Evidence map›Paper›PMID 42797717›Full record

ArticleToxics2026

Association of Maternal Bone Resorption with Urinary Fluoride Levels During Pregnancy.

Morteza Bashash, Karen E Peterson, E Angeles Martinez-Mier, Héctor Lamadrid-Figueroa, Ángel Santiago, Adrienne S Ettinger, Martha María Téllez-Rojo, Howard Hu

Abstract read
In one paragraph

Article in Toxics, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

8 authors.

Morteza BashashDepartment of Population and Public Health Sciences, Keck School of Medicine, University of Southern California, Los Angeles, CA 90033, USA.ORCID 0000-0002-5574-0087
Karen E PetersonDepartment of Nutritional Sciences, University of Michigan School of Public Health, Ann Arbor, MI 48109, USA.ORCID 0000-0003-0471-1427
E Angeles Martinez-MierDepartment of Dental Public Health and Dental Informatics, Indiana University School of Dentistry, Indianapolis, IN 46202, USA.ORCID 0000-0002-5389-0209
Héctor Lamadrid-FigueroaDepartment of Perinatal Health, Instituto Nacional de Salud Pública, Cuernavaca 62100, Morelos, Mexico.ORCID 0000-0001-8775-8399
Ángel SantiagoDepartment of Perinatal Health, Instituto Nacional de Salud Pública, Cuernavaca 62100, Morelos, Mexico.ORCID 0000-0002-3957-0970
Adrienne S EttingerRutgers Health, Rutgers University, Newark, NJ 07107, USA.
Martha María Téllez-RojoCenter for Nutrition and Health Research, Instituto Nacional de Salud Pública, Cuernavaca 62100, Morelos, Mexico.ORCID 0000-0003-3322-3334
Howard HuDepartment of Population and Public Health Sciences, Keck School of Medicine, University of Southern California, Los Angeles, CA 90033, USA.ORCID 0000-0002-3676-2707

Funding

Strategic Vision & Impact on Environmental HealthP30ES017885 · NIEHS · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI AMY J SCHULZ · 2011 to 2026
$21.3M
VANADIUM AND HUMAN HEALTHP42ES005947 · NIEHS · HARVARD UNIVERSITY (SCH OF PUBLIC HLTH) · PI KELSEY, KARL TIMOTHY · 1992 to 2006
$19.6M
LEAD DOSE BIOMARKERS, REPRODUCTION, AND INFANT OUTCOMESR01ES007821 · NIEHS · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI PETERSON, KAREN EILEEN · 1998 to 2010
$4.7M
Project 3: Developmental Exposures and Diet: Epigenetics of Metabolic SyndromeP01ES022844 · NIEHS · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI DOLINOY, DANA, PADMANABHAN, VASANTHA · 2013 to 2018
$3.9M
Prenatal and Childhood Exposure to Fluoride and NeurodevelopmentR01ES021446 · NIEHS · UNIVERSITY OF TORONTO · PI HU, HOWARD, MCLAUGHLIN, JOHN · 2012 to 2018
$2.3M
Project 1: Prenatal Lead Exposure, Early Childhood Growth, and Sexual MaturationP20ES018171 · NIEHS · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI PETERSON, KAREN EILEEN · 2010 to 2012
$584k
Genetic & Epigenetic Modifiers of Maternal-Fetal Transfer of Toxicants & OutcomesK01ES014907 · NIEHS · YALE UNIVERSITY · PI ETTINGER, ADRIENNE S · 2008 to 2011
$502k
NIEHS NIH HHS K01 ES014907NIEHS NIH HHS P01 ES022844NIEHS NIH HHS P20 ES018171NIEHS NIH HHS P30 ES017885NIEHS NIH HHS P42 ES005947NIEHS NIH HHS R01 ES007821NIEHS NIH HHS R01 ES021446NIH HHS 1R01ES021446-01
6 · The paper itself

Abstract

Evidence is accumulating linking prenatal fluoride exposure with adverse neurodevelopment. Maternal urinary fluoride (MUF) is a well-established biomarker of fluoride exposure. Because most fluoride is stored in calcified tissues, pregnancy-associated changes in bone metabolism may contribute to fetal fluoride exposure. We evaluated whether maternal bone resorption, indexed by urinary N-telopeptide of type I collagen (NTX), is associated with MUF across pregnancy. Participants were drawn from the Early Life Exposures in Mexico to Environmental Toxicants (ELEMENT) birth cohorts. Each woman contributed one paired MUF-NTX measurement per trimester. Both biomarkers were creatinine-normalized to account for urine dilution. Trimester-specific generalized linear models with a Gamma distribution estimated associations between NTX and MUF, adjusting for maternal age, birth order, infant birthweight, and cohort. Across the trimesters, MUF was relatively stable (0.89 ± 0.37, 0.91 ± 0.41, and 0.83 ± 0.42 mg/L), whereas NTX increased with gestation (68.0 ± 33.5, 99.0 ± 50.3, and 132.4 ± 65.4 nmol BCE/mM creatinine). Higher NTX was consistently associated with higher MUF: β = 0.00315 (

Indexed as

bone resorptionbone turnoverELEMENT cohortfluoridematernal urinary fluorideneurodevelopmental toxicantN-telopeptide (NTX)pregnancyprenatal exposure

Identifiers

PMID42797717
PMCPMC13611271

What OpenQuestion holds

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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.