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

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AX6-228<br />

Table 6-9.2 (cont’d). Effects <strong>of</strong> <strong>Lead</strong> on Biochemical Effects in Adults<br />

Reference, Study<br />

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

Asia (cont’d)<br />

Makino et al. (1997)<br />

Japan<br />

1990–1994<br />

Morita et al. (1997)<br />

Japan<br />

NR<br />

Oishi et al. (1996)<br />

Japan<br />

NR<br />

Design: longitudinal survey<br />

Subjects: adult male pigment or vinyl chloride<br />

stabilizer manufacture workers (n = 1573)<br />

mean age 45 yr<br />

Outcome measures: blood Hgb, Hct,<br />

RBC count<br />

Analysis: parametric comparison <strong>of</strong> outcome<br />

measures, stratified by blood Pb, linear<br />

regression<br />

Design: cross-sectional cohort<br />

Subjects: male Pb workers (n = 76), mean age<br />

42 yr (range 21–62); reference subjects<br />

(n = 13, 6 females), mean age, males 41 yr<br />

(range 26–52), females 45 yr (range 16–61)<br />

Outcome measures: blood NADS, ALAD<br />

Analysis: comparison <strong>of</strong> outcome measures<br />

(ANOVA) between blood Pb categories, linear<br />

regression<br />

Design: cross-sectional<br />

Subjects: adult glass and pigment manufacture<br />

workers (n = 418, 165 females), mean age 33<br />

yr (range 18–58); reference workers (n = 227,<br />

89 females), mean age 30 yr (range 17–59)<br />

Outcome measures: plasma ALA, urinary<br />

ALA<br />

Analysis: linear regression, correlation<br />

Blood Pb (µg/dL) mean<br />

(SD, range):<br />

12.6 (2.0, 1–39)<br />

Urine Pb (µg/L) mean<br />

(SD, range):<br />

10.2 (2.7, 1–239)<br />

Blood Pb (µg/dL) mean<br />

(SD, range)<br />

Pb: 34.6 (20.7, 2.2–81.6)<br />

Blood Pb (µg/dL) mean<br />

(SD, range):<br />

Pb: 48.5 (17.0, 10.3–99.4<br />

Reference: 9.6 (3.3, 3.8–<br />

20.4)<br />

Significantly higher (p < 0.001) Hct, blood Hgb and RBC count in<br />

blood Pb category 16–39 µg/dL, compared to 1–15 µg/dL<br />

category.<br />

Significant positive correlation between blood Pb concentration<br />

and Hct: ∀ = 42.95, ∃ = 0.0586 (r = 0.1553, p < 0.001), blood<br />

Hgb: ∀ = 14.65, ∃ = 0.0265 (r = 0.1835, p < 0.001) and RBC<br />

count ∀ = 457, ∃ = 0.7120 (r = 0.1408, p < 0.001).<br />

Significantly lower (p < 0.01) blood NADS and ALAD in blood Pb<br />

categories >20 µg/dL compared to

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