Evidence map›Paper›PMID 37978510›Full record

SynthesisEnvironmental health : a global access science source2023

Sex difference of pre- and post-natal exposure to six developmental neurotoxicants on intellectual abilities: a systematic review and meta-analysis of human studies.

Carly V Goodman, Rivka Green, Allya DaCosta, David Flora, Bruce Lanphear, Christine Till

Open access · goldAbstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in Environmental health : a global access science source, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed, 1 pooled it
5.3field-weighted citation impact, top 3% 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

24 citing papers in PubMed, 1 synthesis or guideline pooled it, 34 citations in OpenAlex.

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  14. Through the Eye: Retinal Changes of Prenatal Mercury Exposure in Grassy Narrows First Nation, Canada.International journal of environmental research and public health · 2025
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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

6 authors at 2 institutions in 1 country.

Carly V GoodmanFaculty of Health, York University, Toronto, M3J 1P3, ON, Canada. cgoodman@yorku.ca.
Rivka GreenFaculty of Health, York University, Toronto, M3J 1P3, ON, Canada.
Allya DaCostaFaculty of Health, York University, Toronto, M3J 1P3, ON, Canada.
David FloraFaculty of Health, York University, Toronto, M3J 1P3, ON, Canada.
Bruce LanphearFaculty of Health Sciences, Simon Fraser University, Vancouver, BC, Canada.
Christine TillFaculty of Health, York University, Toronto, M3J 1P3, ON, Canada.
York University · CASimon Fraser University · CA

Funding

Fluoride in Tooth Dentin and Neurodevelopmental Outcome in a Canadian CohortR01ES030365 · NIEHS · YORK UNIVERSITY · PI LANPHEAR, BRUCE P, TILL, CHRISTINE · 2019 to 2024
$2.1M
NIEHS NIH HHS R01 ES030365
6 · The paper itself

Abstract

backgroundEarly life exposure to lead, mercury, polychlorinated biphenyls (PCBs), polybromide diphenyl ethers (PBDEs), organophosphate pesticides (OPPs), and phthalates have been associated with lowered IQ in children. In some studies, these neurotoxicants impact males and females differently. We aimed to examine the sex-specific effects of exposure to developmental neurotoxicants on intelligence (IQ) in a systematic review and meta-analysis.

methodWe screened abstracts published in PsychINFO and PubMed before December 31st, 2021, for empirical studies of six neurotoxicants (lead, mercury, PCBs, PBDEs, OPPs, and phthalates) that (1) used an individualized biomarker; (2) measured exposure during the prenatal period or before age six; and (3) provided effect estimates on general, nonverbal, and/or verbal IQ by sex. We assessed each study for risk of bias and evaluated the certainty of the evidence using Navigation Guide. We performed separate random effect meta-analyses by sex and timing of exposure with subgroup analyses by neurotoxicant.

resultsFifty-one studies were included in the systematic review and 20 in the meta-analysis. Prenatal exposure to developmental neurotoxicants was associated with decreased general and nonverbal IQ in males, especially for lead. No significant effects were found for verbal IQ, or postnatal lead exposure and general IQ. Due to the limited number of studies, we were unable to analyze postnatal effects of any of the other neurotoxicants.

conclusionDuring fetal development, males may be more vulnerable than females to general and nonverbal intellectual deficits from neurotoxic exposures, especially from lead. More research is needed to examine the nuanced sex-specific effects found for postnatal exposure to toxic chemicals.

Indexed as

InsecticidesMercuryPolychlorinated BiphenylsPrenatal Exposure Delayed EffectsChildFemaleHalogenated Diphenyl EthersHumansLeadMaleOrganophosphorus CompoundsPregnancySex CharacteristicsHalogenated Diphenyl EthersInsecticidesLeadMercuryOrganophosphorus CompoundsPolychlorinated BiphenylsDevelopmental NeurotoxicantIQPostnatalPrenatalSex

Identifiers

PMID37978510
PMCPMC10655280
OpenAlexW4388774194

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.