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. 2002 Nov;59(11):734–738. doi: 10.1136/oem.59.11.734

Lead induced increase of blood pressure in female lead workers

K Nomiyama 1, H Nomiyama 1, S Liu 1, Y Tao 1, T Nomiyama 1, K Omae 1
PMCID: PMC1740230  PMID: 12409531

Abstract

Aims: Although lead exposure has, in the absence of mathematical modelling, been believed to elevate blood pressure in females, it is necessary to clarify the relation between lead and blood pressure by eliminating confounding factors in the analysis.

Methods: Blood lead was measured in 193 female workers, including 123 lead exposed workers. Possible confounding factors were controlled by multiple regression analyses.

Results and Conclusion: Blood lead above 40 µg/dl was found to be the most potent factor for elevating systolic/diastolic blood pressure. Aging, urine protein, and plasma triglyceride also contributed to systolic/diastolic/pulse pressure increase, but hypertensive heredity did not. Data suggested that lead induced changes in lipoprotein metabolism may play an important role in the lead induced blood pressure increase in female workers.

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Selected References

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  1. Bener A., Obineche E., Gillett M., Pasha M. A., Bishawi B. Association between blood levels of lead, blood pressure and risk of diabetes and heart disease in workers. Int Arch Occup Environ Health. 2001 Jul;74(5):375–378. doi: 10.1007/s004200100231. [DOI] [PubMed] [Google Scholar]
  2. Cheng Y., Schwartz J., Sparrow D., Aro A., Weiss S. T., Hu H. Bone lead and blood lead levels in relation to baseline blood pressure and the prospective development of hypertension: the Normative Aging Study. Am J Epidemiol. 2001 Jan 15;153(2):164–171. doi: 10.1093/aje/153.2.164. [DOI] [PubMed] [Google Scholar]
  3. Dally S., Danan M., Buisine A., Hispard E., Girre C., Fournier P. E. Elévation de la plombémie au cours de l'alcoolisme. Relation avec la pression artérielle. Presse Med. 1986 Jun 28;15(26):1227–1229. [PubMed] [Google Scholar]
  4. Ehrlich R., Robins T., Jordaan E., Miller S., Mbuli S., Selby P., Wynchank S., Cantrell A., De Broe M., D'Haese P. Lead absorption and renal dysfunction in a South African battery factory. Occup Environ Med. 1998 Jul;55(7):453–460. doi: 10.1136/oem.55.7.453. [DOI] [PMC free article] [PubMed] [Google Scholar]
  5. Fukaya Y., Ohno Y., Matsumoto T., Arafuka M. [Blood lead and blood pressure--an analysis of health examination materials in two companies for lead poisoning]. Nihon Eiseigaku Zasshi. 1987 Aug;42(3):754–761. doi: 10.1265/jjh.42.754. [DOI] [PubMed] [Google Scholar]
  6. Harlan W. R., Landis J. R., Schmouder R. L., Goldstein N. G., Harlan L. C. Blood lead and blood pressure. Relationship in the adolescent and adult US population. JAMA. 1985 Jan 25;253(4):530–534. doi: 10.1001/jama.253.4.530. [DOI] [PubMed] [Google Scholar]
  7. Harlan W. R. The relationship of blood lead levels to blood pressure in the U.S. population. Environ Health Perspect. 1988 Jun;78:9–13. doi: 10.1289/ehp.88789. [DOI] [PMC free article] [PubMed] [Google Scholar]
  8. Ho S. F., Sam C. T., Embi G. B. Lead exposure in the lead-acid storage battery manufacturing and PVC compounding industries. Occup Med (Lond) 1998 Sep;48(6):369–373. doi: 10.1093/occmed/48.6.369. [DOI] [PubMed] [Google Scholar]
  9. Lilis R., Valciukas J. A., Kon S., Sarkosi L., Campbell C., Selikoff I. J. Assessment of lead health hazards in a body shop of an automobile assembly plant. Am J Ind Med. 1982;3(1):33–51. doi: 10.1002/ajim.4700030107. [DOI] [PubMed] [Google Scholar]
