Evidence map›Paper›PMID 41656403›Full record

ArticleScientific reports2026

Effects of single and mixed metal exposure on neurocognitive health and quality of life among adults from Bihar India.

V Udaya Kumar, Krishna Pandey, Arun Kumar, Nitesh Kumar, Ruckmani Kandasamy, Krishna Murti

Abstract read
In one paragraph

Article in Scientific reports, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

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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

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3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. 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

6 authors.

V Udaya KumarDepartment of Pharmacy Practice, National Institute of Pharmaceutical Education and Research, Hajipur, Bihar, India.
Krishna PandeyIndian Council of Medical Research- Rajendra Memorial Research Institute for Medical Sciences (ICMR-RMRIMS), Bihar, Patna, India.
Arun KumarDepartment of Research, Mahavir Cancer Sansthan and Research Centre, Patna, India.
Nitesh KumarDepartment of Pharmacology and Toxicology, National Institute of Pharmaceutical Education and Research, Hajipur, Bihar, India.
Ruckmani KandasamyDepartment of Pharmacy Practice, National Institute of Pharmaceutical Education and Research, Hajipur, Bihar, India.
Krishna MurtiDepartment of Pharmacy Practice, National Institute of Pharmaceutical Education and Research, Hajipur, Bihar, India. krishnamurti@niperhajipur.ac.in.ORCID http://orcid.org/0000-0001-9865-7454

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Cognitive decline due to environmental exposure to metals and metalloids is a global public health concern because of their potential neurotoxic effects. While individual metal exposures have been linked to cognitive impairment, the effects of simultaneous and combined exposures remain inconclusive. This cross-sectional study was conducted among the adults residing in Bihar state to evaluate the burden of beryllium (Be), vanadium (V), chromium (Cr), cobalt (Co), arsenic (As), selenium (Se), strontium (Sr), silver (Ag), cadmium (Cd), caesium (Cs), barium (Ba), lead (Pb), and uranium (U) metals and their individual and mixed associations. Cognitive and quality of life scores were assessed using the MoCA and the WHO-QoL Brief questionnaire. The log-transformed metal and metalloid concentrations were inversely correlated with the cognitive scores (ρ -0.29 to -0.78) and HR-QoL scores (ρ > -0.5; P < 0.05). The cognitive scores were directly associated with the QoL domains (ρ > 0.5; P < 0.05). The metals As, V, Co, Se, Cs, and U had a strong negative influence on cognitive scores (β > -2.5; P < 0.05). The AENT model revealed As, Co, and Cr as the most influential metals on the cognitive score, where the combined effect of multiple metals and metalloids on cognitive impairment was (β = -5.75 (-6.68, -4.81) (P < 0.001). This highlights the individual and joint detrimental impacts of metals and metalloids on cognitive decline and poor HR-QoL, emphasising the need for clinical biomonitoring of metal exposure.

Indexed as

CognitionCognitive DysfunctionEnvironmental ExposureMetalsQuality of LifeAdultCross-Sectional StudiesFemaleHumansIndiaMaleMiddle AgedMetalsCognitive impairmentEnvironmental epidemiologyMetalloidsMetalsQuality of life

Identifiers

PMID41656403
PMCPMC12953854

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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.