Evidence map›Paper›PMID 29722093›Full record

ArticleAmerican journal of human biology : the official journal of the Human Biology Council2018

Geophagic earths consumed by women in western Kenya contain dangerous levels of lead, arsenic, and iron.

Joshua D Miller, Shalean M Collins, Moshood Omotayo, Stephanie L Martin, Katherine L Dickin, Sera L Young

Open access · greenAbstract read
In one paragraph

Article in American journal of human biology : the official journal of the Human Biology Council, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
3.5field-weighted citation impact, top 8% 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

7 citing papers in PubMed, 23 citations in OpenAlex.

  1. Review
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Geophagy among a Cohort of Kenyan Women with Mixed HIV Status: A Longitudinal Analysis.The American journal of tropical medicine and hygiene · 2019
    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 3 institutions in 2 countries.

Joshua D MillerDepartment of Anthropology, Northwestern University, Evanston, Illinois 60208.ORCID 0000-0002-2171-856X
Shalean M CollinsDepartment of Anthropology, Northwestern University, Evanston, Illinois 60208.ORCID 0000-0003-2991-8037
Moshood OmotayoProgram in International Nutrition, Cornell University, Ithaca, New York 14850.
Stephanie L MartinDepartment of Nutrition, University of North Carolina Gillings School of Global Public Health, Chapel Hill, North Carolina.
Katherine L DickinDepartment of Nutritional Sciences, Cornell University, Ithaca, New York 14850.
Sera L YoungDepartment of Anthropology, Northwestern University, Evanston, Illinois 60208.ORCID 0000-0002-1763-1218
Northwestern University · USCornell University · USUniversity of North Carolina at Chapel Hill · US

Funding

Health Consequences of Food & Nutrition Insecurity for HIV+ Women & Their InfantsK01MH098902 · NIMH · NORTHWESTERN UNIVERSITY · PI YOUNG, SERA LEWISE · 2012 to 2016
$854k
NIMH NIH HHS K01 MH098902
6 · The paper itself

Abstract

objectivesGeophagy is commonly reported by pregnant women and children, yet its causes and consequences remain poorly understood. Therefore, we sought to determine if geophagy could contribute micronutrients and/or be a source of heavy metal exposure by examining the elemental composition of earths consumed in Kakamega, Kenya.

methodsTen samples of earths commonly consumed during pregnancy were collected by study enumerators and analyzed using inductively coupled plasma-atomic emission spectroscopy. Samples were either collected at markets or from walls of participants' homes, based on where participants reported most commonly sourcing their consumed earths.

resultsBased on estimated intakes (40 g/day), all samples had lead levels that exceeded the provisional maximum tolerable daily intake, and one sample exceeded the threshold for arsenic. Further, estimated intakes of iron for all samples were at least 8.9 times higher than the established threshold. Elemental concentrations were also compared by the site of sample collection (market vs. household wall); market samples had significantly higher iron concentrations and lower calcium concentrations than wall samples.

conclusionsGeophagic earths in Kakamega may be harmful because of dangerously high levels of lead, arsenic, and iron. The prevalence of geophagy among vulnerable populations underscores the importance of understanding its causes and consequences for accurate public health messaging.

Indexed as

PicaArsenicFemaleHumansIronKenyaLeadSoilSoil PollutantsArsenicIronLeadSoilSoil Pollutants

Identifiers

PMID29722093
PMCPMC6105564
OpenAlexW2801757371

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.