Evidence map›Paper›PMID 40441120›Full record

ArticleInternational journal of hygiene and environmental health2025

Association of urinary arsenic concentrations with inflammation: overall and by folate intake, body mass index, and gender.

Gabrielle F Gonzalez, Kelli O'Connell, Mengmeng Du, Megan E Romano, Elizabeth D Kantor

Abstract read
In one paragraph

Article in International journal of hygiene and environmental health, 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

5 authors.

Gabrielle F GonzalezDepartment of Epidemiology and Biostatistics, Memorial Sloan Kettering Cancer Center, NY, New York, USA; Department of Statistics, College of Liberal Arts and Sciences, University of Florida, Gainesville, FL, USA.
Kelli O'ConnellDepartment of Epidemiology and Biostatistics, Memorial Sloan Kettering Cancer Center, NY, New York, USA.
Mengmeng DuDepartment of Epidemiology and Biostatistics, Memorial Sloan Kettering Cancer Center, NY, New York, USA.
Megan E RomanoDepartment of Epidemiology, Geisel School of Medicine, Dartmouth College, NH, USA; Cancer Population Sciences Program, Dartmouth Cancer Center, NH, USA.
Elizabeth D KantorDepartment of Epidemiology and Biostatistics, Memorial Sloan Kettering Cancer Center, NY, New York, USA. Electronic address: kantore@mskcc.org.

Funding

X-RAY CRYSTALLOGRAPHYP30CA008748 · NCI · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI SELWYN M VICKERS · 1985 to 2026
$347.4M
Translational Engineering in Cancer (TEC)P30CA023108 · NCI · DARTMOUTH COLLEGE · PI Fred W Kolling IV · 1985 to 2026
$91.3M
Quantitative Sciences Summer Undergraduate Research Experience (QSURE) FellowshipR25CA214255 · NCI · SLOAN-KETTERING INST CAN RESEARCH · PI Colin B Begg, Mengmeng Du · 2018 to 2026
$1.1M
NCI NIH HHS P30 CA008748NCI NIH HHS P30 CA023108NCI NIH HHS R25 CA214255
6 · The paper itself

Abstract

backgroundInorganic arsenic (iA) exposure is associated with increased risk of lung, bladder, and skin cancer, as well as cardiovascular disease and diabetes. C-reactive protein (CRP), a measurement of inflammation, has been associated with these conditions. As the relationship between urinary arsenic and CRP remains unclear, we aim to determine if there is an association and to examine effect modification by dietary and lifestyle factors.

methodsThe study includes 5761 adults, ages 25+, over four survey cycles (2005-2006, 2007-2008, 2009-2010, and 2015-2016), surveyed as part of the National Health and Nutrition Examination Survey (NHANES) and included in the laboratory subsample. Survey-weighted multivariable linear regression was used to determine the association between log-transformed arsenic concentrations (∑As, monomethylarsonate [MMA], and dimethylarsinate [DMA], and primary and secondary methylation indices [PMI, SMI]) and log-transformed CRP. Models were stratified by gender, body mass index (BMI), folic acid supplement use, and dietary folate intake.

resultsThree forms of urinary arsenic were associated with statistically significant lower levels of CRP (∑As: -3.06 %, MMA: -2.34 %, DMA: -2.10 %, per 25 % increase in arsenic concentration). The association between SMI and CRP varied by gender (p-interaction: <0.01) and dietary folate intake (p-interaction: 0.04).

conclusionsThe inverse association between urinary arsenic concentrations and CRP was unexpected, highlighting a need to better characterize effects of iAs at low levels of exposure. Effect modification by dietary folate intake suggests that folate may affect the secondary methylation pathway, however, more research is needed to understand the role that folic acid plays in arsenic methylation.

Indexed as

ArsenicBody Mass IndexEnvironmental PollutantsFolic AcidInflammationAdultAgedC-Reactive ProteinDietEnvironmental ExposureFemaleHumansMaleMiddle AgedNutrition SurveysSex FactorsArsenicC-Reactive ProteinEnvironmental PollutantsFolic Acid

Identifiers

PMID40441120
PMCPMC12380444

What Socratic holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

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 Socratic graph.