Association Between Lead Exposure and Red Blood Cell Folate Concentrations in U.S. Children Aged 2–17 Years: An Analysis of Data from NHANES 2007–2018
2024

Lead Exposure and Folate Levels in U.S. Children

Sample size: 12739 publication 10 minutes Evidence: moderate

Author Information

Author(s): Hu Wenping, LeBlanc Tanya Telfair, Ruckart Perri Zeitz, Brooks-Griffin Quanza Shavonne, Allwood Paul

Primary Institution: National Center for Environmental Health, Centers for Disease Control and Prevention

Hypothesis

What is the impact of low blood lead levels on red blood cell folate concentrations in U.S. children aged 2–17 years?

Conclusion

Higher blood lead levels are associated with lower red blood cell folate concentrations in U.S. children.

Supporting Evidence

  • Children in the second and third tertiles of blood lead levels had significantly lower red blood cell folate concentrations compared to those in the first tertile.
  • The study included a total of 12,739 children with blood lead levels below 10 µg/dL.
  • Subgroup analyses showed consistent negative associations across different age, gender, and racial groups.

Takeaway

This study found that kids with higher lead in their blood have lower levels of folate, which is important for their health.

Methodology

The study used data from NHANES over six cycles from 2007 to 2018, analyzing the relationship between blood lead levels and red blood cell folate concentrations using multivariate linear regression.

Potential Biases

Potential selection bias due to missing values in blood lead and folate concentrations.

Limitations

The study's cross-sectional design limits causal inferences, and there may be unmeasured confounding factors.

Participant Demographics

Children aged 2–17 years, with 51.1% male and 48.9% female, including various racial and ethnic backgrounds.

Statistical Information

P-Value

<0.001

Confidence Interval

95% CI: −0.1032, −0.0517

Statistical Significance

p<0.05

Digital Object Identifier (DOI)

10.3390/ijerph21121676

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