Evidence map›Paper›PMID 30685774›Full record

ArticleThe international journal of occupational and environmental medicine2019

Pesticide Exposure and Stunting among Children in Agricultural Areas.

Apoina Kartini, Hertanto W Subagio, Suharyo Hadisaputro, Martha I Kartasurya, Suhartono Suhartono, Budiyono Budiyono

Open access · diamondAbstract read
In one paragraph

Article in The international journal of occupational and environmental medicine, 2019. 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
4.0field-weighted citation impact, top 6% 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

19 citing papers in PubMed, 51 citations in OpenAlex.

  1. Review
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Additives in Children's Nutrition-A Review of Current Events.International journal of environmental research and public health · 2022
    Review
  10. Review
  11. Review
  12. Article
  13. Article
  14. The importance of food systems and the environment for nutrition.The American journal of clinical nutrition · 2021
    Article
  15. Article
  16. Article
  17. Article
  18. Pesticides and human health.Jornal de pediatria
    Review
  19. Review
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 1 institution in 1 country.

Apoina KartiniDepartment of Public Health Nutrition, Faculty of Public Health, Diponegoro University, Semarang, Indonesia.
Hertanto W SubagioDepartment of Nutrition, Faculty of Medicine, Diponegoro University, Semarang, Indonesia.
Suharyo HadisaputroDepartment of Internal Medicine, Faculty of Medicine, Diponegoro University, Semarang, Indonesia.
Martha I KartasuryaDepartment of Public Health Nutrition, Faculty of Public Health, Diponegoro University, Semarang, Indonesia.
Suhartono SuhartonoDepartment of Environmental Health, Faculty of Public Health, Diponegoro University, Semarang, Indonesia. suhartono_damas@yahoo.com.
Budiyono BudiyonoDepartment of Environmental Health, Faculty of Public Health, Diponegoro University, Semarang, Indonesia.
Diponegoro University · ID

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe prevalence of growth disorders among school-aged children in Indonesia is high (30.7%). Pesticides have been massively used in Indonesian agricultural areas.

objectiveTo determine if exposure to pesticides is associated with stunting among children in agricultural areas.

methodsThis case-control study included 160 children (48 cases and 112 controls) aged 8-12 years. Exposure to pesticides was measured based on the history of the exposure since perinatal period, infancy, and childhood of the participants. Stunting was determined as a height for age z-score (HAZ) < ‑2 SD. Other variables measured were levels of thyroid stimulating hormone (TSH), insulin-like growth factor-1 (IGF-1), hemoglobin, zinc, albumin, nutrient adequacy level (energy and protein), and history of infection, low-birth weight (LBW), and mother's height.

resultsThere were no significant difference between the cases and controls in terms of in the baseline characteristics, except for the median IGF-1 level; it was significantly (p<0.001) lower in the cases (66.73 ng/mL) than the controls (112.57 ng/mL). High level of pesticide exposure (p=0.029) and low IGF-1 levels (p<0.001) were significantly associated with stunting. After adjusting for confounding variables, these variables were found to be independent risk factors for stunting in children (aOR 3.90, 95% CI 1.15 to 13.26; and aOR 8.35, 95% CI 3.65 to 19.14, respectively).

conclusionPesticide exposure could be a risk factor for the occurrence of growth disorders in children living in agricultural areas. Necessary actions should be taken to protect children living in agricultural areas from exposure to pesticides.

Indexed as

AgricultureCase-Control StudiesChildFemaleGrowth DisordersHumansMalePesticidesPregnancyPrevalenceRisk FactorsPesticidesAgricultureChildGrowth disordersPesticides

Identifiers

PMID30685774
PMCPMC6522210
OpenAlexW2913930170

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-SA
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.