Evidence map›Paper›PMID 31232058›Full record

ArticleAnnals of agricultural and environmental medicine : AAEM2019

Is prenatal arsenic exposure associated with salivary cortisol in infants in Arica, Chile? An exploratory cohort study.

Macarena Alejandra Valdés Salgado, Enrique Schisterman, Paulina Pino, Shrikant Bangdiwala, María Pía Muñoz, Verónica Iglesias

Open access · goldAbstract read
In one paragraph

Article in Annals of agricultural and environmental medicine : AAEM, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.2field-weighted citation impact, top 40% 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

3 citing papers in PubMed, 4 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

6 authors at 5 institutions in 3 countries.

Macarena Alejandra Valdés SalgadoSchool of Public Health, Faculty of Medicine, University of Chile, Santiego, Chile. macavaldes@ug.uchile.cl.
Enrique SchistermanEpidemiology Branch, Eunice Kennedy Shriver National Institute of Child Health and Human Development, Rockvill (MD), United States. schistee@mail.nih.gov.
Paulina PinoSchool of Public Health, Faculty of Medicine, University of Chile, Santiego, Chile. ppino@med.uchile.cl.
Shrikant BangdiwalaPopulation Health Research Institute. McMaster University, Hamilton, Ontario, Canada. kant@unc.edu.
María Pía MuñozSchool of Public Health, Faculty of Medicine, University of Chile, Santiego, Chile. mariapiamq@gmail.com.
Verónica IglesiasSchool of Public Health, Faculty of Medicine, University of Chile, Santiego, Chile. viglesia@med.uchile.cl.
University of Chile · CLEunice Kennedy Shriver National Institute of Child Health and Human Development · USPopulation Health Research Institute · CAUniversidad de Los Andes, Chile · CLUniversity Ucinf · CL

Funding

ROC Curve MethodologyZIAHD008761 · NICHD · EUNICE KENNEDY SHRIVER NATIONAL INSTITUTE OF CHILD HEALTH & HUMAN DEVELOPMENT · PI SCHISTERMAN, ENRIQUE F. · 2009 to 2021
$2.1M
Intramural NIH HHS ZIA HD008761
6 · The paper itself

Abstract

introductionIn animal models, gestational exposure to inorganic arsenic has been associated with higher corticosterone concentration and consequent impairment of stress control in offspring. An equivalent association relating cortisol, a glucocorticoid hormone, in humans has not been previously studied.

objectiveThe aim of the study was to explore the association between prenatal inorganic arsenic exposure and salivary cortisol in infants from Arica, Chile. MATERIAL AND

methodsA cohort study of 168 mother-child dyads was recruited. In the 2nd trimester of pregnancy, urinary inorganic arsenic was assessed; 18-24 months after delivery, salivary cortisol was measured in the children. Maternal cortisol, maternal depression, stress, and socio-economic status were also evaluated.

resultsThe adjusted association was estimated with multiple linear regression after evaluating confounding through a directed acyclic graph. Median urinary inorganic arsenic in pregnant women was 14.1 µg/L (IQR: 10.4-21.7) while salivary cortisol in the children was 0.17 µg/L (IQR: 0.11-0.38). Among children from the highest income families (> 614 USD/month), arsenic exposure was associated with salivary cortisol. Children in the third quartile of arsenic exposure had -0.769 units of the logarithm of salivary cortiso, compared with those in the first quartile (p = 0.045).

conclusionsIn this sample, prenatal exposure to arsenic was associated with salivary cortisol (third quartile of inorganic arsenic), only in infants belonging the highest income strata (> 614 USD). More studies are needed to confirm these preliminary results.

Indexed as

AdultArsenicChildChild, PreschoolChileFemaleHumansHydrocortisoneInfantMaleMaternal ExposurePregnancyPregnant PeoplePrenatal Exposure Delayed EffectsProspective StudiesSalivaArsenicHydrocortisonearsenicChilecohort studyenvironmental exposurepregnant women

Identifiers

PMID31232058
PMCPMC6592632
OpenAlexW2918231964

What OpenQuestion holds

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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.