Evidence map›Paper›PMID 39984801›Full record

SynthesisBiological trace element research2025

The Systematic Analysis of the Impact of China Water Improvement and Fluoride Reduction Project on Children.

Bo Yang, Feiqing Wang, Xu Yang, Jinyang Cheng, Juan Chen, Bingbing Li, Ying Zhou, Xiaoxu Chen, Bo Wei, Xiaoshuang Yuan and 5 more

Abstract readSystematic Review
In one paragraph

Synthesis 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 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed, 1 pooled it
–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

2 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Global groundwater contamination by geogenic fluoride.Environmental geochemistry and health · 2026
    Pooled it
  2. 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

15 authors.

Bo Yang *Clinical Medical Research Center, The First Affiliated Hospital of Guizhou University of Traditional Chinese Medicine, Yunyan District, No. 71 Bao Shan North Road, Guiyang, 550001, Guizhou Province, China.
Feiqing Wang *Clinical Medical Research Center, The First Affiliated Hospital of Guizhou University of Traditional Chinese Medicine, Yunyan District, No. 71 Bao Shan North Road, Guiyang, 550001, Guizhou Province, China.
Xu YangClinical Medical Research Center, The First Affiliated Hospital of Guizhou University of Traditional Chinese Medicine, Yunyan District, No. 71 Bao Shan North Road, Guiyang, 550001, Guizhou Province, China.
Jinyang ChengClinical Medical Research Center, The First Affiliated Hospital of Guizhou University of Traditional Chinese Medicine, Yunyan District, No. 71 Bao Shan North Road, Guiyang, 550001, Guizhou Province, China.
Juan ChenClinical Medical Research Center, The First Affiliated Hospital of Guizhou University of Traditional Chinese Medicine, Yunyan District, No. 71 Bao Shan North Road, Guiyang, 550001, Guizhou Province, China.
Bingbing LiClinical Medical Research Center, The First Affiliated Hospital of Guizhou University of Traditional Chinese Medicine, Yunyan District, No. 71 Bao Shan North Road, Guiyang, 550001, Guizhou Province, China.
Ying ZhouClinical Medical Research Center, The First Affiliated Hospital of Guizhou University of Traditional Chinese Medicine, Yunyan District, No. 71 Bao Shan North Road, Guiyang, 550001, Guizhou Province, China.
Xiaoxu ChenClinical Medical Research Center, The First Affiliated Hospital of Guizhou University of Traditional Chinese Medicine, Yunyan District, No. 71 Bao Shan North Road, Guiyang, 550001, Guizhou Province, China.
Bo WeiClinical Medical Research Center, The First Affiliated Hospital of Guizhou University of Traditional Chinese Medicine, Yunyan District, No. 71 Bao Shan North Road, Guiyang, 550001, Guizhou Province, China.
Xiaoshuang YuanDepartment of Hematology Oncology, Affiliated Hospital of Guizhou Medical University, Yunyan District, No. 4 Bei Jing Road, Guiyang, 550004, Guizhou Province, China.
Ting TianDepartment of Hematology Oncology, Affiliated Hospital of Guizhou Medical University, Yunyan District, No. 4 Bei Jing Road, Guiyang, 550004, Guizhou Province, China.
Dongxin TangClinical Medical Research Center, The First Affiliated Hospital of Guizhou University of Traditional Chinese Medicine, Yunyan District, No. 71 Bao Shan North Road, Guiyang, 550001, Guizhou Province, China.
Zhixu HeCenter of Tissue Engineering and Stem Cell Research, Guizhou Medical University, Guiyang, Guizhou Province, China.
Yang LiuClinical Medical Research Center, The First Affiliated Hospital of Guizhou University of Traditional Chinese Medicine, Yunyan District, No. 71 Bao Shan North Road, Guiyang, 550001, Guizhou Province, China. ly7878@163.com.
Yanju LiDepartment of Hematology Oncology, Affiliated Hospital of Guizhou Medical University, Yunyan District, No. 4 Bei Jing Road, Guiyang, 550004, Guizhou Province, China. lyj8181@163.com.

Funding

Natural Science Foundation of Guizhou Province Qiankehe Cooperation Platform talents [2021] Postdoctoral Station 007Natural Science Foundation of Guizhou Province QianKeHe Support [2022]181Research Project of Education Department of Guizhou Province QianJiaoJi [2023]037Science and Technology Innovation Talent Team Project GZYTD [2024] 003Subject Excellent Reserve Talent Project gyfyxkrc-2023-14
6 · The paper itself

Abstract

Endemic fluorosis is a serious public health problem in China. In order to improve the quality of drinking water, China has implemented water rehabilitation and fluoride reduction projects, but their effect on children's health outcomes is unclear. This study reviewed relevant literature published in PubMed, Web of Science, Embase, CNKI, VIP, and WanFang from the date of establishment to October 2024. Data related to demographic characteristics, duration of the water improvement project, geographical location, drinking water fluoride levels, and prevalence of dental fluorosis and urinary fluoride levels in children aged 8 to 12 years were extracted and analyzed using fixed-effects and random-effects models. With the improvement of water quality, the fluoride content decreased from 2.34 to 0.67 mg/L (drinking water standard, 1.5 mg/L). This was accompanied by a decrease in the prevalence of dental fluorosis from 56.7 to 28.8%. In regions where the drinking water fluoride content was within the limit, the prevalence of dental fluorosis decreased from 29.7 to 15.6%. The duration of implementation and geographical features of the regions under study had a significant impact on the prevalence of dental fluorosis. Finally, the urinary fluoride level decreased from 2.58 to 1.15 mg/L. The water improvement and fluoride reduction initiative effectively reduced the drinking water fluoride content and the urinary fluoride levels and the prevalence of dental fluorosis in children living in fluorosis-endemic areas in China. The improvement was associated with the geographical features of regions and the implementation time of the project.

Indexed as

Drinking WaterFluoridesFluorosis, DentalChildChinaHumansWater QualityWater SupplyDrinking WaterFluoridesDental fluorosisDrinking waterDrinking water qualityFluorideFluoride toxicityWater improvement project

Identifiers

PMID39984801
PMCPMC12507990

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.