Evidence map›Paper›PMID 34428495›Full record

ArticleNeurotoxicology and teratology

Manganese body burden in children is associated with reduced visual motor and attention skills.

Lonnie Sears, John V Myers, Clara G Sears, Guy N Brock, Charlie Zhang, Kristina M Zierold

Open access · greenAbstract read
In one paragraph

Article in Neurotoxicology and teratology. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
1.5field-weighted citation impact, top 20% 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, 17 citations in OpenAlex.

  1. Manganese exposure assessment in formula-fed infants in Israel.Israel journal of health policy research · 2025
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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 3 institutions in 1 country.

Lonnie SearsDepartment of Pediatrics, University of Louisville, Louisville, KY, USA.. Electronic address: lonnie.sears@louisville.edu.
John V MyersDepartment of Biomedical Informatics and Center for Biostatistics, The Ohio State University, Columbus, OH, USA. Electronic address: john.myers@osumc.edu.
Clara G SearsDivision of Environmental Medicine, University of Louisville, Louisville, KY, USA. Electronic address: clara.sears@louisville.edu.
Guy N BrockDepartment of Biomedical Informatics and Center for Biostatistics, The Ohio State University, Columbus, OH, USA. Electronic address: guy.brock@osumc.edu.
Charlie ZhangDepartment of Geography & Geosciences, University of Louisville, Louisville, KY, USA. Electronic address: c.zhang@louisville.edu.
Kristina M ZieroldDepartment of Environmental Health Sciences, University of Alabama at Birmingham, Birmingham, AL, USA. Electronic address: kzierold@uab.edu.
University of Louisville · USThe Ohio State University · USUniversity of Alabama at Birmingham · US

Funding

Coal Ash and Neurobehavioral Symptoms in Children Aged 6-14 Years Old.R01ES024757 · NIEHS · UNIVERSITY OF LOUISVILLE · PI ZIEROLD, KRISTINA MARIE · 2015 to 2019
$2.8M
NIEHS NIH HHS R01 ES024757
6 · The paper itself

Abstract

Manganese (Mn) is an essential element, however, children with moderate to high Mn exposure can exhibit neurobehavioral impairments. One way Mn appears to affect brain function is through altering dopaminergic systems involved with motor and cognitive control including frontal - striatal brain systems. Based on the risk for motor and attention problems, we evaluated neurobehavioral function in 255 children at risk for Mn exposure due to living in proximity to coal ash storage sites. Proton Induced X-ray Emissions (PIXE) analysis was conducted on finger and toenails samples. Multiple neuropsychological tests were completed with the children. Fifty-five children had Mn concentrations above the limit of detection (LOD) (median concentration = 3.95 ppm). Children with detectable Mn concentrations had reduced visual motor skills (β = -5.62, CI: -9.11, -2.12, p = 0.008) and more problems with sustained attention, based on incorrect responses on a computerized attention test, (β = 0.40, CI: 0.21, 0.59, p < 0.001) compared with children who had Mn concentrations below the LOD. Findings suggest that Mn exposure impacts attention and motor control possibly due to neurotoxicity involving basal ganglia and forebrain regions. Visual-motor and attention tests may provide a sensitive measure of Mn neurotoxicity, useful for evaluating the effects of exposure in children and leading to better treatment options.

Indexed as

Body BurdenAttentionChildEnvironmental ExposureFemaleHumansMaleManganeseManganese PoisoningMotor SkillsNeuropsychological TestsNeurotoxicity SyndromesManganeseAttentionchildren's environmental healthchildren's neurobehavioral problemsManganese exposureNeurotoxicityVisual motor skills

Identifiers

PMID34428495
PMCPMC8578377
OpenAlexW3195213878

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.