Evidence map›Paper›PMID 30139351›Full record

ArticleBMC infectious diseases2018

Environmental risk factors for Toxoplasma gondii infections and the impact of latent infections on allostatic load in residents of Central North Carolina.

Andrey I Egorov, Reagan Converse, Shannon M Griffin, Jennifer Styles, Elizabeth Klein, Elizabeth Sams, Edward Hudgens, Timothy J Wade

Abstract read
In one paragraph

Article in BMC infectious diseases, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.

0numbers the graph read from it
0cells of the map it votes in
19citing 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

19 citing papers in PubMed.

  1. Article
  2. Associations of common infections with frailty and mortality in two UK cohort studies.The journals of gerontology. Series A, Biological sciences and medical sciences · 2026
    Article
  3. Review
  4. Article
  5. Article
  6. Toxoplasma gondii IgG Serointensity Is Positively Associated With Frailty.The journals of gerontology. Series A, Biological sciences and medical sciences · 2024
    Article
  7. Article
  8. Article
  9. Article
  10. Pathogens (Basel, Switzerland) · 2022
    Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Review
  17. Environmental transmission ofFood and waterborne parasitology · 2019
    Review
  18. Article
  19. 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

8 authors.

Andrey I EgorovUnited States Environmental Protection Agency, National Health and Environmental Effects Research Laboratory, MD 58-C, 109. T.W. Alexander Drive, Research Triangle Park, NC, 27711, USA. egorov.andrey@epa.gov.ORCID http://orcid.org/0000-0003-2870-124X
Reagan ConverseUnited States Environmental Protection Agency, National Health and Environmental Effects Research Laboratory, MD 58-C, 109. T.W. Alexander Drive, Research Triangle Park, NC, 27711, USA.
Shannon M GriffinUnited States Environmental Protection Agency, National Exposure Research Laboratory, Cincinnati, OH, USA.
Jennifer StylesUnited States Environmental Protection Agency, National Health and Environmental Effects Research Laboratory, MD 58-C, 109. T.W. Alexander Drive, Research Triangle Park, NC, 27711, USA.
Elizabeth KleinORAU Student Services Contractor to US EPA, Chapel Hill, NC, USA.
Elizabeth SamsUnited States Environmental Protection Agency, National Health and Environmental Effects Research Laboratory, MD 58-C, 109. T.W. Alexander Drive, Research Triangle Park, NC, 27711, USA.
Edward HudgensUnited States Environmental Protection Agency, National Health and Environmental Effects Research Laboratory, MD 58-C, 109. T.W. Alexander Drive, Research Triangle Park, NC, 27711, USA.
Timothy J WadeUnited States Environmental Protection Agency, National Health and Environmental Effects Research Laboratory, MD 58-C, 109. T.W. Alexander Drive, Research Triangle Park, NC, 27711, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundToxoplasma gondii infection can be acquired through ingestion of infectious tissue cysts in undercooked meat or environmental oocysts excreted by cats. This cross-sectional study assessed environmental risk factors for T. gondii infections and an association between latent infections and a measure of physiologic dysregulation known as allostatic load.

methodsSerum samples from 206 adults in the Durham-Chapel Hill, North Carolina area were tested for immunoglobulin (IgG) responses to T. gondii using commercial ELISA kits. Allostatic load was estimated as a sum of 15 serum biomarkers of metabolic, neuroendocrine and immune functions dichotomized at distribution-based cutoffs. Vegetated land cover within 500 m of residences was estimated using 1 m resolution data from US EPA's EnviroAtlas.

resultsHandling soil with bare hands at least weekly and currently owning a cat were associated with 5.3 (95% confidence limits 1.4; 20.7) and 10.0 (2.0; 50.6) adjusted odds ratios (aOR) of T. gondii seropositivity, respectively. There was also a significant positive interaction effect of handling soil and owning cats on seropositivity. An interquartile range increase in weighted mean vegetated land cover within 500 m of residence was associated with 3.7 (1.5; 9.1) aOR of T. gondii seropositivity. Greater age and consumption of undercooked pork were other significant predictors of seropositivity. In turn, T. gondii seropositivity was associated with 61% (13%; 130%) greater adjusted mean allostatic load compared to seronegative individuals. In contrast, greater vegetated land cover around residence was associated with significantly reduced allostatic load in both seronegative (p < 0.0001) and seropositive (p = 0.004) individuals.

conclusionsResidents of greener areas may be at a higher risk of acquiring T. gondii infections through inadvertent ingestion of soil contaminated with cat feces. T. gondii infections may partially offset health benefits of exposure to the natural living environment.

Indexed as

AllostasisAdolescentAdultAgedAged, 80 and overAnimalsCatsCross-Sectional StudiesEnvironmental ExposureFemaleHumansMaleMiddle AgedNorth CarolinaParasite LoadRisk FactorsAllostatic loadBiomarkersSeroprevalenceToxoplasma gondiiVegetated land cover

Identifiers

PMID30139351
PMCPMC6108134

What OpenQuestion holds

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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.