Evidence map›Paper›PMID 34999155›Full record

ArticleNeurotoxicology2022

Environmental manganese exposure and cognitive control in a South African population.

Brad A Racette, Gill Nelson, Wendy W Dlamini, Tamara Hershey, Pradeep Prathibha, Jay R Turner, Harvey Checkoway, Lianne Sheppard, Susan Searles Nielsen

Open access · greenAbstract read
In one paragraph

Article in Neurotoxicology, 2022. 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
1.8field-weighted citation impact, top 17% 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. Review
  2. Article
  3. Utilizing T1-weighted MRI intensity indices to evaluate in-vivo neurotoxicity in a South African cohort with environmental manganese exposure.Journal of trace elements in medicine and biology : organ of the Society for Minerals and Trace Elements (GMS) · 2025
    Article
  4. Article
  5. Manganese-Induced Parkinsonism: A Review of Etiologies and Treatments.Degenerative neurological and neuromuscular disease · 2025
    Review
  6. Article
  7. Article
  8. Review
  9. 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 at 5 institutions in 3 countries.

Brad A RacetteDepartment of Neurology, Washington University School of Medicine, 660 South Euclid Avenue, Campus Box 8111, St. Louis, MO 63110, USA; School of Public Health, Faculty of Health Sciences, University of the Witwatersrand, 7 York Road, Parktown, 2193, South Africa. Electronic address: racetteb@wustl.edu.
Gill NelsonSchool of Public Health, Faculty of Health Sciences, University of the Witwatersrand, 7 York Road, Parktown, 2193, South Africa. Electronic address: Gill.Nelson@wits.ac.za.
Wendy W DlaminiDepartment of Neurology, Washington University School of Medicine, 660 South Euclid Avenue, Campus Box 8111, St. Louis, MO 63110, USA. Electronic address: wendy.dlamini@wustl.edu.
Tamara HersheyDepartments of Psychiatry and Radiology, Washington University School of Medicine, 660 South Euclid Avenue, Campus Box 8225, St. Louis, MO, USA. Electronic address: tammy@wustl.edu.
Pradeep PrathibhaDepartment of Energy, Environmental, and Chemical Engineering, Washington University, Campus Box 1180, One Brookings Drive, St. Louis, MO 63130, USA. Electronic address: pradeep.prathibha@wustl.edu.
Jay R TurnerDepartment of Energy, Environmental, and Chemical Engineering, Washington University, Campus Box 1180, One Brookings Drive, St. Louis, MO 63130, USA. Electronic address: jrturner@wustl.edu.
Harvey CheckowayHerbert Wertheim School of Public Health and Department of Neurosciences, University of California, San Diego, 9500 Gilman Drive, # 0725, La Jolla, CA 92093-0725, USA. Electronic address: hcheckoway@ucsd.edu.
Lianne SheppardDepartments of Biostatistics and Environmental and Occupational Health Sciences, University of Washington, Hans Rosling Center for Population Health, Box 351618, 3980 15th Avenue NE, Seattle, WA 98195-1618, USA. Electronic address: sheppard@uw.edu.
Susan Searles NielsenDepartment of Neurology, Washington University School of Medicine, 660 South Euclid Avenue, Campus Box 8111, St. Louis, MO 63110, USA. Electronic address: snielsen@wustl.edu.
Washington University in St. Louis · USUniversity of the Witwatersrand · ZACancer Research And Biostatistics · USHôpital Louis Pradel · FRUniversity of California San Diego · US

Funding

Motor and Cognitive Health Outcomes in a Mn-Exposed African CommunityR01ES025991 · NIEHS · WASHINGTON UNIVERSITY · PI RACETTE, BRAD A · 2015 to 2019
$3.7M
Epidemiology and Biomarkers of Parkinsonism in WeldersK24ES017765 · NIEHS · WASHINGTON UNIVERSITY · PI RACETTE, BRAD A · 2009 to 2018
$1.5M
A Nationwide Study of Environmental Risk Factors for Parkinson DiseaseK01ES028295 · NIEHS · WASHINGTON UNIVERSITY · PI SEARLES NIELSEN, SUSAN · 2018 to 2020
$450k
NIEHS NIH HHS K01 ES028295NIEHS NIH HHS K24 ES017765NIEHS NIH HHS R01 ES025991
6 · The paper itself

Abstract

objectiveTo characterize the association between environmental (residential air) manganese (Mn) exposure and cognitive performance, focusing on cognitive control, in a Black African population.

methodsWe administered the Go-No-Go, Digit Span, and Matrix Reasoning tests to population-based samples age ≥40 from a high Mn (smelter) exposed community, Meyerton (N = 629), and a demographically comparable low (background levels) non-exposed community, Ethembalethu, (N = 96) in Gauteng province, South Africa. We investigated the associations between community and performance on the cognitive tests, using linear regression. We adjusted a priori for age and sex, and examined the effect of adjustment for education, nonverbal IQ, smoking, and alcohol consumption. We measured airborne PM

resultsCompared to Ethembalethu residents, Meyerton residents' test scores were lower (poorer) for all tests: 0.55 (95 % confidence interval [CI] 0.08, 1.03) lower scores for Matrix Reasoning, 0.34 (95 % CI -0.07, 0.75) lower for Digit Span, and 0.15 (95 % CI 0.09, 0.21) lower for Go-No-Go (high frequency discriminability index [probability]). The latter represented the most marked difference in terms of z-scores (0.50, 95 % CI 0.30, 0.71 standard deviations lower). The mean of the z-score of each of the three tests was also lower (0.34, 95 % CI 0.18, 0.50 standard deviations lower). These associations were similar in men and women, but attenuated with adjustment for education. Differences for Matrix Reasoning and Digit Span between the two communities were observed only among those who had lived in Meyerton ≥10 years, whereas for Go-No-Go, differences were also apparent among those who had lived in Meyerton <10 years. Mean PM

conclusionResidence in a community near a high Mn emission source is associated with cognitive dysfunction, including aspects of cognitive control as assessed by the Go-No-Go test.

Indexed as

Environmental ExposureManganeseCognitionFemaleHumansMaleNeuropsychological TestsSouth AfricaManganeseCognitive functionEnvironmental exposureEpidemiologyManganeseNeurotoxicity

Identifiers

PMID34999155
PMCPMC12989245
OpenAlexW4206517735

What OpenQuestion holds

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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.