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

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AX6-81<br />

Table AX6-4.2. Renal Effects <strong>of</strong> <strong>Lead</strong> in the Occupational Population<br />

Reference, Study<br />

Location, and<br />

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

United States<br />

Smith et al. (1995)<br />

U.S.<br />

Study date not<br />

provided<br />

Europe<br />

Bergdahl et al. (1997)<br />

Sweden<br />

Study date not<br />

provided<br />

691 construction workers.<br />

96 participants with the ALAD2 allele.<br />

89 Pb workers; 7 had the ALAD2 allele.<br />

34 controls; 10 had the ALAD2 allele.<br />

Mean blood Pb<br />

7.8 µg/dL (ALAD11)<br />

7.7 µg/dL (ALAD12 or 22)<br />

Median blood Pb<br />

31.1 µg/dL in Pb workers<br />

with ALAD11<br />

28.8 µg/dL in Pb workers<br />

with ALAD12 or 22<br />

3.7 µg/dL in control workers<br />

with ALAD11<br />

3.7 µg/dL in control workers<br />

with ALAD12 or 22<br />

Higher mean BUN (p = 0.03) in participants with the<br />

ALAD2 allele compared to those with the ALAD11<br />

genotype. However, after adjustment <strong>for</strong> age, alcohol<br />

ingestion, and blood Pb, the association was no longer<br />

significant. Effect modification was not evaluated.<br />

Higher crude mean serum creatinine (p = 0.11) in<br />

participants with the ALAD2 allele compared to those<br />

with the ALAD11 genotype. Adjusted data not presented.

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