Evidence map›Paper›PMID 40963150›Full record

ArticleBMC pediatrics2025

Hair levels of mercury, lead, and cadmium and their association with glycemic control in Egyptian children with type 1 diabetes.

Hoda A Atwa, Mohamed S Hemeda, Rania M Farh, Amany A Khafagy, Basma M Abdelaziz, Marwa A Ibrahim

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

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2citing papers in PubMed
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1 · What the graph read from it

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2 · The registry

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3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

6 authors.

Hoda A AtwaDepartment of Paediatrics, Faculty of Medicine, Suez Canal University, Ismailia, Egypt.
Mohamed S HemedaDepartment of Forensic Medicine and Clinical Toxicology, Faculty of Medicine, Port-Said University, Port-Said, Egypt. mohamudsadawy@med.psu.edu.eg.
Rania M FarhDepartment of Paediatrics, Faculty of Medicine, Suez Canal University, Ismailia, Egypt.
Amany A KhafagyDepartment of Forensic Medicine and Clinical Toxicology, Faculty of Medicine, Port-Said University, Port-Said, Egypt.
Basma M AbdelazizFamily Medicine Department, Faculty of Medicine, Suez Canal University, Ismailia, Egypt.
Marwa A IbrahimDepartment of Paediatrics, Faculty of Medicine, Suez Canal University, Ismailia, Egypt.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundType 1 diabetes (T1D) is a chronic autoimmune condition potentially influenced by environmental factors, including exposure to heavy metals such as lead, mercury, and cadmium.

objectiveThis cross-sectional study (n = 62) was conducted between March 2020 and March 2022 to evaluate the relationship between PTEs exposure and glycemic control in Egyptian children with T1D.

methodsHair samples were analyzed for potentially toxic elements (PTE) concentrations using ICP-MS. Clinical and environmental data, including dietary habits and parental smoking, were collected.

resultsAmong participants, 82.3% had elevated lead levels, and 53.2% had elevated cadmium levels. Children with poor glycemic control had significantly higher mean hair lead concentrations (39.6 mg/kg) compared to those with good control (6.3 mg/kg; p = 0.011; 95% CI: 25.2-40.7). A moderate positive correlation was found between lead levels and glycated hemoglobin (HbA1c) (r = 0.41, p < 0.001; 95% CI: 0.20-0.59). Mercury levels were associated with fish intake but not glycemic status. Cadmium levels were linked to parental smoking but not to HbA1c levels.

conclusionChildren with type 1 diabetes in this cohort exhibited significant levels of exposure to heavy metals, particularly lead and mercury. Elevated levels of these metals were associated with poorer glycemic control as indicated by higher HbA1c values. These findings highlight the importance of monitoring environmental exposures in pediatric diabetes management.

Indexed as

CadmiumDiabetes Mellitus, Type 1Environmental ExposureGlycemic ControlHairLeadMercuryAdolescentChildChild, PreschoolCross-Sectional StudiesEgyptFemaleGlycated HemoglobinHumansMaleCadmiumGlycated HemoglobinLeadMercuryCadmiumChildrenGlycemic controlHeavy metalsLeadMercuryType 1 diabetes

Identifiers

PMID40963150
PMCPMC12442298

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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.