Evidence map›Paper›PMID 31202795›Full record

ArticleInternational journal of hygiene and environmental health2019

Associations of acetylcholinesterase activity with depression and anxiety symptoms among adolescents growing up near pesticide spray sites.

Jose R Suarez-Lopez, Naomi Hood, José Suárez-Torres, Sheila Gahagan, Megan R Gunnar, Dolores López-Paredes

Open access · greenAbstract read
In one paragraph

Article in International journal of hygiene and environmental health, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 36 papers.

0numbers the graph read from it
0cells of the map it votes in
36citing papers in PubMed
11.3field-weighted citation impact, top 2% 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

36 citing papers in PubMed, 67 citations in OpenAlex.

  1. Article
  2. Article
  3. Review
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. Article
  20. 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.

Jose R Suarez-LopezUniversity of California, San Diego, La Jolla, CA, 92093, USA. Electronic address: jrsuarez@ucsd.edu.
Naomi HoodUniversity of California, San Diego, La Jolla, CA, 92093, USA. Electronic address: nrh.red@gmail.com.
José Suárez-TorresFundacion Cimas del Ecuador, Quito, Ecuador. Electronic address: jsuarez@cimas.edu.ec.
Sheila GahaganUniversity of California, San Diego, La Jolla, CA, 92093, USA. Electronic address: sgahagan@ucsd.edu.
Megan R GunnarUniversity of Minnesota, Minneapolis, MN, 55455, USA. Electronic address: Gunnar@umn.edu.
Dolores López-ParedesFundacion Cimas del Ecuador, Quito, Ecuador. Electronic address: dlopez@cimas.edu.ec.
University of California, San Diego · USFundación Para La Investigación Y Gestión En Servicios de Salud · ECUniversity of Minnesota · US

Funding

The ESPINA Study Follow-up Examination in 2016: Environmental Pollutants and Child/Adolescent DevelopmentR01ES025792 · NIEHS · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI Raeanne Cristine Moore, Jose Ricardo Suarez · 2016 to 2026
$5.6M
Pesticides and Mental Health among Adolescents in Ecuadorian Agricultural CommunitiesR21ES026084 · NIEHS · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI SUAREZ, JOSE RICARDO · 2015 to 2016
$344k
Effects of Secondary Occupational Pesticide Exposure on Childhood GrowthR36OH009402 · OH · UNIVERSITY OF MINNESOTA · PI SUAREZ, JOSE RICARDO · 2007 to 2007
$38k
NIEHS NIH HHS R01 ES025792NIEHS NIH HHS R21 ES026084NIOSH CDC HHS R36 OH009402
6 · The paper itself

Abstract

backgroundThe cholinergic system has an important role in mood regulation. Cholinesterase inhibitor pesticides (e.g. organophosphates) appear to increase depression and anxiety symptoms in the few existing animal and human studies. Human studies have not described such associations using biomarkers of exposure and studies among children are needed.

methodsWe studied 529 adolescents (ages 11-17y) in agricultural communities in the Ecuadorian Andes (ESPINA study). Acetylcholinesterase (AChE) activity was measured in a finger-stick sample. Anxiety and depression symptoms were assessed using the CDI-2 and MASC-2 (greater scores reflect greater internalizing symptoms). Models adjusted for age, gender, hemoglobin, income among others.

resultsThe median age was 14.38y and 51% were female. The mean (SD) of the following parameters were: AChE 3.7 U/mL (0.55), depression T-score 53.0 (9.4) and anxiety T-score: 57.6 (9.8). Lower AChE activity (reflecting greater cholinesterase inhibitor exposure) was associated with higher depression symptoms (difference per SD decrease of AChE [β [95% CI:]]: 1.09 [0.02, 2.16]), was stronger among girls (β = 1.61) than boys (β = 0.69), and among younger (<14.38y, β = 1.61) vs. older children (β = 0.57). The associations were strongest among girls <14.38y (β = 3.30 [0.54, 6.05], OR for elevated symptoms per SD decrease in AChE = 2.58 [1.26, 5.27]). No associations were observed with anxiety scores. Analyses of AChE change between 2008 and 2016 concurred with these findings. DISCUSSION: We observed associations between a biomarker of pesticide exposure and children's depression symptoms. Lower AChE activity may create risk for depression in teenagers, particularly among girls during early adolescence.

Indexed as

Cholinesterase InhibitorsEnvironmental ExposurePesticidesAcetylcholinesteraseAdolescentAnxietyBiomarkersChildDepressionEcuadorFemaleHorticultureHumansMaleAcetylcholinesteraseBiomarkersCholinesterase InhibitorsPesticidesAdolescentsAgricultureAnxietyDepressionEcuadorPesticides

Identifiers

PMID31202795
PMCPMC6679983
OpenAlexW2950094081

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.