Evidence map›Paper›PMID 34731423›Full record

SynthesisEnvironmental science and pollution research international2022

Blood lead concentrations in children with iron deficiency anemia: a systematic review and meta-analysis.

Tahere Farkhondeh, Borhan Mansouri, Lukasz J Binkowski, Martyna Błaszczyk, Meghdad Pirsaheb, Nammam Ali Azadi, Maciej Słoboda, Alireza Amirabadizadeh, Seyed Yoosef Javadmoosavi

Abstract readMeta-AnalysisSystematic Review
PubMed Publisher
In one paragraph

Synthesis 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 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

7 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Trial
  3. Review
  4. Article
  5. Article
  6. Article
  7. 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

9 authors.

Tahere FarkhondehMedical Toxicology and Drug Abuse Research Center (MTDRC), Birjand University of Medical Sciences, Birjand, Iran.
Borhan MansouriThe Substance Abuse Prevention Research Center, the Health Institute, Kermanshah University of Medical Sciences, Kermanshah, Iran. borhanmansouri@yahoo.com.ORCID http://orcid.org/0000-0001-5411-5362
Lukasz J BinkowskiThe Institute of Biology, the Pedagogical University of Krakow, Krakow, Poland.
Martyna BłaszczykThe Institute of Biology, the Pedagogical University of Krakow, Krakow, Poland.
Meghdad PirsahebThe Research Center for Environmental Determinants of Health, the Health Institute, Kermanshah University of Medical Sciences, Kermanshah, Iran.
Nammam Ali AzadiThe Biostatistics Department, the School of Public Health, Iran University of Medical Sciences, Tehran, Iran.
Maciej SłobodaThe Department of Environmental Management and Protection, AGH University of Science and Technology, Krakow, Poland.
Alireza AmirabadizadehMedical Toxicology and Drug Abuse Research Center (MTDRC), Birjand University of Medical Sciences, Birjand, Iran.
Seyed Yoosef JavadmoosaviMedical Toxicology and Drug Abuse Research Center (MTDRC), Birjand University of Medical Sciences, Birjand, Iran.

Funding

Deputy for Research and Technology, Kermanshah University of Medical Sciences 1398.3008691
6 · The paper itself

Abstract

Iron deficiency is the most common nutritional disorder detrimental to the behavior, cognitive performance, immune system, and physical growth of infants and preschool- and school-age children. Iron deficiency anemia (IDA) increases children's susceptibility to some metals, including the highly toxic lead (Pb), but the character of this relationship is still disputed. Thus, this study aimed to review and meta-analyze the association between the IDA and blood lead levels (BLL) among children, based on papers indexed by international scientific databases and published up to September 2021. A search was performed of the literature in several databases including the ISI Web of Science, PubMed, and Scopus. The final papers were assessed concerning their quality based on the Newcastle-Ottawa Scale (NOS) for cross-sectional studies. Moreover, analyses were performed using R statistical software with the "meta" package. Of the 1528 articles found, only 12 studies met the inclusion criteria and were considered in the meta-analysis. Significantly higher BLL in IDA children (SMD = 2.40; CI 95%, 0.93-3.87 µg/L; p = 0.0014) was seen when compared to non-IDA children. Moreover, the pooled OR is equal to 2.75 (CI 95%, 1.10-6.85 µg/L; p = 0.0303) suggesting a higher risk of IDA development among children with BLL > 10 µg/dL. Thus, we recommend systematic monitoring of Fe and Pb levels among children, especially in countries with limited sources of nutritious food. Since only a few studies were available for this meta-analysis, further studies are necessary to examine the association between IDA and BLL in detail.

Indexed as

Anemia, Iron-DeficiencyIron DeficienciesChildChild, PreschoolCross-Sectional StudiesHumansInfantLeadLeadAnemiaIron deficiencyLeadNutritional disorderOdds ratio

Identifiers

What OpenQuestion holds

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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.