Evidence map›Paper›PMID 29353865›Full record

Observational studyJournal of epidemiology2018

An 18-Year Follow-up Survey of Dioxin Levels in Human Milk in Japan.

Ryusuke Ae, Yosikazu Nakamura, Hiroshi Tada, Yumi Kono, Eiko Matsui, Kazuo Itabashi, Masanori Ogawa, Teppei Sasahara, Yuri Matsubara, Takao Kojo and 7 more

Abstract readObservational Study
In one paragraph

Observational study in Journal of epidemiology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing 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

4 citing papers in PubMed.

  1. Review
  2. Article
  3. Article
  4. 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

17 authors.

Ryusuke AeDivision of Public Health, Center for Community Medicine, Jichi Medical University.ORCID 0000-0003-2660-530X
Yosikazu NakamuraDivision of Public Health, Center for Community Medicine, Jichi Medical University.
Hiroshi TadaDepartment of Neonatology, Toho University School of Medicine.
Yumi KonoDepartment of Pediatrics, Jichi Medical University.
Eiko MatsuiDepartment of Pediatrics, Graduate School of Medicine, Gifu University.
Kazuo ItabashiDepartment of Pediatrics, Showa University of Medicine.
Masanori OgawaHealth Service Center, Jichi Medical University.
Teppei SasaharaHealth Service Center, Jichi Medical University.
Yuri MatsubaraDivision of Public Health, Center for Community Medicine, Jichi Medical University.
Takao KojoDivision of Public Health, Center for Community Medicine, Jichi Medical University.
Kazuhiko KotaniDivision of Public Health, Center for Community Medicine, Jichi Medical University.
Nobuko MakinoDivision of Public Health, Center for Community Medicine, Jichi Medical University.
Yasuko AoyamaDivision of Public Health, Center for Community Medicine, Jichi Medical University.
Takashi SanoDivision of Public Health, Center for Community Medicine, Jichi Medical University.
Koki KosamiDivision of Public Health, Center for Community Medicine, Jichi Medical University.
Maho YamashitaDivision of Public Health, Center for Community Medicine, Jichi Medical University.
Akira OkaDepartment of Pediatrics, Tokyo University.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundGlobally, few published studies have tracked the temporal trend of dioxin levels in the human body since 2000. This study describes the annual trend of dioxin levels in human breast milk in Japanese mothers from 1998 through 2015.

methodsAn observational study was conducted from 1998 through 2015. Participants were 1,194 healthy mothers following their first delivery who were recruited annually in Japan. Breast milk samples obtained from participants were analyzed using gas chromatography and mass spectrometry for dioxins, including polychlorinated dibenzo-p-dioxins (PCDDs), polychlorinated dibenzofurans (PCDFs), and coplanar polychlorinated biphenyls (PCBs).

resultsMean age was 29.5 years, and 53% of participants were 20-25 years old. A declining trend in total dioxin levels was found, from a peak of 20.8 pg toxic equivalence (TEQ)/g fat in 1998 to 7.2 pg TEQ/g fat in 2014. Data from the last 5 years of the study indicated a plateau at minimal levels. In contrast, an increasing trend was found in the mean age of participants during the last 5 years. Although significantly higher dioxin levels were observed in samples from older participants, an upward trend in dioxin levels was not observed, indicating that dietary and environmental exposure to dioxins had greatly diminished in recent years.

conclusionsDioxin levels in human breast milk may be approaching a minimum in recent years in Japan. The findings may contribute to global reference levels for environmental pollution of dioxins, which remains a problem for many developing countries.

Indexed as

AdultDioxinsFemaleFollow-Up StudiesHumansJapanMilk, HumanYoung AdultDioxinsdioxinsepidemiologyhuman milkmonitoringpolychlorinated biphenyls

Identifiers

PMID29353865
PMCPMC5976874

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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.