Table 1 Description of the studies.

From: Association between blood lead levels and markers of calcium homeostasis: a systematic review and meta-analysis

Study

Country

Outcome parameters reported

Sample Size (n) [Exposed: controls]

Age in years (mean ± SD) [Exposed Vs Controls]

Serum Ca levels in mg/dl (mean ± SD) [Exposed Vs Controls]

Duration of Pb exposure (in years) [mean ± SD]

Exposure to other heavy metals

Industry type of exposed

Akbal et al.5

Turkey

PTH, Calcitriol, UDP* HYP* and OC

30 : 32

39.4 ± 8.7 Vs 37.9 ± 8.2

NA

NA

NA

Lead batteries,

Anetor et al.3

Nigeria

Ca*

86 : 51

NA

8.9 ± 0.76 Vs 9.26 ± 0.56

NA

Copper

Lead factory

Anetor et al.6

Nigeria

Ca

47 : 25

33 ± 8.2 Vs. 36 ± 2.5

9.1 ± 0.36 Vs 9.7 ± 0.28

NA

Magnesium

Welding (n = 9), Printing (n = 10), Paint (n = 14) and Battery (n = 14)

Batra et al.4

India

Ca*, PTH*, Vit-D*

80 : 80

30.9 ± 5.75 Vs. 30.2 ± 6.01

8.35 ± 0.42 Vs 9.33 ± 0.47

8.57 ± 3.81

NA

Lead battery

Dongre et al.7

India

Ca, PTH, Vit-D

90 : 30

Range: 20 to 45

8.3 ± 0..7 Vs 9.99 ± 0.43

30 each with 1–5, 6–10 and > 10 years

NA

Lead battery

Estela Kristal Boneh et al.8

Israel

Ca, PTH, Vit-D, Calcitriol*

56 : 90

43.4 ± 11.2 Vs. 41.5 ± 9.3

9.7 ± 0.5 Vs 9.9 ± 0.4

5.3 ± 4.0

Magnesium

Lead battery and recycling

Himani et al.28

India

Ca*, Vit-D*

100 : 100

32.6 ± 10.3 Vs. 34.7 ± 7.9

8.8 ± 0.5 Vs 9.1 ± 0.8

14.8 ± 9.5

NA

Lead battery

Mazumder et al.29

Bangladesh

Ca*, PTH*, Vit-D*

47 : 42

NA

7.7 ± 2.6 Vs 9.8 ± 1.8

NA

NA

Jewellery

Osterode et al.9

Austria

Ca

12 : 12

42.8 ± 5.0 Vs. 40.1 ± 5.0

9.37 ± 0.35 Vs 9.58 ± 0.52

NA

NA

Pb smelting

Pizent et al.14

Croatia

Ca*

143 : 156

34 Vs. 35

9.98 ± 12.47 Vs 9.46 ± 8.94

8 (range 2–34)

Cadmium

Lead battery

Wang et al.13

China

Ca*

146 : 121

35.8 Vs. 34.9

17.6 ± 6 Vs 18.48 ± 5.5

NA

Copper

Electronic waste

  1. Ca Calcium, HYP hydroxyproline, NA Not available, OC osteocalcine, PTH parathyroid hormone, UDP Urinary deoxypyridinoline, Vit-D Vitamin D.
  2. *Studies reporting significant difference between the occupationally Pb exposed group and control group.