Meta AnalysisID 1588

铅和/或镉暴露与心血管疾病风险:系统评价与Meta分析

CRD42022355534

Does lead and cadmium exposure increase the risk for cardiovascular disease?

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Record Fields

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Meta Analysis Id
1588
Evidence Id
10146
Core Evidence Id
10146
Source Meta Analysis Id
1543
Herb2 Meta Analysis Id
HBMA001543
Crd Id
CRD42022355534
Title
Exposure to Lead and/or Cadmium and Cardiovascular Disease Risk: A Systematic Review and Meta-analysis
Review Question
Does lead and cadmium exposure increase the risk for cardiovascular disease?
Study Type Included
All peer-reviewed cohort studies that discuss the association between chronic lead and/or cadmium exposure and cardiovascular outcomes, will be included.
Condition Being Studied
Cardiovascular diseases have remained the leading cause of mortality worldwide for the last few decades (Roth et al. 2020). Several factors are contributing to cardiovascular health including patient demographics, related medical conditions and risk factors, and social determinants of health (Anonymous 2014; Powell-Wiley et al. 2022). These social determinants of health include environmental factors such as exposure to environmental metals (lead, cadmium, mercury, and copper). Growing evidence points toward its effect on cardiovascular health outcomes including coronary artery disease and stroke (Chowdhury et al. 2018; Nigra et al. 2016; Yang et al. 2021).
Participant
Inclusion criteria: • Articles discussing the association between chronic lead and/or cadmium exposure and cardiovascular outcomes (coronary artery disease, peripheral artery disease, and heart failure). • Study design will be restricted to cohort studies for assessment of the causal relationship and to reduce the heterogeneity as a result of various study designs. • No restriction on the date of publication or country. • No restriction on population age, sex, race, or country. • No restriction on the method of reporting the outcomes. • No restriction on the language of publication. Exclusion criteria: • Concurrent or exclusive exposure to other heavy metals (e.g., cobalt, mercury, aluminum, arsenic) will be excluded. • Non-peer reviewed articles will be excluded, including correspondence, letters to editor, opinions, comments, and author response. • Abstract-only articles, reviews, theses, books, or conference articles/proceedings. • In-vitro or animal studies. • Duplicate or overlapping data. • Articles with unreachable or unavailable full texts.
Animal
Human Disease Modelled
Intervention
Chronic lead and/or cadmium exposure. This exposure should be measured in humans either using serum, urine, hair, or other methods.
Comparator Control
Comparators will differ across studies depending on the study design and the method of measuring the heavy metal in the blood. Control is defined as participants from those studies who were not exposed to lead or cadmium.
Main Outcome
- Cardiovascular diseases, including coronary artery disease, peripheral artery disease, and heart failure. Other cardiovascular outcomes (e.g., stroke, arrhythmia) will be excluded. Outcomes reporting could be self-reported, extracted from medical records, or collected by the investigators.
Outcome Measure
Additional Outcome
- If the number of studies reporting adjusted odds is sufficient to conduct a meta-analysis, adjusted odds of cardiovascular diseases, including coronary artery disease, peripheral artery disease, and heart failure will be estimated.
Study Method
Meta-analysis, Systematic review
Keyword
Cadmium; Cardiovascular Diseases; Environmental Exposure; Humans
Contact
Jay E. Maddock [email protected]
Organisational Affiliation
Funding Source
No funding was received for this project
Other Selection Criteria
Final Publication
Same Topic Review
Not applicable
Published Protocol
Review Type
Language
English
Country
Egypt, England, Japan, United States of America, Vietnam
Review Stage
Review Ongoing
First Submission Date
2022-08-30
Registration Date
2022-09-10
Anticipated Start Date
2022-04-14
Anticipated Completion Date
2022-12-31
Title Cn
铅和/或镉暴露与心血管疾病风险:系统评价与Meta分析
Title En
Exposure to Lead and/or Cadmium and Cardiovascular Disease Risk: A Systematic Review and Meta-analysis
Bilingual Status
complete