Evidence map›Paper›PMID 41398598›Full record

ArticleBMC medicine2025

Stage- and sex-specific associations of prenatal individual and mixed metals exposure with adiposity peak and adiposity rebound among children: a prospective birth cohort study.

Yingying Zuo, Yanyan Jiang, Xing Wang, Chunmei Liang, Cong Geng, Jixing Zhou, Xingyong Tao, Kun Huang, Xiaoyan Wu, Fangbiao Tao and 1 more

Abstract read
In one paragraph

Article in BMC medicine, 2025. 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

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

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

11 authors.

Yingying Zuo *Department of Maternal, Child and Adolescent Health, School of Public Health, Anhui Medical University, No. 81 Meishan Road, Hefei, Anhui, 230032, China.
Yanyan Jiang *Department of Maternal, Child and Adolescent Health, School of Public Health, Anhui Medical University, No. 81 Meishan Road, Hefei, Anhui, 230032, China.
Xing Wang *Department of Maternal, Child and Adolescent Health, School of Public Health, Anhui Medical University, No. 81 Meishan Road, Hefei, Anhui, 230032, China.
Chunmei LiangDepartment of Maternal, Child and Adolescent Health, School of Public Health, Anhui Medical University, No. 81 Meishan Road, Hefei, Anhui, 230032, China.
Cong GengDepartment of Maternal, Child and Adolescent Health, School of Public Health, Anhui Medical University, No. 81 Meishan Road, Hefei, Anhui, 230032, China.
Jixing ZhouDepartment of Maternal, Child and Adolescent Health, School of Public Health, Anhui Medical University, No. 81 Meishan Road, Hefei, Anhui, 230032, China.
Xingyong TaoDepartment of Maternal, Child and Adolescent Health, School of Public Health, Anhui Medical University, No. 81 Meishan Road, Hefei, Anhui, 230032, China.
Kun HuangDepartment of Maternal, Child and Adolescent Health, School of Public Health, Anhui Medical University, No. 81 Meishan Road, Hefei, Anhui, 230032, China.
Xiaoyan WuDepartment of Maternal, Child and Adolescent Health, School of Public Health, Anhui Medical University, No. 81 Meishan Road, Hefei, Anhui, 230032, China.
Fangbiao TaoDepartment of Maternal, Child and Adolescent Health, School of Public Health, Anhui Medical University, No. 81 Meishan Road, Hefei, Anhui, 230032, China. fbtao@ahmu.edu.cn.
Juan TongDepartment of Maternal, Child and Adolescent Health, School of Public Health, Anhui Medical University, No. 81 Meishan Road, Hefei, Anhui, 230032, China. tongjuan@ahmu.edu.cn.

Funding

National Natural Science Foundation of China 82304167National Natural Science Foundation of China U22A20361Natural Science Research Project of Anhui Educational Committee 2023AH050559
6 · The paper itself

Abstract

backgroundAdiposity peak (AP) and adiposity rebound (AR) are key indicators of early childhood growth, which are closely related to obesity, premature puberty, and metabolic abnormalities. Epidemiological studies have shown that prenatal metal exposure is linked to obesity in children. However, studies concerning the association of metals during pregnancy with AP and AR in children are scarce.

methodsWe measured the concentration of 17 serum metal elements including aluminum (Al), vanadium, manganese (Mn), iron, cobalt (Co), nickel, copper, zinc, selenium, cadmium, barium (Ba), thallium (Tl), lead, calcium, magnesium, mercury (Hg), and molybdenum across three trimesters and in cord blood from 2718 mother-infant dyads. Individual body mass index (BMI) trajectories from birth to 7 years old were fitted to estimate AP and AR in offspring. Linear mixed models were used to identify relevant metal elements associated with AP or AR, and multiple informant models, Bayesian kernel machine regression, quantile-based g-computation, and weighted quantile sums were applied to assess associations of prenatal individual and mixed metals exposure with AP and AR.

resultsPrenatal Al, Mn, Co, Ba, Tl, and Hg were positively associated with the age and BMI of AP and negatively associated with the age of AR, whereas boys were more susceptible to Hg, and girls were more susceptible to Mn. Exposure to Ba (OR = 1.20, 95%CI 1.03, 1.39, P = 0.02) and Tl (OR = 1.36, 95%CI 1.04, 1.78, P = 0.03) in the first trimester was significantly correlated with the advanced AR phase. In addition, the second trimester might be a sensitive window, and Mn, Co, and Tl were the key metals in mixtures.

conclusionsThis study presents the initial epidemiological evidence of the associations between prenatal metal exposure and AP and AR in children, as well as sex-specific and stage-specific associations.

Indexed as

AdiposityMetalsPrenatal Exposure Delayed EffectsAdultBirth CohortBody Mass IndexChildChild, PreschoolFemaleHumansInfantInfant, NewbornMalePediatric ObesityPregnancyProspective StudiesMetalsAdiposity peakAdiposity reboundChildrenCohortMetal exposure

Identifiers

PMID41398598
PMCPMC12706989

What Socratic holds

Textmetadata
LicenceCC BY-NC-ND
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.