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. 2020 Sep 8;128(9):097002. doi: 10.1289/EHP6803

Table 3.

Adjusted associations of verbal, performance, and full-scale intelligence quotient (VIQ, PIQ, and FSIQ) and metal biomarkers from multivariable linear regression models.

VIQ PIQ FSIQ
β (95% CI) β (95% CI) β (95% CI)
Biomarkera
 ln-Hair manganese 1.4 (3.2, 0.4) 0.2 (2.1, 1.6) 0.9 (2.7, 0.9)
 ln-Blood lead 0.04 (1.8, 1.7) 0.2 (2.0, 1.6) 0.1 (1.8, 1.6)
 ln-Hair chromium 0.04 (1.2, 1.2) 0.5 (0.7, 1.7) 0.3 (0.9, 1.5)
ln-Hair copper by tertileb
 Low 1.2 (3.7, 1.2) 0.2 (2.3, 2.8) 0.7 (3.1, 1.7)
 High 2.2 (4.7, 0.3) 1.0 (3.5, 1.6) 1.8 (4.3, 0.7)
ln-Hair manganese by copper tertile
 Low 0.6 (3.1, 1.9) 0.5 (3.1, 2.0) 0.4 (2.9, 2.0)
 High 2.5 (0.1, 4.9) 1.0 (1.5, 3.4) 2.6 (0.2, 4.9)
ln-Blood lead by copper tertile
 Low 2.1 (4.6, 0.3) 0.7 (2.3, 1.8) 1.5 (3.9, 1.0)
 High 0.2 (2.5, 2.2) 0.1 (2.3, 2.5) 0.3 (2.7, 2.0)

Note: Models were adjusted for sex, age, SES, hemoglobin, HOME score, and HOME score squared. Models are the following form: Y=β0+β1(ln Mn)+β2(ln Pb)+β3(low ln Cu)+β4(high ln Cu)+β5(ln Cr)+β6(ln Mn×low ln Cu)+β7(ln Mn×high ln Cu)+β8(ln Pb×low ln Cu)+β9(ln Pb×high ln Cu). CI, confidence interval; HOME, Home Observation Measurement of the Environment; SES, socioeconomic status.

a

β coefficients and 95% CIs averaged across 40 multiple imputed data sets. All metals concentrations were ln-transformed and standardized.

b

Cu tertiles were created from ln-transformed variable; untransformed values of tertiles are low tertile=1.727.83μg/g; middle tertile=7.8313.2μg/g; and high tertile=13.2191.0μg/g.