Evidence map›Paper›PMID 34173906›Full record

ArticleEnvironmental geochemistry and health2022

Neuro-medical manifestations of fluorosis in populations living in the Main Ethiopian Rift Valley.

Biniyam A Ayele, Tewodros Rango Godebo, Redda Tekle-Haimanot, Yared Mamushet Yifru

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Article in Environmental geochemistry and health, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.6field-weighted citation impact, top 33% 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

2 citing papers in PubMed, 11 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

4 authors at 2 institutions in 2 countries.

Biniyam A AyeleDepartment of Neurology, School of Medicine College of Health Sciences, Addis Ababa University, Zambia Street, Po Box 1171, Addis Ababa, Ethiopia. biniyam.a7@gmail.com.ORCID http://orcid.org/0000-0002-7955-6030
Tewodros Rango GodeboDepartment of Environmental Health Sciences, School of Public Health and Tropical Medicine, Tulane University, Canal Street Suite 2100, New Orleans, LA, 70112, USA.
Redda Tekle-HaimanotFaculty of Medicine, Addis Ababa University, Po Box 1524, Addis Ababa, Ethiopia.
Yared Mamushet YifruDepartment of Neurology, School of Medicine College of Health Sciences, Addis Ababa University, Zambia Street, Po Box 1171, Addis Ababa, Ethiopia.
Addis Ababa University · ETTulane University · US

Funding

Foundation for the National Institutes of Health K99/R00 ES023472
6 · The paper itself

Abstract

Prolonged exposure to higher concentrations of fluoride (> 1.5 mg/L) is associated with dental and skeletal fluorosis. The effects of fluoride on dental and skeletal system have been studied extensively; however, the neurological consequences of fluoride in population-based studies are limited. The study aims to assess the epidemiology of neurological and other manifestations of fluorosis among rural populations living in the Main Ethiopian Rift valley. In this cross-sectional study, we enrolled 316 individuals from 23 rural communities in the Main Ethiopian Rift valley. Fluoride concentration was measured in drinking water samples collected from 23 community wells. Association between fluoride concentrations and clinical features of fluorosis was assessed using student t test, chi square, multivariable regression using adjusted odds ratio (OR). The mean fluoride concentration in the drinking water was 6.8 ± 4.3 mg/L (range: 0.3-15.5 mg/L). At least one clinical sign of skeletal fluorosis was observed in 54.4% (n = 175) of the study participants. Headache and joint pain reported by 67.1% and 56.3% of the participants as the most common neurological manifestation, and skeletal fluorosis symptom, respectively. The mean fluoride level was higher for those individuals who reported paresthesia compared to those with no-paresthesia. Loss of appetite, constipation, and fatigue were reported by 48.0%, 45.6%, and 56.6% of the participants, respectively. Signs of crippling fluorosis were observed in small proportion (1.6%) of the participants. Individuals who reported headache are most likely exposed to higher fluoride concentrations in drinking water compared to those reported no-headache (p < 0.001). The study demonstrates high prevalence of neuro-medical manifestations of fluorosis in population living in the Main Ethiopian Rift valley. Fluoride concentration in drinking water and joint pain were independent predictors of fluorosis.

Indexed as

Drinking WaterFluoride PoisoningFluorosis, DentalCross-Sectional StudiesFluoridesHumansPrevalenceWater SupplyDrinking WaterFluoridesDrinking waterFluorideMain ethiopian rift valleyNeurologic complicationsSkeletal fluorosis

Identifiers

PMID34173906
OpenAlexW3177108138

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.