Evidence map›Paper›PMID 34363163›Full record

ArticleEnvironmental science and pollution research international2022

Increased serum levels of cadmium are associated with an elevated risk of cardiovascular disease in adults.

Siyu Ma, Jie Zhang, Cheng Xu, Min Da, Yang Xu, Yong Chen, Xuming Mo

Abstract read
PubMed Publisher
In one paragraph

Article in Environmental science and pollution research international, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 1 pooled it
3.0field-weighted citation impact, top 9% 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

18 citing papers in PubMed, 1 synthesis or guideline pooled it, 39 citations in OpenAlex.

  1. Pooled it
  2. Association between urinary heavy metal(loid)s exposure and dyslipidemia in children from e-waste dismantling areas.Biometals : an international journal on the role of metal ions in biology, biochemistry, and medicine · 2026
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  17. Cadmium Body Burden and Inflammatory Arthritis: A Pilot Study in Patients from Lower Silesia, Poland.International journal of environmental research and public health · 2022
    Article
  18. 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

7 authors at 3 institutions in 1 country.

Siyu MaDepartment of Cardiothoracic Surgery, Children's Hospital of Nanjing Medical University, 72 Guangzhou Road, Nanjing, 210008, China.
Jie ZhangDepartment of Pediatric Surgery, Children's Hospital of Nanjing Medical University, Nanjing, 210008, China.
Cheng XuState Key Laboratory of Reproductive Medicine, School of Public Health, Nanjing Medical University, Nanjing, China.
Min DaDepartment of Cardiothoracic Surgery, Children's Hospital of Nanjing Medical University, 72 Guangzhou Road, Nanjing, 210008, China.
Yang XuDepartment of Cardiothoracic Surgery, Children's Hospital of Nanjing Medical University, 72 Guangzhou Road, Nanjing, 210008, China.
Yong ChenDepartment of Cardiothoracic Surgery, Children's Hospital of Nanjing Medical University, 72 Guangzhou Road, Nanjing, 210008, China.
Xuming MoDepartment of Cardiothoracic Surgery, Children's Hospital of Nanjing Medical University, 72 Guangzhou Road, Nanjing, 210008, China. mohsuming15@njmu.edu.cn.ORCID http://orcid.org/0000-0002-2264-6123
Second Affiliated Hospital of Nanjing Medical University · CNNanjing Children's Hospital · CNNanjing Medical University · CN

Funding

Clinical Frontier Technology of Clinical Medicine of Jiangsu Provincial Science and Technology Department BE2017608Key Medical Discipline of Science & Education Project of Jiangsu Province ZDXKB2016017Medical Science and Technology Development Foundation, Nanjing Municipality Health Bureau ZKX19039Nanjing Science and Technology Development Project 2019060007National Key Research and Development Program of China 2017YFC1308105National Natural Science Foundation of China 81970265National Natural Science Foundation of China 82000303Natural Science Foundation of Jiangsu Province BK20180144
6 · The paper itself

Abstract

Previous studies have determined the effects of exposure to certain heavy metals on cardiovascular disease (CVD); however, the association between cadmium exposure and CVD in adults remains unclear. The relationship between serum levels of cadmium and the risk of CVD was studied by analyzing available data from 38,223 different participants of the National Health and Nutrition Examination Survey (NHANES) from 1999 to 2016. After adjusting for all covariates, we found that higher serum cadmium concentrations were positively related to both the overall risk of CVD (odds ratio (OR): 1.45; 95% confidence interval (CI): 1.22, 1.72; p for trend <0.001) and the risks of its subtypes, including congestive heart failure, coronary heart disease, heart attack, and stroke. Elevated cadmium levels were associated with increased levels of lipids and inflammatory factors, including blood triglycerides, total cholesterol, white blood cells (WBCs), and C-reactive protein (CRP). Our study provided epidemiological evidence that cadmium may increase the risk of CVD by elevating blood lipids and inflammation.

Indexed as

Cardiovascular DiseasesMetals, HeavyCadmiumEnvironmental ExposureHumansNutrition SurveysRisk FactorsCadmiumMetals, HeavyAdultsBlood lipidsCadmiumCardiovascular diseaseInflammation

Identifiers

PMID34363163
OpenAlexW3170048199

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.