No cognitive deficits in men formerly exposed to lead

作者: Robert Winker , Alfred Barth , Elisabeth Ponocny-Seliger , Alexander Pilger , Wolf Osterode

DOI: 10.1007/S00508-005-0466-0

关键词:

摘要: OBJECTIVES: The objective of the study was to investigate long-term cognitive effects resulting from low moderate lead exposure below current threshold values. Executive functions, attention, visuospatial and visuomotor functioning in workers formerly exposed were investigated. METHODS: 48 men with a mean blood level (PbB) 5.4 μg Pb/100 ml investigated, together matched controls (PbB, 4.7 ml) out pool 61 males. two groups for age, years spent education, verbal intelligence gram alcohol consumption per week. following neuropsychological tests used: modified Wisconsin card sorting test, block design visual recognition simple reaction time, choice digit–symbol substitution. Lead assessed using both cumulative measurements. RESULTS: There no significant differences parameters between groups. When analyzing dose–response relationships, negative correlations found PbB performance scores substitution tests. High (IBL, >5000; duration exposure, >5 years) correlated only wrong reactions test. CONCLUSIONS: results our indicate that deficits low-level are reversible. limited (all values always 55 ml), extrapolation these persons heavily is not possible.

参考文章(23)
J Jeyaratnam, K W Boey, C N Ong, C B Chia, W O Phoon, Neuropsychological studies on lead workers in Singapore. Occupational and Environmental Medicine. ,vol. 43, pp. 626- 629 ,(1986) , 10.1136/OEM.43.9.626
W. Osterode, R. Winker, C. Bieglmayer, H. Vierhapper, Effects of parathyroidectomy on lead mobilization from bone in patients with primary hyperparathyroidism. Bone. ,vol. 35, pp. 942- 947 ,(2004) , 10.1016/J.BONE.2004.05.022
Lorentz E. Wittmers, Joann Wallgren, Agnes Alich, Arthur C. Aufderheide, George Rapp, Lead in bone. IV. Distribution of lead in the human skeleton. Archives of Environmental Health. ,vol. 43, pp. 381- 391 ,(1988) , 10.1080/00039896.1988.9935855
K N Lindgren, V L Masten, D P Ford, M L Bleecker, Relation of cumulative exposure to inorganic lead and neuropsychological test performance. Occupational and Environmental Medicine. ,vol. 53, pp. 472- 477 ,(1996) , 10.1136/OEM.53.7.472
Shunichi Araki, Hajime Sato, Kazuhito Yokoyama, Katsuyuki Murata, Subclinical neurophysiological effects of lead: A review on peripheral, central, and autonomic nervous system effects in lead workers. American Journal of Industrial Medicine. ,vol. 37, pp. 193- 204 ,(2000) , 10.1002/(SICI)1097-0274(200002)37:2<193::AID-AJIM5>3.0.CO;2-J
Jose A. Valciukas, Ruth Lilis, Josef Eisinger, William E. Blumberg, Alf Fischbein, Irving J. Selikoff, Behavioral indicators of lead neurotoxicity: results of a clinical field survey. International Archives of Occupational and Environmental Health. ,vol. 41, pp. 217- 236 ,(1978) , 10.1007/BF00378753
S TONG, Lead exposure and cognitive development: persistence and a dynamic pattern. Journal of Paediatrics and Child Health. ,vol. 34, pp. 114- 118 ,(1998) , 10.1046/J.1440-1754.1998.00187.X
Deborah A. Cory-Slechta, Lead-induced impairments in complex cognitive function: offerings from experimental studies. Child Neuropsychology. ,vol. 9, pp. 54- 75 ,(2003) , 10.1076/CHIN.9.1.54.14499
Margit L. Bleecker, Fiona E. McNeill, Karen N. Lindgren, Valerie L. Masten, D.Patrick Ford, Relationship between bone lead and other indices of lead exposure in smelter workers Toxicology Letters. ,vol. 77, pp. 241- 248 ,(1995) , 10.1016/0378-4274(95)03303-3
Brian S. Schwartz, Byung-Kook Lee, Karen Bandeen-Roche, Walter Stewart, Karen Bolla, Jonathan Links, Virginia Weaver, Andrew Todd, Occupational lead exposure and longitudinal decline in neurobehavioral test scores. Epidemiology. ,vol. 16, pp. 106- 113 ,(2005) , 10.1097/01.EDE.0000147109.62324.51