1.
Biomarkers of environmental manganese exposure and associations with childhood neurodevelopment: a systematic review and meta-analysis.
Liu, W, Xin, Y, Li, Q, Shang, Y, Ping, Z, Min, J, Cahill, CM, Rogers, JT, Wang, F
Environmental health : a global access science source. 2020;(1):104
Abstract
BACKGROUND Although prior studies showed a correlation between environmental manganese (Mn) exposure and neurodevelopmental disorders in children, the results have been inconclusive. There has yet been no consistent biomarker of environmental Mn exposure. Here, we summarized studies that investigated associations between manganese in biomarkers and childhood neurodevelopment and suggest a reliable biomarker. METHODS We searched PubMed and Web of Science for potentially relevant articles published until December 31th 2019 in English. We also conducted a meta-analysis to quantify the effects of manganese exposure on Intelligence Quotient (IQ) and the correlations of manganese in different indicators. RESULTS Of 1754 citations identified, 55 studies with 13,388 subjects were included. Evidence from cohort studies found that higher manganese exposure had a negative effect on neurodevelopment, mostly influencing cognitive and motor skills in children under 6 years of age, as indicated by various metrics. Results from cross-sectional studies revealed that elevated Mn in hair (H-Mn) and drinking water (W-Mn), but not blood (B-Mn) or teeth (T-Mn), were associated with poorer cognitive and behavioral performance in children aged 6-18 years old. Of these cross-sectional studies, most papers reported that the mean of H-Mn was more than 0.55 μg/g. The meta-analysis concerning H-Mn suggested that a 10-fold increase in hair manganese was associated with a decrease of 2.51 points (95% confidence interval (CI), - 4.58, - 0.45) in Full Scale IQ, while the meta-analysis of B-Mn and W-Mn generated no such significant effects. The pooled correlation analysis revealed that H-Mn showed a more consistent correlation with W-Mn than B-Mn. Results regarding sex differences of manganese associations were inconsistent, although the preliminary meta-analysis found that higher W-Mn was associated with better Performance IQ only in boys, at a relatively low water manganese concentrations (most below 50 μg/L). CONCLUSIONS Higher manganese exposure is adversely associated with childhood neurodevelopment. Hair is the most reliable indicator of manganese exposure for children at 6-18 years of age. Analysis of the publications demonstrated sex differences in neurodevelopment upon manganese exposure, although a clear pattern has not yet been elucidated for this facet of our study.
2.
Associations of welding and manganese exposure with Parkinson disease: review and meta-analysis.
Mortimer, JA, Borenstein, AR, Nelson, LM
Neurology. 2012;(11):1174-80
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Abstract
OBJECTIVE To examine associations of welding and manganese exposure with Parkinson disease (PD) using meta-analyses of data from cohort, case-control, and mortality studies. METHODS Epidemiologic studies related to welding or manganese exposure and PD were identified in a PubMed search, article references, published reviews, and abstracts. Inclusion criteria were 1) cohort, case-control, or mortality study with relative risk (RR), odds ratio (OR), or mortality OR (MOR) and 95 confidence intervals (95% CI); 2) RR, OR, and MOR matched or adjusted for age and sex; 3) valid study design and analysis. When participants of a study were a subgroup of those in a larger study, only results of the larger study were included to assure independence of datasets. Pooled RR/OR estimates and 95% CIs were obtained using random effects models; heterogeneity of study effects were evaluated using the Q statistic and I(2) index in fixed effect models. RESULTS Thirteen studies met inclusion criteria for the welding meta-analysis and 3 studies for the manganese exposure meta-analysis. The pooled RR for the association between welding and PD for all study designs was 0.86 (95% CI 0.80-0.92), with absence of between-study heterogeneity (I(2) = 0.0). Effect measures for cohort, case-control, and mortality studies were similar (0.91, 0.82, 0.87). For the association between manganese exposure and PD, the pooled OR was 0.76 (95% CI 0.41-1.42). CONCLUSIONS Welding and manganese exposure are not associated with increased PD risk. Possible explanations for the inverse association between welding and PD include confounding by smoking, healthy worker effect, and hormesis.
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Manganese, iron, and total particulate exposures to welders.
Flynn, MR, Susi, P
Journal of occupational and environmental hygiene. 2010;(2):115-26
Abstract
Welders are exposed to a variety of metal fumes, including manganese, that may elevate the risk for neurological disease. This study examines several large data sets to characterize manganese, iron, and total particulate mass exposures resulting from welding operations. The data sets contained covariates for a variety of exposure modifiers, including the presence of ventilation, the degree of confinement, and the location of the personal sampler (i.e., behind or in front of the welding helmet). The analysis suggests that exposures to manganese are frequently at or above the current ACGIH(R) threshold limit value of 0.2 mg/m(3). In addition, there is evidence that local exhaust ventilation can control the exposures to manganese and total fume but that mechanical ventilation may not. The data suggest that higher exposures are associated with a greater degree of enclosure, particularly when local exhaust ventilation is absent. Samples taken behind the helmet were, in general, lower than those measured outside of it. There were strong correlations among manganese, iron, and total particulate mass exposures, suggesting simple equations to estimate one fume component from any of the others.