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Lead-induced anemia

Dose-response relationships and evidence for a threshold

Bibliographic Data

ID11029319
AuthorsJoel Schwartz (0000-0001-6168-378X, Environmental Protection Agency), Philip J Landrigan (0000-0002-0150-6914, Icahn School of Medicine at Mount Sinai), Edward L Baker, Walter A Orenstein (0000-0003-3932-8209, Icahn School of Medicine at Mount Sinai), Ian H von Lindern (Icahn School of Medicine at Mount Sinai)
Year1990
Volume80
Issue2
Pages165-168
Publication date1990-02-01
Peer ReviewedYes
Open AccessNo
TypeARTICLE
VenueAmerican Journal of Public Health (JOURNAL)
Journal identifiersISSN: 0090-0036 • E-ISSN: 1541-0048
PublisherAmerican Public Health Association (PUBLISHER • US)
DOI10.2105/ajph.80.2.165
PMID2297059
OpenAlexW2144507972
LanguageEN
Citations received4
References cited12

We conducted a cross-sectional epidemiologic study to assess the association between blood lead level and hematocrit in 579 one to five year-old children living near a primary lead smelter in 1974. Blood lead levels ranged from 0.53 to 7.91 mumol/L (11 to 164 micrograms/dl). To predict hematocrit as a function of blood lead level and age, we derived non-linear regression models and fit percentile curves. We used logistic regression to predict the probability of hematocrit values less than 35 per cent. We found a strong non-linear, dose-response relationship between blood lead level and hematocrit. This relationship was influenced by age, but (in this age group) not by sex; the effect was strongest in youngest children. In one year-olds, the age group most severely affected, the risk of an hematocrit value below 35 percent was 2 percent above background at blood lead levels between 0.97 and 1.88 mumol/L (20 and 39 micrograms/dl), 18 percent above background at lead levels of 1.93 to 2.85 mumol/L (40 to 59 micrograms/dl), and 40 percent above background at lead levels of 2.9 mumol/L (60 micrograms/dl) and greater; background was defined as a blood lead level below 1.88 mumol/L (20 micrograms/dl). This effect appeared independent of iron deficiency. These findings suggest that blood lead levels close to the currently recommended limit value of 1.21 mumol/L (25 micrograms/dl) are associated with dose-related depression of hematocrit in young children

Anemia · Biology · Hematocrit · Lead (geology) · Lead exposure · Lead poisoning · Lead smelting · Linear regression · Logistic regression · Percentile · Chemistry · Heavy Metal Exposure and Toxicity · Internal Medicine · Iron Metabolism and Disorders · Medicine · Physiology · Trace Elements in Health

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Unique citing works4
Citations per year0,17
Citation span2002 - 2024 (23)
Citation velocityrecent
Highly citedNo
Citation typesNeutral: 4

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