Evidence map›Paper›PMID 39320571›Full record

ArticleBiological trace element research2025

Exposure to Multiple Metal(loid)s and Hypertension in Chinese Older Adults.

Rui Zhang, JiaMou Zhou, PengCheng Huo, HeQiao Zhang, HuiYan Shen, Qian Huang, GuiMei Chen, LinSheng Yang, DongMei Zhang

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Article in Biological trace element research, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–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

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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

3 citing papers in PubMed.

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4 · The record

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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.

Rui Zhang *Hefei Stomatological Hospital, Hefei, Anhui Province, China.
JiaMou Zhou *School of Health Management, Anhui Medical University, Meishan Road 81, Hefei, 230032, Anhui Province, China.
PengCheng HuoSchool of Health Management, Anhui Medical University, Meishan Road 81, Hefei, 230032, Anhui Province, China.
HeQiao ZhangSchool of Health Management, Anhui Medical University, Meishan Road 81, Hefei, 230032, Anhui Province, China.
HuiYan ShenSchool of Health Management, Anhui Medical University, Meishan Road 81, Hefei, 230032, Anhui Province, China.
Qian HuangSchool of Health Management, Anhui Medical University, Meishan Road 81, Hefei, 230032, Anhui Province, China.
GuiMei ChenSchool of Health Management, Anhui Medical University, Meishan Road 81, Hefei, 230032, Anhui Province, China.
LinSheng YangSchool of Public Health, Anhui Medical University, Meishan Road 81, Hefei, 230032, Anhui Province, China. yanglinsheng@ahmu.edu.cn.
DongMei ZhangSchool of Health Management, Anhui Medical University, Meishan Road 81, Hefei, 230032, Anhui Province, China. zdmdahmu@163.com.

Funding

Anhui Natural Science Foundation 1808085QH252Grants for Scientific Research of BSKY from Anhui Medical University Xj201525Key Scientific Research Fund of Anhui Provincial Education Department KJ2017A189Major Projects on College Leading Talent Team Introduced of Anhui 0303011224National Key R&D Program of China 2016YFC1305900]Scientific Research Projects for Anhui universities 2022AH050669
6 · The paper itself

Abstract

Evidence about effects of metal(loid)s on hypertension among adults is insufficient. The aim of our study was to evaluate the individual and joint associations between seven selected metal(loid)s and hypertension, including lead (Pb), manganese (Mn), nickel (Ni), arsenic (As), cadmium (Cd), chromium (Cr), and vanadium (V)) in Chinese older adults. This study included 1009 older adults, and the blood concentrations of seven metal(loid)s were evaluated by inductively coupled plasma mass spectrometry (ICP-MS). The following conditions were considered as hypertension: (1) either systolic blood pressure ≥ 140 mm Hg or diastolic blood pressure ≥ 90 mm Hg, (2) a self-reported history of hypertension, or (3) currently taking antihypertensive medications. Logistic regression was utilized to investigate the association between individual metal(loid) and hypertension, while Bayesian kernel machine regression (BKMR) was employed to investigate the association of the metal(loid) mixture with hypertension. Adjusted single-metal(loid) model showed a significant positive association between Pb and hypertension (OR = 1.24, 95%CI = 1.03-1.50). This significant association still existed in multi-metal(loid) model (OR = 1.22, 95%CI = 1.01-1.47). BKMR further indicated a positive linear association of Pb with hypertension. The metal(loid) mixture was positively associated with hypertension in older adults, although not significant. Within the mixture, Pb had the highest posterior inclusion probabilities value (PIP = 0.9192). There were multiplicative interactions of Pb and Mn on hypertension. In addition, Pb and Mn had additive effects on the association of other blood metal(loid)s with hypertension. The associations of multiple metal(loid)s with hypertension are dependent on diabetes, areas, age, and BMI. The metal(loid) mixture exposure may contribute to hypertension in Chinese older adults, mainly driven by Pb and interactions of Pb and Mn. Reducing exposure to these metal(loid)s may prevent hypertension among older adults, which is especially true for those living with diabetes.

Indexed as

HypertensionAgedAged, 80 and overArsenicBlood PressureCadmiumChinaChromiumEast Asian PeopleFemaleHumansLeadMaleMiddle AgedArsenicCadmiumChromiumLeadBKMRHypertensionMetal(loid)sOlder adultsPb

Identifiers

PMID39320571

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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.