Evidence map›Paper›PMID 36341763›Full record

ArticleBirth defects research2023

Prepregnancy exposure to dietary arsenic and congenital heart defects.

Jonathan Suhl, Kristin M Conway, Anthony Rhoads, Peter H Langlois, Marcia L Feldkamp, Adrian M Michalski, Jacob Oleson, Alpa Sidhu, Thomas D Scholz, Vijaya Kancherla and 4 more

Open access · hybridAbstract read
In one paragraph

Article in Birth defects research, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
0.7field-weighted citation impact, top 33% 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

5 citing papers in PubMed, 6 citations in OpenAlex.

  1. Review
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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

14 authors at 6 institutions in 1 country.

Jonathan SuhlDepartment of Epidemiology, College of Public Health, The University of Iowa, Iowa City, Iowa, USA.
Kristin M ConwayDepartment of Epidemiology, College of Public Health, The University of Iowa, Iowa City, Iowa, USA.ORCID https://orcid.org/0000-0001-8633-966X
Anthony RhoadsDepartment of Epidemiology, College of Public Health, The University of Iowa, Iowa City, Iowa, USA.ORCID https://orcid.org/0000-0001-6510-9638
Peter H LangloisDepartment of Epidemiology, Human Genetics, and Environmental Science, University of Texas School of Public Health in Austin, Austin, Texas, USA.ORCID https://orcid.org/0000-0001-6765-4963
Marcia L FeldkampDivision of Medical Genetics, Department of Pediatrics, University of Utah School of Medicine, Salt Lake City, Utah, USA.ORCID https://orcid.org/0000-0001-9171-7848
Adrian M MichalskiNew York State Department of Health, Bureau of Environmental and Occupational Epidemiology, Albany, New York, USA.
Jacob OlesonDepartment of Biostatistics, College of Public Health, University of Iowa, Iowa City, Iowa, USA.
Alpa SidhuDivision of Medical Genetics and Genomics, The Stead Family Department of Pediatrics, University of Iowa Hospitals and Clinics, Iowa City, Iowa, USA.
Thomas D ScholzDivision of Pediatric Cardiology, The Stead Family Department of Pediatrics, University of Iowa Hospitals and Clinics, Iowa City, Iowa, USA.
Vijaya KancherlaDepartment of Epidemiology, Emory University Rollins School of Public Health, Atlanta, Georgia, USA.ORCID https://orcid.org/0000-0002-2803-8030
John ObryckiDepartment of Neurology, Boston Children's Hospital, Boston, Massachusetts, USA.
Maitreyi MazumdarDepartment of Neurology, Boston Children's Hospital, Boston, Massachusetts, USA.
Paul A RomittiDepartment of Epidemiology, College of Public Health, The University of Iowa, Iowa City, Iowa, USA.ORCID https://orcid.org/0000-0001-5393-9984
National Birth Defects Prevention Study
University of Iowa · USBoston Children's Hospital · USUniversity of Iowa Hospitals and Clinics · USEmory University · USNew York State Department of Health · USUniversity of Utah · US

Funding

Pulmonary Toxicology Facility CoreP30ES005605 · NIEHS · UNIVERSITY OF IOWA · PI Jong Sung Kim · 1990 to 2026
$40.5M
Genetic Analysis and Manipulation Core (GAEC)P50HD105351 · NICHD · BOSTON CHILDREN'S HOSPITAL · PI Hisashi Umemori · 2021 to 2026
$9.4M
CDC HHS PA #96043 PA #02081 FOA #DD09-001 FOA #DD13-003 NOFO #DD18-001NCBDD CDC HHS U01 DD001223NCBDD CDC HHS U01 DD001227NICHD NIH HHS P50 HD105351NIEHS NIH HHS P30 ES005605
6 · The paper itself

Abstract

introductionArsenic crosses the placenta and accumulates in fetal tissues. In the United States, diet is the predominant route of arsenic exposure, but epidemiologic data are sparse regarding this exposure and development of birth defects. Using data from a large case-control study, we explored associations between maternal dietary arsenic exposure and congenital heart defects (CHDs), the most prevalent birth defects.

methodsWe used maternal self-reported dietary assessments and arsenic concentration estimates in food items to estimate average daily exposure to dietary arsenic during the year before pregnancy for mothers of 10,446 unaffected control children and 6,483 case children diagnosed with CHDs. Using tertiles of dietary exposure to total arsenic (all species) and inorganic arsenic, we applied logistic regression analysis to estimate associations for middle and high tertiles, compared with the low tertile.

resultsPositive associations (odds ratio [OR] ≥ 1.2) for total arsenic were observed in both tertiles for perimembranous ventricular septal defect (VSD) and high tertile only for double outlet right ventricle-transposition of the great arteries (DORV-TGA), partial anomalous pulmonary venous return (PAPVR), and tricuspid atresia. Positive associations were also observed in both tertiles (tricuspid atresia) and high tertile only (DORV-TGA, conoventricular VSD, PAPVR, and pulmonary atresia) for inorganic arsenic. Most remaining associations were near or below unity. DISCUSSION: Exploration of maternal dietary exposure to total and inorganic arsenic and CHDs produced few positive associations but was limited by available food item concentrations. Future research requires expanded collection of dietary data, improved estimates of concentrations, and consideration of nondietary sources of arsenic exposure.

Indexed as

ArsenicArsenicalsDouble Outlet Right VentricleTransposition of Great VesselsTricuspid AtresiaCase-Control StudiesChildFemaleHumansMothersPregnancyUnited StatesArsenicArsenicalsarseniccongenital heart defectsdietepidemiologypopulation-basedpregnancy

Identifiers

PMID36341763
PMCPMC10099864
OpenAlexW4308370371

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.