benjamin KendziaInstitute for Prevention and Occupational Medicine of the German Social Accident Insurance, Institute of the Ruhr-Universität Bochum (IPA), Bochum, Germany.
Marina ArendtInstitute for Medical Informatics, Biometry and Epidemiology (IMIBE), University of Essen-Duisburg, Essen, Germany.
Lewin EiseleInstitute for Medical Informatics, Biometry and Epidemiology (IMIBE), University of Essen-Duisburg, Essen, Germany.
Thomas BehrensInstitute for Prevention and Occupational Medicine of the German Social Accident Insurance, Institute of the Ruhr-Universität Bochum (IPA), Bochum, Germany.
Nadin UlrichInstitute for Prevention and Occupational Medicine of the German Social Accident Insurance, Institute of the Ruhr-Universität Bochum (IPA), Bochum, Germany.
Noreen PundtInstitute for Medical Informatics, Biometry and Epidemiology (IMIBE), University of Essen-Duisburg, Essen, Germany.
Anja MarrInstitute for Medical Informatics, Biometry and Epidemiology (IMIBE), University of Essen-Duisburg, Essen, Germany.
Sibylle RobensInstitute for Prevention and Occupational Medicine of the German Social Accident Insurance, Institute of the Ruhr-Universität Bochum (IPA), Bochum, Germany.
Christoph Van ThrielLeibniz Research Centre for Working Environment and Human Factors (IfADo), Dortmund, Germany.
Rainer Van GelderInstitute for Occupational Safety and Health of the German Social Accident Insurance (IFA), Sankt Augustin, Germany.
Michael AschnerDepartment of Molecular Pharmacology, Albert Einstein College of Medicine, New York, NY, USA.
Susanne MoebusInstitute for Medical Informatics, Biometry and Epidemiology (IMIBE), University of Essen-Duisburg, Essen, Germany.
Nico DraganoInstitute for Medical Sociology, Medical Faculty, University of Düsseldorf, Düsseldorf, Germany.
Thomas BrüningInstitute for Prevention and Occupational Medicine of the German Social Accident Insurance, Institute of the Ruhr-Universität Bochum (IPA), Bochum, Germany.
Karl-Heinz JöckelInstitute for Medical Informatics, Biometry and Epidemiology (IMIBE), University of Essen-Duisburg, Essen, Germany.
Institute for Prevention and Occupational Medicine · DEInstitut für Medizinische Informatik, Biometrie und Epidemiologie · DEAlbert Einstein College of Medicine · USHeinrich Heine University Düsseldorf · DEInstitut für Arbeitsschutz der Deutschen Gesetzlichen Unfallversicherung · DETU Dortmund University · DE

Funding

Mechanisms of Manganese NeurotoxicityR01ES010563 · NIEHS · WAKE FOREST UNIVERSITY HEALTH SCIENCES · PI Michael Aschner, Aaron B Bowman · 2001 to 2026
$11.9M
NIEHS NIH HHS R01 ES010563
6 · The paper itself

Abstract

objectivesExposure to manganese (Mn) may cause movement disorders, but less is known whether the effects persist after the termination of exposure. This study investigated the association between former exposure to Mn and fine motor deficits in elderly men from an industrial area with steel production.

methodsData on the occupational history and fine motor tests were obtained from the second follow-up of the prospective Heinz Nixdorf Recall Study (2011-2014). The study population included 1232 men (median age 68 years). Mn in blood (MnB) was determined in archived samples (2000-2003). The association between Mn exposure (working as welder or in other at-risk occupations, cumulative exposure to inhalable Mn, MnB) with various motor functions (errors in line tracing, steadiness, or aiming and tapping hits) was investigated with Poisson and logistic regression, adjusted for iron status and other covariates. Odds ratios (ORs) with 95% confidence intervals (CIs) were estimated for substantially impaired dexterity (errors >90th percentile, tapping hits <10th percentile).

resultsThe median of cumulative exposure to inhalable Mn was 58 µg m-3 years in 322 men who ever worked in at-risk occupations. Although we observed a partly better motor performance of exposed workers at group level, we found fewer tapping hits in men with cumulative Mn exposure >184.8 µg m-3 years (OR 2.15, 95% CI 1.17-3.94). MnB ≥ 15 µg l-1, serum ferritin ≥ 400 µg l-1, and gamma-glutamyl transferase ≥74 U l-1 were associated with a greater number of errors in line tracing.

conclusionsWe found evidence that exposure to inhalable Mn may carry a risk for dexterity deficits. Whether these deficits can be exclusively attributed to Mn remains to be elucidated, as airborne Mn is strongly correlated with iron in metal fumes, and high ferritin was also associated with errors in line tracing. Furthermore, hand training effects must be taken into account when testing for fine motor skills.

Indexed as

AgedAir Pollutants, OccupationalHumansIonsMaleManganeseMiddle AgedMotor SkillsMovement DisordersMusculoskeletal Physiological PhenomenaNeurotoxinsOccupational ExposureOccupationsOdds RatioProspective StudiesRegression AnalysisAir Pollutants, OccupationalIonsManganeseNeurotoxinscommunity-based cohortferritinfine motor skillsmanganesewelding

Identifiers

PMID29136419
PMCPMC6824529
OpenAlexW2763932967

What OpenQuestion holds

Textmetadata
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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.