Evidence map›Paper›PMID 40869893›Full record

SynthesisInternational journal of environmental research and public health2025

Neurodevelopmental Outcomes Associated with Early-Life Exposure to Heavy Metals: A Systematic Review.

André Soares da Silva, Renata Maria Silva Santos, Patricia Gazire De Marco, Victhor Hugo Martins Rezende, Tamires Coelho Martins, Joyce Romano Silva, Marco Aurélio Romano-Silva, Débora Marques de Miranda

Abstract readSystematic Review
In one paragraph

Synthesis in International journal of environmental research and public health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing 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

8 citing papers in PubMed.

  1. Article
  2. Review
  3. Article
  4. Article
  5. Review
  6. Article
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  8. 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

8 authors.

André Soares da SilvaGraduate Program in Molecular Medicine, Faculty of Medicine, Federal University of Minas Gerais (UFMG), Belo Horizonte 30130-100, Brazil.ORCID 0000-0001-8636-9586
Renata Maria Silva SantosGraduate Program in Molecular Medicine, Faculty of Medicine, Federal University of Minas Gerais (UFMG), Belo Horizonte 30130-100, Brazil.ORCID 0000-0001-5737-7712
Patricia Gazire De MarcoGraduate Program in Molecular Medicine, Faculty of Medicine, Federal University of Minas Gerais (UFMG), Belo Horizonte 30130-100, Brazil.
Victhor Hugo Martins RezendeGraduate Program in Molecular Medicine, Faculty of Medicine, Federal University of Minas Gerais (UFMG), Belo Horizonte 30130-100, Brazil.ORCID 0009-0002-3507-8732
Tamires Coelho MartinsGraduate Program in Molecular Medicine, Faculty of Medicine, Federal University of Minas Gerais (UFMG), Belo Horizonte 30130-100, Brazil.ORCID 0009-0001-2544-0972
Joyce Romano SilvaGraduate Program in Molecular Medicine, Faculty of Medicine, Federal University of Minas Gerais (UFMG), Belo Horizonte 30130-100, Brazil.
Marco Aurélio Romano-SilvaDepartment of Psychiatry, Faculty of Medicine, Federal University of Minas Gerais (UFMG), Belo Horizonte 30130-100, Brazil.ORCID 0000-0002-6558-4639
Débora Marques de MirandaDepartment of Pediatrics, Faculty of Medicine, Federal University of Minas Gerais (UFMG), Belo Horizonte 30130-100, Brazil.ORCID 0000-0002-7081-8401

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionGlobally, approximately 53 million children under the age of five live with some form of developmental disability. Exposure to heavy metals has been identified in the literature as a contributing factor in the etiology of neurodevelopmental disorders, however it usually is understudied. Even at low concentrations, these toxicants pose a risk to neurodevelopment, when affecting children early as in the prenatal period. This study aims to systematically review the literature on the associations between exposure to toxic heavy metals and neurodevelopmental outcomes in children.

methodThe review was registered at the International Prospective Register of Systematic Review-PROSPERO, under number CRD420250653229 and searches were conducted in the PubMed, Scopus, Web of Science, EMBASE, Lilacs and PsycInfo databases.

resultsA total of 68 articles were included, comprising 48 longitudinal studies and 20 cross-sectional studies, published between 2006 and 2025, with a combined sample of 215,195 individuals from 23 countries. Lead was the most consistently investigated metal, appearing in 75% of the studies, followed by mercury, cadmium, and arsenic. Most findings referred to prenatal exposure. Cognitive and motor outcomes were predominantly affected by exposure to Pb and Hg, while behavioral outcomes showed negative associations mainly with Pb and As.

conclusionsThe majority of the studies analyzed indicated adverse effects resulting from exposure to heavy metals during pregnancy, especially in the early months, highlighting the vulnerability of the developing brain.

Indexed as

Environmental ExposureEnvironmental PollutantsMetals, HeavyNeurodevelopmental DisordersPrenatal Exposure Delayed EffectsChildChild, PreschoolFemaleHumansInfantMaternal ExposurePregnancyEnvironmental PollutantsMetals, Heavyarseniccadmiumchildrenheavy metalsleadmercuryneurodevelopmental

Identifiers

PMID40869893
PMCPMC12386800

What Socratic holds

Textmetadata
LicenceCC BY
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.