Evidence map›Paper›PMID 29486343›Full record

ArticleEnvironmental research2018

A cross-sectional study of general cognitive abilities among Uruguayan school children with low-level arsenic exposure, potential effect modification by methylation capacity and dietary folate.

Gauri Desai, Gabriel Barg, Elena I Queirolo, Marie Vahter, Fabiana Peregalli, Nelly Mañay, Katarzyna Kordas

Abstract read
In one paragraph

Article in Environmental research, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed, 2 pooled it
–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

23 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
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  9. Update of the risk assessment of inorganic arsenic in food.EFSA journal. European Food Safety Authority · 2024
    Article
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  11. Maternal Folate Status and the Relation between Gestational Arsenic Exposure and Child Health Outcomes.International journal of environmental research and public health · 2022
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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

7 authors.

Gauri DesaiDepartment of Epidemiology and Environmental Health, School of Public Health and Health Professions, The State University of New York (SUNY) at Buffalo, NY, USA. Electronic address: gauriabh@buffalo.edu.
Gabriel BargDepartment of Neurocognition, Catholic University of Uruguay, Montevideo, Uruguay.
Elena I QueiroloCenter for Research, Catholic University of Uruguay, Montevideo, Uruguay.
Marie VahterKarolinska Institutet, Stockholm, Sweden.
Fabiana PeregalliCenter for Research, Catholic University of Uruguay, Montevideo, Uruguay.
Nelly MañayFaculty of Chemistry, University of the Republic of Uruguay, Montevideo, Uruguay.
Katarzyna KordasDepartment of Epidemiology and Environmental Health, School of Public Health and Health Professions, The State University of New York (SUNY) at Buffalo, NY, USA.

Funding

Is Low-Level Arsenic Exposure Related to Neurobehavioral Deficits in ChildrenR21ES019949 · NIEHS · PENNSYLVANIA STATE UNIVERSITY, THE · PI KORDAS, KATARZYNA · 2012 to 2013
$358k
Nutritional and Heavy Metals: Effects on Child Learning and Behavior in UruguayR21ES016523 · NIEHS · PENNSYLVANIA STATE UNIVERSITY, THE · PI KORDAS, KATARZYNA · 2008 to 2009
$262k
NIEHS NIH HHS R21 ES016523NIEHS NIH HHS R21 ES019949
6 · The paper itself

Abstract

backgroundFew studies have evaluated the association between low-level arsenic (As) exposure and cognitive performance among children.

objectivesIn this cross-sectional study, we assessed the association between low-level As exposure and cognitive performance among 5-8 year-old children in Montevideo, and tested effect modification by As methylation capacity and children's dietary folate intake.

methodsWe measured total urinary As (UAs) concentrations and the proportion of monomethylarsonic acid (MMA) in the urine of 328 children. Seven subtests of the standardized Woodcock-Muñoz cognitive battery were used to assess cognitive performance, from which, the general intellectual abilities (GIA) score was derived. Total folate intake was estimated from two 24-h dietary recalls. Linear regression analyses were performed. Effect modification was assessed by stratifying at the median %MMA value and tertiles of total folate intake calculated as micrograms (µg) of dietary folate equivalents (dfe).

resultsThe median UAs was 11.9 µg/l (range = 1.4-93.9), mean folate intake was 337.4 (SD = 123.3) µg dfe, and median %MMA was 9.42 (range = 2.6-24.8). There was no association between UAs and cognitive abilities, and no consistent effect modification by %MMA. UAs was associated inversely with concept formation, and positively with cognitive efficiency and numbers reversed subtest in the lowest folate intake tertile; UAs was also positively associated with sound integration in the second tertile and concept formation in the highest tertile of folate intake. There was no consistent pattern of effect modification by %MMA or folate intake.

conclusionThere was no association between low-level As exposure and general cognitive abilities.

Indexed as

ArsenicFolic AcidChildChild, PreschoolCognitionCross-Sectional StudiesHumansMethylationArsenicFolic AcidChildrenCognitionFolateLow-level arsenicMethylation capacity

Identifiers

PMID29486343
PMCPMC5911190

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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.