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Air Quality Criteria for Lead Volume II of II - (NEPIS)(EPA) - US ...

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AX6-41<br />

Table AX6-3.3 (cont’d). Neurobehavioral Effects Associated with Occupational <strong>Lead</strong> Exposure in Adults<br />

Reference, Study<br />

Location, and Period Study Description Pb Measurement Findings, Interpretation<br />

Europe (cont’d)<br />

_sterberg et al. (1997)<br />

Sweden<br />

38 workers, median age 42 (no range) yrs at<br />

a secondary smelter stratified by finger bone<br />

Pb concentration and along with 19 controls<br />

matched triplets <strong>for</strong> age, education and job<br />

level. Median yrs employed 10 (2-35).<br />

High bone Pb<br />

Median (range) bone 32<br />

(17-101) µg/g<br />

Median (range) blood Pb<br />

38 (19-50) µg/dL<br />

Median (range) peak blood<br />

Pb 63 (46-90) µg/dL<br />

Median (range) IBL 408<br />

(129-1659) µg·yr/dL<br />

Low bone Pb<br />

Median (range) bone 16<br />

(!7 to 49) µg/g<br />

Median (range) blood Pb<br />

34 (17-55) µg/dL<br />

Median (range) peak blood<br />

Pb 57 (34-78) µg/dL<br />

Median (range) IBL 250<br />

(47-835) µg·yr/dL<br />

Controls<br />

Median (range) bone 4<br />

(!19 to 18) µg/g<br />

Median (range) blood Pb 4<br />

(1-7) µg/dL<br />

A cognitive test battery (36 tests) covering learning and memory,<br />

visuomotor function, visuospatial function, concentration and<br />

sustained attention found no impairment or dose-response<br />

relationships with any <strong>of</strong> the markers <strong>of</strong> Pb exposure. Deviating test<br />

scores (belong to 10% lowest reference norms) were less in high<br />

bone Pb (1 vs. 4 vs. 4). None <strong>of</strong> the deviating parameters were<br />

significantly correlated with any <strong>of</strong> the Pb indices. Even when age<br />

was taken into account the significant associations between outcome<br />

and Pb exposure metrics did not exceed chance in light <strong>of</strong> the<br />

numerous analyses per<strong>for</strong>med. These were the most heavily Pbexposed<br />

workers in Sweden. It was unusual that the 2 visuomotor<br />

tasks significantly different had better per<strong>for</strong>mance in the Pbexposed<br />

workers compared to the controls.

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