Evidence map›Paper›PMID 39959824›Full record

ArticlePeerJ2025

Association between toxic heavy metals and noncancerous thyroid disease: a scoping review.

Muhammad Ridzwan Rafi'i, Mohd Hasni Ja'afar, Azmawati Mohammed Nawi, Shahrul Azhar Md Hanif, Siti Najiha Md Asari

Abstract readScoping Review
In one paragraph

Article in PeerJ, 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

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

3 citing papers in PubMed.

  1. Review
  2. Review
  3. Review
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

5 authors.

Muhammad Ridzwan Rafi'iPublic Health Medicine Department, National University Malaysia, Cheras, Kuala Lumpur, Malaysia.ORCID 0009-0000-7888-9565
Mohd Hasni Ja'afarPublic Health Medicine Department, National University Malaysia, Cheras, Kuala Lumpur, Malaysia.ORCID 0000-0003-0007-6008
Azmawati Mohammed NawiPublic Health Medicine Department, National University Malaysia, Cheras, Kuala Lumpur, Malaysia.ORCID 0000-0002-0009-5244
Shahrul Azhar Md HanifPublic Health Medicine Department, National University Malaysia, Cheras, Kuala Lumpur, Malaysia.
Siti Najiha Md AsariPublic Health Medicine Department, National University Malaysia, Cheras, Kuala Lumpur, Malaysia.ORCID 0000-0002-9537-8668

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Toxic heavy metals such as chromium (Cr), arsenic (As), cadmium (Cd), mercury (Hg), and lead (Pb) are known to be priority pollutants due to their high degrees of toxicity and widespread presence in the environment. This review aimed to explore the association between heavy metals and noncancerous thyroid diseases by synthesizing findings from observational and experimental studies. This review addressed a critical intersection of environmental health, endocrinology, and public health. The findings would be of interest to a wide range of disciplines given the ubiquitous presence of toxic heavy metals in the environment and their potential to disrupt endocrine systems. The evidence-based information from diverse fields generated from this review will provide insights into the health implications of heavy metal exposure on thyroid function and guide the necessary interdisciplinary research and collaborative interventions. Method: Three databases were searched, namely PubMed, Web of Science, and Scopus. The Arksey and O'Malley (2005) framework was used as a guide in conducting this scoping review. The reporting was carried out based on the Preferred Reporting Items for Systematic Reviews and the Meta-Analyses Extension for Scoping Reviews (PRISMA). The literature search retrieved 552 articles and 29 articles were included in the final review. Results: As high as 83% of the 29 included studies followed an observational study design while the rest were experimental animal studies. Among the observational studies, two-thirds (66%) were cross-sectional studies while the rest were case-control studies (31%) and cohort studies ( Conclusion: A heterogeneous and diverse sample population in the included studies could have potentially led to mixed findings about the association between toxic heavy metals and thyroid diseases in this review. Therefore, future research should prioritize longitudinal studies and controlled clinical trials to better elucidate the causative mechanisms and long-term impact of heavy metal exposure on thyroid health.

Indexed as

Environmental ExposureEnvironmental PollutantsMetals, HeavyThyroid DiseasesAnimalsHumansEnvironmental PollutantsMetals, HeavyEndocrineEnvironmentGoiterHyperthyroidismHypothyroidismMetalPollutionRelationshipThyroid cystThyroid nodule

Identifiers

PMID39959824
PMCPMC11827576

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.