Evidence map›Paper›PMID 41585773›Full record

ArticleHygiene and environmental health advances2025

Exposure to Cadmium and Cerebrovascular Mortality in the United States.

Xin Wang, Ziqin Cao, Kelly M Bakulski, Henry L Paulson

Abstract read
In one paragraph

Article in Hygiene and environmental health advances, 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

4 authors.

Xin WangDepartment of Epidemiology, School of Public Health, University of Michigan, Ann Arbor, MI, USA, 48109.ORCID 0000-0002-0851-6605
Ziqin CaoDepartment of Epidemiology, School of Public Health, University of Michigan, Ann Arbor, MI, USA, 48109.
Kelly M BakulskiDepartment of Epidemiology, School of Public Health, University of Michigan, Ann Arbor, MI, USA, 48109.
Henry L PaulsonMichigan Alzheimer's Disease Center, University of Michigan, Ann Arbor, MI, USA, 48109.

Funding

Research Education ComponentP30AG072931 · NIA · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI Kelly Bakulski · 2021 to 2026
$26.5M
Mechanisms of neurodegenerative diseases: intersections with ubiquitin pathwaysR35NS122302 · NINDS · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI Henry L Paulson · 2021 to 2026
$6.4M
The Study of the Environment and Alzheimer's disease and related Dementias (SEAD)R01AG070897 · NIA · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI BAKULSKI, KELLY, PARK, SUNG KYUN · 2021 to 2025
$3.4M
Metals Exposure, Dementia, and Longitudinal Trajectories of Cognition, Functioning, and Neuropsychiatric SymptomsK01AG084821 · NIA · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI Xin Wang · 2024 to 2026
$361k
NIA NIH HHS K01 AG084821NIA NIH HHS P30 AG072931NIA NIH HHS R01 AG070897NINDS NIH HHS R35 NS122302
6 · The paper itself

Abstract

Background: Cerebrovascular diseases are a leading cause of death in the U.S., and emerging evidence suggests that environmental toxicants such as cadmium may contribute to cerebrovascular risk. This study investigates the association between cadmium exposure and cerebrovascular mortality in a nationally representative sample of U.S. adults. Methods: We analyzed data from adults aged ≥40 years in the National Health and Nutrition Examination Survey (NHANES) 1999-2016 cycles, with mortality follow-up through 2019. Blood cadmium was measured in 23,455 participants, and urinary cadmium was measured in 8,929 participants. Cerebrovascular deaths were identified through linkage with the National Death Index. Survey-weighted Cox proportional hazards models evaluated associations between cadmium concentrations and cerebrovascular mortality. Results: Over a mean follow-up of 10.2 years, 247 cerebrovascular deaths were observed. Each interquartile range increase in blood cadmium (0.40 μg/L) was associated with a 23% higher risk of cerebrovascular mortality (HR=1.23, 95% CI: 1.04-1.46). Urinary cadmium was also associated with higher cerebrovascular mortality, although marginally significant (HR=1.36 per doubling, 95% CI: 0.99-1.87). Associations appeared stronger among former and current smokers, though interaction terms were not statistically significant. Conclusions: Cadmium exposure is associated with increased cerebrovascular mortality in the U.S. population. These findings support cadmium as a modifiable environmental risk factor and underscore the need for public health interventions to reduce exposure through tobacco control, dietary regulations, and environmental policy.

Indexed as

cadmiumcerebrovascular diseaseepidemiologymortalitystroke

Identifiers

PMID41585773
PMCPMC12830036

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.