Evidence map›Paper›PMID 34506780›Full record

ArticleEnvironmental research2022

Early childhood fluoride exposure and preadolescent kidney function.

Charles Saylor, Ashley J Malin, Marcela Tamayo-Ortiz, Alejandra Cantoral, Chitra Amarasiriwardena, Guadalupe Estrada-Gutierrez, Mari Cruz Tolentino, Ivan Pantic, Robert O Wright, Martha M Tellez-Rojo and 1 more

Open access · greenAbstract read
In one paragraph

Article in Environmental research, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
0.8field-weighted citation impact, top 30% 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

11 citing papers in PubMed, 17 citations in OpenAlex.

  1. Article
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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

11 authors at 6 institutions in 2 countries.

Charles SaylorDepartment of Environmental Medicine and Public Health, Icahn School of Medicine at Mount Sinai, New York, NY, USA.
Ashley J MalinDepartment of Population and Public Health Sciences, Keck School of Medicine of USC, 2001 N Soto St., Los Angeles, CA, 90032, USA. Electronic address: Ashley.Malin@usc.edu.
Marcela Tamayo-OrtizOccupational Health Research Unit, Mexican Social Security Institute, Mexico City, Mexico. Electronic address: marcela.tamayo@imss.gob.mx.
Alejandra CantoralIberoamerican University -Mexico City, Department of Health, Mexico City, Mexico.
Chitra AmarasiriwardenaDepartment of Environmental Medicine and Public Health, Icahn School of Medicine at Mount Sinai, New York, NY, USA.
Guadalupe Estrada-GutierrezResearch Division, National Institute of Perinatology, Mexico City, Mexico.
Mari Cruz TolentinoDepartment of Nutrition, National Institute of Perinatology, Mexico City, Mexico.
Ivan PanticDepartment of Developmental Neurobiology, National Institute of Perinatology, Mexico City, Mexico.
Robert O WrightDepartment of Environmental Medicine and Public Health, Icahn School of Medicine at Mount Sinai, New York, NY, USA; Department of Pediatrics, Icahn School of Medicine at Mount Sinai, New York, NY, USA.
Martha M Tellez-RojoOccupational Health Research Unit, Mexican Social Security Institute, Mexico City, Mexico.
Alison P SandersDepartment of Environmental and Occupational Health, University of Pittsburgh, USA. Electronic address: APS109@pitt.edu.
Icahn School of Medicine at Mount Sinai · USInstituto Nacional de Perinatología · MXMexican Social Security Institute · MXIbero American University · MXKeck Hospital of USC · USUniversity of Pittsburgh · US

Funding

The Mount Sinai Transdisciplinary Center on Early Environmental ExposuresP30ES023515 · NIEHS · ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI · PI Rosalind J Wright · 2014 to 2026
$21.3M
Stress, Lead, Iron Deficiency and NeurodevelopmentR01ES013744 · NIEHS · ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI · PI Robert O Wright · 2007 to 2026
$13.4M
BPA, Phthalates & Stress: Mechanisms and Interactions for Childhood ObesityR01ES021357 · NIEHS · HARVARD SCHOOL OF PUBLIC HEALTH · PI BACCARELLI, ANDREA, WRIGHT, ROBERT O · 2012 to 2016
$3.3M
Metal Mixtures and NeurodevelopmentR01ES014930 · NIEHS · BRIGHAM AND WOMEN'S HOSPITAL · PI WRIGHT, ROBERT O · 2006 to 2010
$3.2M
The Programming Research in Obesity, GRowth, Environment and Social Stress (PROGRESS) CohortR24ES028522 · NIEHS · ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI · PI Megan K Horton, Maria Jose Rosa · 2017 to 2026
$1.8M
Early life fluoride exposure, neurodevelopment and childhood sleep patternsR00ES031676 · NIEHS · UNIVERSITY OF FLORIDA · PI MALIN, ASHLEY · 2022 to 2024
$746k
Children's Exposure to Metals, MicroRNAs and Biomarkers of Renal HealthR00ES027508 · NIEHS · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI SANDERS, ALISON P · 2018 to 2020
$738k
Children's Exposure to Metals, MicroRNAs and Biomarkers of Renal HealthK99ES027508 · NIEHS · ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI · PI SANDERS, ALISON P · 2017 to 2017
$104k
Childhood fluoride exposure and sleep patternsK99ES031676 · NIEHS · UNIVERSITY OF SOUTHERN CALIFORNIA · PI MALIN, ASHLEY · 2021 to 2021
$102k
NIEHS NIH HHS K99 ES027508NIEHS NIH HHS K99 ES031676NIEHS NIH HHS P30 ES023515NIEHS NIH HHS R00 ES027508NIEHS NIH HHS R00 ES031676NIEHS NIH HHS R01 ES013744NIEHS NIH HHS R01 ES014930NIEHS NIH HHS R01 ES021357NIEHS NIH HHS R24 ES028522
6 · The paper itself

Abstract

backgroundEarly-life renal maturation is susceptible to nephrotoxic environmental chemicals. Given the widespread consumption of fluoride and the global obesity epidemic, our main aim was to determine whether childhood fluoride exposure adversely affects kidney function in preadolescence, and if adiposity status modifies this association.

methodsOur study included 438 children from the PROGRESS cohort. Urinary fluoride (uF) was assessed at age 4 by diffusion analysis; outcomes studied included estimated glomerular filtration rate (eGFR), blood urea nitrogen (BUN), selected kidney proteins and blood pressure measured at age 8-12 years. We modeled the relationship between uF and outcomes, and adjusted for body mass index (BMI), age, sex, and socioeconomic status.

resultsThe median uF concentration was 0.67 μg/mL. We observed null associations between 4-year uF and preadolescent eGFR, although effect estimates were in the expected inverse direction. A single unit increase in ln-transformed uF was associated with a 2.2 mL/min decrease in cystatin C-based eGFR (95% CI: 5.8, 1.4; p = 0.23). We observed no evidence of sex-specific effects or effect modification by BMI status. Although uF was not associated with BMI, among children with obesity, we observed an inverse association (β: 4.8; 95% CI: 10.2, 0.6; p = 0.08) between uF and eGFR.

conclusionsLow-level fluoride exposure in early childhood was not associated with renal function in preadolescence. However, given the adverse outcomes of chronic fluoride consumption it is possible that the preadolescent age was too young to observe any effects. Longitudinal follow-up in this cohort and others is an important next step.

Indexed as

FluoridesKidneyBody Mass IndexChildChild, PreschoolFemaleGlomerular Filtration RateHumansKidney Function TestsMaleFluoridesFluorideKidney functionObesityPreadolescentRenal

Identifiers

PMID34506780
PMCPMC11071127
OpenAlexW3196946479

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.