Evidence map›Paper›PMID 32059145›Full record

ArticleEnvironment international2020

Associations of maternal arsenic exposure with adult fasting glucose and insulin resistance in the Strong Heart Study and Strong Heart Family Study.

Naomi E Tinkelman, Miranda Jones Spratlen, Arce Domingo-Relloso, Maria Tellez-Plaza, Maria Grau-Perez, Kevin A Francesconi, Walter Goessler, Barbara V Howard, Jean MacCluer, Kari E North and 4 more

Open access · goldAbstract read
In one paragraph

Article in Environment international, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 1 pooled it
1.9field-weighted citation impact, top 17% 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

9 citing papers in PubMed, 1 synthesis or guideline pooled it, 26 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Maternal Nutrition, Toxicants, and Epigenetic Programming of Obesity Across Generations.Diabetes, metabolic syndrome and obesity : targets and therapy · 2025
    Review
  4. Update of the risk assessment of inorganic arsenic in food.EFSA journal. European Food Safety Authority · 2024
    Article
  5. Article
  6. Article
  7. Review
  8. Article
  9. 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

14 authors at 6 institutions in 3 countries.

Naomi E TinkelmanDepartment of Epidemiology, Columbia University Mailman School of Public Health, New York, NY, USA; Department of Environmental Health Sciences, Columbia University Mailman School of Public Health, New York, NY, USA. Electronic address: net2127@cumc.columbia.edu.
Miranda Jones SpratlenDepartment of Environmental Health Sciences, Columbia University Mailman School of Public Health, New York, NY, USA.
Arce Domingo-RellosoDepartment of Environmental Health Sciences, Columbia University Mailman School of Public Health, New York, NY, USA.
Maria Tellez-PlazaNational Center of Epidemiology, Institute of Health Carlos III, Madrid, Spain.
Maria Grau-PerezDepartment of Environmental Health Sciences, Columbia University Mailman School of Public Health, New York, NY, USA.
Kevin A FrancesconiInstitute of Chemistry, University of Graz, Graz, Austria.
Walter GoesslerInstitute of Chemistry, University of Graz, Graz, Austria.
Barbara V HowardGeorgetown-Howard Universities Center for Clinical and Translational Science, Washington, DC, USA; MedStar Health Research Institute, Hyattsville, MD, USA.
Jean MacCluerPopulation Health Program, Texas Biomedical Research Institute, San Antonio, TX, USA.
Kari E NorthDepartment of Epidemiology, University of North Carolina Gillings School of Public Health, Chapel Hill, NC, USA.
Jason G UmansGeorgetown-Howard Universities Center for Clinical and Translational Science, Washington, DC, USA; MedStar Health Research Institute, Hyattsville, MD, USA.
Pam Factor-LitvakDepartment of Epidemiology, Columbia University Mailman School of Public Health, New York, NY, USA.
Shelley A ColeDepartment of Epidemiology, University of North Carolina Gillings School of Public Health, Chapel Hill, NC, USA.
Ana Navas-AcienDepartment of Environmental Health Sciences, Columbia University Mailman School of Public Health, New York, NY, USA. Electronic address: an2737@cumc.columbia.edu.
Columbia University · USMedStar Health · USUniversity of Graz · ATUniversity of North Carolina at Chapel Hill · USInstituto de Salud Carlos III · ESTexas Biomedical Research Institute · US

Funding

Training CoreP42ES010349 · NIEHS · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI NAVAS-ACIEN, ANA · 2000 to 2020
$53.6M
True Metal fac coreP30ES009089 · NIEHS · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI MATTHEW S PERZANOWSKI · 1998 to 2026
$44.7M
Maternal Morbidity and Mortality: Risk Factors, Early Detection and Personalized InterventionUL1TR001409 · NCATS · GEORGETOWN UNIVERSITY · PI GONDRE-LEWIS, MARJORIE C, MELLMAN, THOMAS A · 2015 to 2024
$37.8M
UNC-CH CENTER FOR ENVIRONMENTAL HEALTH &SUSCEPTIBILITYP30ES010126 · NIEHS · UNIV OF NORTH CAROLINA CHAPEL HILL · PI Stephanie Engel · 2001 to 2026
$36.3M
Low-level Arsenic Exposure and Cardiovascular Disease in Multi-Ethnic Adults (MESA As)R01ES028758 · NIEHS · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI NAVAS-ACIEN, ANA · 2018 to 2022
$3.6M
Arsenic Exposure, Cardiovascular Disease and Diabetes in Native AmericansR01HL090863 · NHLBI · JOHNS HOPKINS UNIVERSITY · PI NAVAS-ACIEN, ANA · 2008 to 2011
$3.1M
Arsenic Exposure, Genetic Determinants and Diabetes Risk in a Family StudyR01ES021367 · NIEHS · JOHNS HOPKINS UNIVERSITY · PI NAVAS-ACIEN, ANA, VAIDYA, DHANANJAY MADHUKAR · 2012 to 2015
$2.4M
Arsenic, Epigenetics and Incident Cardiovascular Disease in American IndiansR01ES025216 · NIEHS · JOHNS HOPKINS UNIVERSITY · PI FALLIN, M DANIELE, NAVAS-ACIEN, ANA · 2015 to 2018
$2.2M
NCATS NIH HHS UL1 TR001409NHLBI NIH HHS R01 HL090863NIEHS NIH HHS P30 ES009089NIEHS NIH HHS P30 ES010126NIEHS NIH HHS P42 ES010349NIEHS NIH HHS R01 ES021367NIEHS NIH HHS R01 ES025216NIEHS NIH HHS R01 ES028758
6 · The paper itself

Abstract

Experimental and prospective epidemiologic evidence suggest that arsenic exposure has diabetogenic effects. However, little is known about how family exposure to arsenic may affect risk for type 2 diabetes (T2D)-related outcomes in adulthood. We evaluated the association of both maternal and offspring arsenic exposure with fasting glucose and incident T2D in 466 participants of the Strong Heart Family Study. Total arsenic (ΣAs) exposure was calculated as the sum of inorganic arsenic (iAs) and methylated (MMA, DMA) arsenic species in maternal and offspring baseline urine. Median maternal ΣAs at baseline (1989-91) was 7.6 µg/g creatinine, while median offspring ΣAs at baseline (2001-03) was 4.5 µg/g creatinine. Median offspring glucose in 2006-2009 was 94 mg/dL, and 79 participants developed T2D. The fully adjusted mean difference (95% CI) for offspring glucose was 4.40 (-3.46, 12.26) mg/dL per IQR increase in maternal ΣAs vs. 2.72 (-4.91 to 10.34) mg/dL per IQR increase in offspring ΣAs. The fully adjusted odds ratio (95%CI) of incident T2D was 1.35 (1.07, 1.69) for an IQR increase in maternal ΣAs and 1.15 (0.92, 1.43) for offspring ΣAs. The association of maternal ΣAs with T2D outcomes were attenuated with adjustment for offspring adiposity markers. Familial exposure to arsenic, as measured in mothers 15-20 years before offspring follow-up, is associated with increased odds of offspring T2D. More research is needed to confirm findings and better understand the importance of family exposure to arsenic in adult-onset diabetes.

Indexed as

ArsenicBlood GlucoseDiabetes Mellitus, Type 2Environmental ExposureInsulin ResistanceAdultFastingFemaleHumansMaternal ExposureProspective StudiesArsenicBlood GlucoseAmerican IndiansArsenicFasting glucoseIndigenous populationsInsulin resistancePrenatal exposuresProspective cohort studies

Identifiers

PMID32059145
PMCPMC7521956
OpenAlexW3007308253

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.