Evidence map›Paper›PMID 40750827›Full record

ArticleScientific reports2025

Sex-specific associations of blood lead and cadmium levels with sarcopenia in US adults.

Yan Chen, Ting Dai, Jing Gao, Xiaodong Feng

Abstract read
In one paragraph

Article in Scientific reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
  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

4 authors.

Yan ChenRehabilitation Center, The First Affiliated Hospital of Henan University of Traditional Chinese Medicine, Zhengzhou, 450000, Henan, China.
Ting DaiRehabilitation Center, The First Affiliated Hospital of Henan University of Traditional Chinese Medicine, Zhengzhou, 450000, Henan, China.
Jing GaoRehabilitation Center, The First Affiliated Hospital of Henan University of Traditional Chinese Medicine, Zhengzhou, 450000, Henan, China. gaojing_9303@163.com.
Xiaodong FengRehabilitation Center, The First Affiliated Hospital of Henan University of Traditional Chinese Medicine, Zhengzhou, 450000, Henan, China. fxd0502@163.com.

Funding

National Key Research and Development Program of China 2023YFC3503705
6 · The paper itself

Abstract

Sex-specific associations of blood lead and blood cadmium levels with sarcopenia in US adults remains unclear. This study aimed to investigate these relationships using data from the National Health and Nutrition Examination Survey (NHANES) 2011-2018. A total of 7,000 adults (3,456 men and 3,544 women) with complete data of blood Pb, Cd, and covariates, and complete Dual-Energy X-ray Absorptiometry (DXA) data for sarcopenia assessment were included, and sarcopenia was diagnosed based on the sarcopenia index (SI). Survey-weighted logistic regression models adjusted for sociodemographic, lifestyle, and health-related covariates, including age, sex, race, educational level, marital status, poverty-to-income ratio (PIR), drinking status, waist circumference, and BMI, were used to estimate odds ratios (ORs). Blood Pb level showed a positive association with sarcopenia risk in both sexes, especially in males (Q4 vs. Q1: Weighted OR = 2.53, 95% CI: 1.17-5.47; P = 0.02), while blood Cd exhibited a positive association with sarcopenia risk only in females (Q4 vs. Q1: Weighted OR = 5.08, 95% CI: 2.46-10.46; P < 0.01). Sex-stratified RCS analysis suggested nonlinear associations of Pb (P-nonlinear < 0.01) and Cd (P-nonlinear < 0.01) with sarcopenia risk, with males demonstrating steeper risk increments at higher Pb levels and females exhibiting steeper risk increments at higher Cd levels. These findings highlight sex-specific disparities in metal toxicity, suggesting that Pb and Cd exposure may differentially contribute to sarcopenia risk. Potential mechanisms could include via hormonal and body composition pathways.

Indexed as

CadmiumLeadSarcopeniaAbsorptiometry, PhotonAdultAgedFemaleHumansMaleMiddle AgedNutrition SurveysRisk FactorsSex FactorsUnited StatesCadmiumLeadBlood cadmiumBlood leadNHANESSarcopenia

Identifiers

PMID40750827
PMCPMC12317134

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Registered trials

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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.