Evidence map›Paper›PMID 40376064›Full record

ArticleFrontiers in public health2025

Prenatal exposure to barium and arsenic and the odds of congenital heart defects in offspring: a nested case-control study within a birth cohort in Lanzhou, China.

Yun Dang, Jianhao Sun, Zhenzhen Wu, Baohong Mao, Qinglei Hang, Jie Huang, Xiaoli Zhao, Ji Xia, Cheng Chen, Wenxiang Yao and 2 more

Abstract read
In one paragraph

Article in Frontiers in public health, 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. Article
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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

12 authors.

Yun Dang *Gansu Provincial Maternity and Child-Care Hospital/Gansu Provincial Central Hospital, Lanzhou, China.
Jianhao Sun *Gansu Provincial Maternity and Child-Care Hospital/Gansu Provincial Central Hospital, Lanzhou, China.
Zhenzhen Wu *Gansu Provincial Maternity and Child-Care Hospital/Gansu Provincial Central Hospital, Lanzhou, China.
Baohong Mao *Gansu Provincial Maternity and Child-Care Hospital/Gansu Provincial Central Hospital, Lanzhou, China.
Qinglei HangDepartment of Clinical Medicine, Medical College, Key Laboratory of Jiangsu Province University for Nucleic Acid & Cell Fate Manipulation, Yangzhou University, Yangzhou, China.
Jie HuangGansu Provincial Maternity and Child-Care Hospital/Gansu Provincial Central Hospital, Lanzhou, China.
Xiaoli ZhaoGansu Provincial Maternity and Child-Care Hospital/Gansu Provincial Central Hospital, Lanzhou, China.
Ji XiaNorthern Jiangsu People's Hospital Affiliated to Yangzhou University, Yangzhou, China.
Cheng ChenNorthern Jiangsu People's Hospital Affiliated to Yangzhou University, Yangzhou, China.
Wenxiang YaoBaiyin Second People's Hospital, Baiyin, China.
Dan LuNorthern Jiangsu People's Hospital Affiliated to Yangzhou University, Yangzhou, China.
Qing LiuGansu Provincial Maternity and Child-Care Hospital/Gansu Provincial Central Hospital, Lanzhou, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Previous studies have identified that exposure to heavy metals increases the prevalence of congenital heart defects (CHDs); however, limited information exists regarding the association between combined exposure to barium (Ba) and arsenic (As), and CHDs. This study aims to investigate the association between prenatal exposure to Ba and As (both independently and in combination) and the risk of CHDs in offspring. Methods: In a birth cohort study conducted in Lanzhou, China, a total of 97 mother-newborn pairs were designated as the case group, with an additional 194 pairs constituting the control group. The concentrations of Ba and As in maternal blood were quantified utilizing an inductively coupled plasma mass spectrometer. A multivariate logistic regression model was employed to examine the association between Ba and As exposure levels and the risk of neonatal CHDs and their subtypes. Interaction effects were further evaluated through the application of both additive and multiplicative models. Results: The concentration of As in the blood of pregnant women is positively correlated with Ba levels. Higher concentrations of maternal blood Ba level was associated with greater odds of CHDs ( Conclusion: Exposure to Ba or As individually, as well as combined exposure to both, is significantly associated with an increased risk of CHDs in offspring.

Indexed as

ArsenicBariumHeart Defects, CongenitalMaternal ExposurePrenatal Exposure Delayed EffectsAdultBirth CohortCase-Control StudiesChinaCohort StudiesFemaleHumansInfant, NewbornMalePregnancyRisk FactorsArsenicBariumarsenicbariumcongenital heart defectsinteractionmaternal bloodpregnancy

Identifiers

PMID40376064
PMCPMC12078137

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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.