  10. Navah U., Froom P., Kristal-Boneh E., Moschovitch B., Ribak J. Relationship of blood lead levels to blood pressure in battery workers. Arch Environ Health. 1996 Jul-Aug;51(4):324–328. doi: 10.1080/00039896.1996.9936033. [DOI] [PubMed] [Google Scholar]
  11. Neri L. C., Hewitt D., Orser B. Blood lead and blood pressure: analysis of cross-sectional and longitudinal data from Canada. Environ Health Perspect. 1988 Jun;78:123–126. doi: 10.1289/ehp.8878123. [DOI] [PMC free article] [PubMed] [Google Scholar]
  12. Nordberg M., Winblad B., Fratiglioni L., Basun H. Lead concentrations in elderly urban people related to blood pressure and mental performance: results from a population-based study. Am J Ind Med. 2000 Sep;38(3):290–294. doi: 10.1002/1097-0274(200009)38:3<290::aid-ajim7>3.0.co;2-t. [DOI] [PubMed] [Google Scholar]
  13. Oishi H., Nomiyama H., Nomiyama K., Tomokuni K. Comparison between males and females with respect to the porphyrin metabolic disorders found in workers occupationally exposed to lead. Int Arch Occup Environ Health. 1996;68(5):298–304. doi: 10.1007/BF00409414. [DOI] [PubMed] [Google Scholar]
  14. Pocock S. J., Shaper A. G., Ashby D., Delves T., Whitehead T. P. Blood lead concentration, blood pressure, and renal function. Br Med J (Clin Res Ed) 1984 Oct 6;289(6449):872–874. doi: 10.1136/bmj.289.6449.872. [DOI] [PMC free article] [PubMed] [Google Scholar]
  15. Rabinowitz M., Bellinger D., Leviton A., Needleman H., Schoenbaum S. Pregnancy hypertension, blood pressure during labor, and blood lead levels. Hypertension. 1987 Oct;10(4):447–451. doi: 10.1161/01.hyp.10.4.447. [DOI] [PubMed] [Google Scholar]
  16. Restek-Samarzija N., Momcilović B. Delayed effects of lead on the kidney--factor analysis. Arh Hig Rada Toksikol. 1993 Mar;44(1):9–20. [PubMed] [Google Scholar]
  17. Revis N. W., Major T. C., Horton C. Y. The effects of calcium, magnesium, lead, or cadmium on lipoprotein metabolism and atherosclerosis in the pigeon. J Environ Pathol Toxicol. 1980 Sep;4(2-3):293–303. [PubMed] [Google Scholar]
  18. Sroczyński J., Zajusz K., Kossmann S., Wegiel A. The effect of experimental lead poisoning on the development of atherosclerosis. Pol Med J. 1968;7(1):196–201. [PubMed] [Google Scholar]
  19. Sroczyński J., Zajusz K., Kossmann S., Wegiel A. Wpływ doświadczalnego zatrucia ołowiem na rozwój miazdzycy. Pol Arch Med Wewn. 1967;38(5):641–646. [PubMed] [Google Scholar]
  20. Staessen J. Low-level lead exposure, renal function and blood pressure. Verh K Acad Geneeskd Belg. 1995;57(6):527–574. [PubMed] [Google Scholar]
  21. Tarugi P., Calandra S., Borella P., Vivoli G. F. Heavy metals and experimental atherosclerosis. Effect of lead intoxication on rabbit plasma lipoproteins. Atherosclerosis. 1982 Nov;45(2):221–234. doi: 10.1016/0021-9150(82)90140-x. [DOI] [PubMed] [Google Scholar]
  22. Wedeen R. P. Bone lead, hypertension, and lead nephropathy. Environ Health Perspect. 1988 Jun;78:57–60. doi: 10.1289/ehp.887857. [DOI] [PMC free article] [PubMed] [Google Scholar]
  23. Wu T. N., Shen C. Y., Ko K. N., Guu C. F., Gau H. J., Lai J. S., Chen C. J., Chang P. Y. Occupational lead exposure and blood pressure. Int J Epidemiol. 1996 Aug;25(4):791–796. doi: 10.1093/ije/25.4.791. [DOI] [PubMed] [Google Scholar]
  24. Wu T. N., Shen C. Y., Lai J. S., Goo C. F., Ko K. N., Chi H. Y., Chang P. Y., Liou S. H. Effects of lead and noise exposures on hearing ability. Arch Environ Health. 2000 Mar-Apr;55(2):109–114. doi: 10.1080/00039890009603396. [DOI] [PubMed] [Google Scholar]

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