Evidence map›Paper›PMID 34627797›Full record

ArticleEnvironmental research2022

Concurrent urinary organophosphate metabolites and acetylcholinesterase activity in Ecuadorian adolescents.

Ana E Skomal, Jasen Zhang, Kun Yang, Jessica Yen, Xin Tu, Jose Suarez-Torres, Dolores Lopez-Paredes, Antonia M Calafat, Maria Ospina, Danilo Martinez 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 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
2.0field-weighted citation impact, top 13% 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

6 citing papers in PubMed, 16 citations in OpenAlex.

  1. Acetylcholinesterase activity from childhood to young adulthood.Journal of exposure science & environmental epidemiology · 2026
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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 4 institutions in 2 countries.

Ana E SkomalSchool of Medicine, University of California-San Diego, La Jolla, CA, USA.
Jasen ZhangHerbert Wertheim School of Public Health, University of California-San Diego, La Jolla, CA, USA.
Kun YangSchool of Medicine, University of California-San Diego, La Jolla, CA, USA.
Jessica YenSchool of Medicine, University of California-San Diego, La Jolla, CA, USA.
Xin TuSchool of Medicine, University of California-San Diego, La Jolla, CA, USA.
Jose Suarez-TorresFundación Cimas del Ecuador, Quito, Ecuador.
Dolores Lopez-ParedesFundación Cimas del Ecuador, Quito, Ecuador.
Antonia M CalafatNational Center for Environmental Health, Division of Laboratory Sciences of the Centers for Disease Control and Prevention, Atlanta, GA, USA.
Maria OspinaNational Center for Environmental Health, Division of Laboratory Sciences of the Centers for Disease Control and Prevention, Atlanta, GA, USA.
Danilo MartinezFundación Cimas del Ecuador, Quito, Ecuador.
Jose R Suarez-LopezHerbert Wertheim School of Public Health, University of California-San Diego, La Jolla, CA, USA. Electronic address: jrsuarez@health.ucsd.edu.
University of California San Diego · USFundación Para La Investigación Y Gestión En Servicios de Salud · ECHuman Longevity (United States) · USNational Center for Environmental Health · US

Funding

National Exposure Assessment Laboratory at EmoryU2CES026560 · NIEHS · EMORY UNIVERSITY · PI MILLER, GARY W · 2015 to 2015
$8.3M
The ESPINA Study Follow-up Examination in 2016: Environmental Pollutants and Child/Adolescent DevelopmentR01ES025792 · NIEHS · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI Raeanne Cristine Moore, Jose Ricardo Suarez · 2016 to 2026
$5.6M
The ESPINA Study 19th Year Follow-Up: A Longitudinal Investigation of Pesticide Exposures in relation to Fertility and Hormonal HealthR01ES030378 · NIEHS · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI Jose Ricardo Suarez · 2020 to 2026
$4.1M
Pesticides and Mental Health among Adolescents in Ecuadorian Agricultural CommunitiesR21ES026084 · NIEHS · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI SUAREZ, JOSE RICARDO · 2015 to 2016
$344k
NIEHS NIH HHS R01 ES025792NIEHS NIH HHS R01 ES030378NIEHS NIH HHS R21 ES026084NIEHS NIH HHS U2C ES026560
6 · The paper itself

Abstract

backgroundOrganophosphates are insecticides that inhibit the enzymatic activity of acetylcholinesterase (AChE). Because of this, AChE is considered a physiological marker of organophosphate exposure in agricultural settings. However, limited research exists on the associations between urinary organophosphate metabolites and AChE activity in children.

methodsThis study included 526 participants from 2 exams (April and July-October 2016) of ages 12-17 years living in agricultural communities in Ecuador. AChE activity was measured at both examinations, and organophosphate metabolites, including para-nitrophenol (PNP), 3,5,6-trichloro-2-pyridinol (TCPy), and malathion dicarboxylic acid (MDA) were measured in urine collected in July-October. We used generalized estimating equation generalized linear model (GEEGLM), adjusting for hemoglobin, creatinine, and other demographic and anthropometric covariates, to estimate associations of urinary metabolite concentrations with AChE activity (July-October) and AChE% change between April and July-October.

resultsThe mean (SD) of AChE and AChE% change (April vs July-October) were 3.67 U/mL (0.54) and -2.5% (15.4%), respectively. AChE activity was inversely associated with PNP concentration, whereas AChE% change was inversely associated with PNP and MDA. There was evidence of a threshold: difference was only significant above the 80th percentile of PNP concentration (AChE difference per SD increase of metabolite = -0.12 U/mL [95%CI: 0.20, -0.04]). Likewise, associations with AChE% change were significant only above the 80th percentile of TCPy (AChE % change per SD increase of metabolite = -1.38% [95%CI: 2.43%, -0.32%]) and PNP -2.47% [95%CI: 4.45%, -0.50%]). PNP concentration at ≥80th percentile was associated with elevated ORs for low AChE activity of 2.9 (95% CI: 1.5, 5.7) and for AChE inhibition of ≤ -10% of 3.7 (95% CI: 1.4, 9.8).

conclusionsUrinary organophosphate metabolites, including PNP, TCPy and MDA, particularly at concentrations above the 80th percentile, were associated with lower AChE activity among adolescents. These findings bring attention to the value of using multiple constructs of pesticide exposure in epidemiologic studies.

Indexed as

InsecticidesPesticidesAcetylcholinesteraseAdolescentChildEcuadorEnvironmental ExposureHumansOrganophosphatesAcetylcholinesteraseInsecticidesOrganophosphatesPesticidesAdolescentAgricultureExposureOrganophosphatesPesticides

Identifiers

PMID34627797
PMCPMC9138777
OpenAlexW3202874694

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.