Evidence map›Paper›PMID 31069655›Full record

SynthesisEnvironmental science and pollution research international2019

Evaluation of the association between urinary cadmium levels below threshold limits and the risk of diabetes mellitus: a dose-response meta-analysis.

Fei-Fei Guo, Zhi-Yong Hu, Bing-Yan Li, Li-Qiang Qin, Chunling Fu, Huifang Yu, Zeng-Li Zhang

Abstract readMeta-Analysis
PubMed Publisher
In one paragraph

Synthesis in Environmental science and pollution research international, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
2.8field-weighted citation impact, top 10% 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

13 citing papers in PubMed, 38 citations in OpenAlex.

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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 at 1 institution in 1 country.

Fei-Fei GuoJiaxing Center for Disease Control and Prevention, 486 Wen Qiao Road, Jiaxing, 314050, Zhejiang, China.
Zhi-Yong HuDepartment of Nutrition and Food Hygiene, School of Public Health, Soochow University, 199 Renai Road, Suzhou, 215123, Jiangsu, China.
Bing-Yan LiDepartment of Nutrition and Food Hygiene, School of Public Health, Soochow University, 199 Renai Road, Suzhou, 215123, Jiangsu, China.
Li-Qiang QinDepartment of Nutrition and Food Hygiene, School of Public Health, Soochow University, 199 Renai Road, Suzhou, 215123, Jiangsu, China.
Chunling FuDepartment of Nutrition and Food Hygiene, School of Public Health, Soochow University, 199 Renai Road, Suzhou, 215123, Jiangsu, China.
Huifang YuJiaxing Center for Disease Control and Prevention, 486 Wen Qiao Road, Jiaxing, 314050, Zhejiang, China.
Zeng-Li ZhangDepartment of Labor Hygiene and Environmental Health, School of Public Health, Soochow University, 199 Renai Road, Suzhou, 215123, Jiangsu, China. zhangzengli@suda.edu.cn.
Soochow University · CN

Funding

National Natural Science Foundation of China 81673151National Natural Science Foundation of China 81773414
6 · The paper itself

Abstract

As cadmium levels are increasing in the environment, the adverse effects of cadmium exposure specifically associated with chronic diseases are receiving increasing attention. Several population-based studies have been conducted on the association between cadmium and diabetes mellitus (DM) but have reported controversial results. Here, we aimed to evaluate the association between cadmium exposure and DM. In this meta-analysis, a random effects model was used because there was evidence of heterogeneity among studies. A dose-response relationship was assessed through a restricted cubic spline model with three knots. The results showed a positive association between cadmium levels in the body and DM (OR = 1.27; 95% CI, 1.07-1.52). The cadmium levels in the body were defined on the basis of combined urinary and blood cadmium. Subgroup analysis further indicated a positive association between urinary cadmium levels and DM (OR = 1.31; 95% CI, 1.02-1.69). The dose-response analysis results showed a positive association between levels of urinary cadmium above 2.43 μg/g creatinine and DM, and the risk of DM increased by 16% for each l μg/g creatinine increase in urinary cadmium levels. The results from our meta-analysis indicate that cadmium levels in the body are positively associated with DM, and urinary cadmium levels above 2.43 μg/g creatinine are associated with an increased risk of DM.

Indexed as

CadmiumCreatinineDiabetes MellitusDose-Response Relationship, DrugEnvironmental ExposureEnvironmental PollutantsFemaleHumansMaleCadmiumCreatinineEnvironmental PollutantsCadmiumDiabetes mellitusDose-response analysisMeta-analysisPancreatic β cells

Identifiers

PMID31069655
OpenAlexW2944013825

What OpenQuestion holds

Textmetadata
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.