The Relationship Between the Level of Copper, Lead, Mercury and Autism Disorders: A Meta-Analysis

Hamed Jafari Mohammadabadi1 *,* Aryoobarzan Rahmatian2 *,* Fatemeh Sayehmiri,3 Mohammad Rafiei4 1School of Medicine, Shiraz University of Medical Sciences, Shiraz, Fars, Iran; 2Faculty of Medicine, Ilam University of Medical Sciences, Ilam, Iran; 3Student Research Committee, School of Medicine, Shah...

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Main Authors: Jafari Mohammadabadi H, Rahmatian A, Sayehmiri F, Rafiei M
Format: Article
Language:English
Published: Dove Medical Press 2020-09-01
Series:Pediatric Health, Medicine and Therapeutics
Subjects:
Online Access:https://www.dovepress.com/the-relationship-between-the-level-of-copper-lead-mercury-and-autism-d-peer-reviewed-article-PHMT
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author Jafari Mohammadabadi H
Rahmatian A
Sayehmiri F
Rafiei M
author_facet Jafari Mohammadabadi H
Rahmatian A
Sayehmiri F
Rafiei M
author_sort Jafari Mohammadabadi H
collection DOAJ
description Hamed Jafari Mohammadabadi1 *,* Aryoobarzan Rahmatian2 *,* Fatemeh Sayehmiri,3 Mohammad Rafiei4 1School of Medicine, Shiraz University of Medical Sciences, Shiraz, Fars, Iran; 2Faculty of Medicine, Ilam University of Medical Sciences, Ilam, Iran; 3Student Research Committee, School of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran; 4Department of Biostatistics and Epidemiology, Arak University of Medical Sciences, Arak, Iran*These authors contributed equally to this workCorrespondence: Mohammad RafieiDepartment of Biostatistics and Epidemiology, Arak University of Medical Sciences, Arak 3819693345, IranTel +98 1988637445Email rafeie@arakmu.ac.irBackground and Objectives: There is a likelihood of a possible relationship between the concentrations of copper, lead, and mercury and autism. The present review was carried out to determine the relationship between the concentrations of these elements and autism by meta-analysis.Methods: In this study, searching Scopus, PubMed, and Science Direct databases, 18 articles conducted in different countries from 1982 to 2019 were collected. Studies’ heterogeneity was investigated using the I2 index. The data were analyzed using R and STATA software.Results: In these 18 studies, 1797 patients (981 cases and 816 controls) aged 2 to 16 years were examined. Concentration of the samples (blood, hair, and nails) for both case and control groups was evaluated. There was no significant relationship between copper concentration and autism (SMD (95% CI): 0.02 (− 1.16,1.20); I2=97.7%; P=0.972); there was a significant relationship between mercury concentration and autism (SMD (95% CI): 1.96 (0.56,3.35); I2=98.6%; P=0.006); there was also a significant relationship between lead concentration and autism (SMD (95% CI): 2.81 (1.64,3.98); I2=97.8%; P=0.000).Conclusion: There is, nevertheless, a significant relationship between mercury concentration and autism. Thus, the concentration of mercury can be listed as a pathogenic cause (disease-causing) for autism.Keywords: autism, copper, lead, mercury, meta-analysis
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spelling doaj.art-0f200996a7784f0a99918633c868b6712022-12-21T19:10:34ZengDove Medical PressPediatric Health, Medicine and Therapeutics1179-99272020-09-01Volume 1136937857192The Relationship Between the Level of Copper, Lead, Mercury and Autism Disorders: A Meta-AnalysisJafari Mohammadabadi HRahmatian ASayehmiri FRafiei MHamed Jafari Mohammadabadi1 *,* Aryoobarzan Rahmatian2 *,* Fatemeh Sayehmiri,3 Mohammad Rafiei4 1School of Medicine, Shiraz University of Medical Sciences, Shiraz, Fars, Iran; 2Faculty of Medicine, Ilam University of Medical Sciences, Ilam, Iran; 3Student Research Committee, School of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran; 4Department of Biostatistics and Epidemiology, Arak University of Medical Sciences, Arak, Iran*These authors contributed equally to this workCorrespondence: Mohammad RafieiDepartment of Biostatistics and Epidemiology, Arak University of Medical Sciences, Arak 3819693345, IranTel +98 1988637445Email rafeie@arakmu.ac.irBackground and Objectives: There is a likelihood of a possible relationship between the concentrations of copper, lead, and mercury and autism. The present review was carried out to determine the relationship between the concentrations of these elements and autism by meta-analysis.Methods: In this study, searching Scopus, PubMed, and Science Direct databases, 18 articles conducted in different countries from 1982 to 2019 were collected. Studies’ heterogeneity was investigated using the I2 index. The data were analyzed using R and STATA software.Results: In these 18 studies, 1797 patients (981 cases and 816 controls) aged 2 to 16 years were examined. Concentration of the samples (blood, hair, and nails) for both case and control groups was evaluated. There was no significant relationship between copper concentration and autism (SMD (95% CI): 0.02 (− 1.16,1.20); I2=97.7%; P=0.972); there was a significant relationship between mercury concentration and autism (SMD (95% CI): 1.96 (0.56,3.35); I2=98.6%; P=0.006); there was also a significant relationship between lead concentration and autism (SMD (95% CI): 2.81 (1.64,3.98); I2=97.8%; P=0.000).Conclusion: There is, nevertheless, a significant relationship between mercury concentration and autism. Thus, the concentration of mercury can be listed as a pathogenic cause (disease-causing) for autism.Keywords: autism, copper, lead, mercury, meta-analysishttps://www.dovepress.com/the-relationship-between-the-level-of-copper-lead-mercury-and-autism-d-peer-reviewed-article-PHMTautismcopperleadmercurymeta-analysis
spellingShingle Jafari Mohammadabadi H
Rahmatian A
Sayehmiri F
Rafiei M
The Relationship Between the Level of Copper, Lead, Mercury and Autism Disorders: A Meta-Analysis
Pediatric Health, Medicine and Therapeutics
autism
copper
lead
mercury
meta-analysis
title The Relationship Between the Level of Copper, Lead, Mercury and Autism Disorders: A Meta-Analysis
title_full The Relationship Between the Level of Copper, Lead, Mercury and Autism Disorders: A Meta-Analysis
title_fullStr The Relationship Between the Level of Copper, Lead, Mercury and Autism Disorders: A Meta-Analysis
title_full_unstemmed The Relationship Between the Level of Copper, Lead, Mercury and Autism Disorders: A Meta-Analysis
title_short The Relationship Between the Level of Copper, Lead, Mercury and Autism Disorders: A Meta-Analysis
title_sort relationship between the level of copper lead mercury and autism disorders a meta analysis
topic autism
copper
lead
mercury
meta-analysis
url https://www.dovepress.com/the-relationship-between-the-level-of-copper-lead-mercury-and-autism-d-peer-reviewed-article-PHMT
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