PMID- 9172087 OWN - NLM STAT- MEDLINE DCOM- 19970725 LR - 20190914 IS - 1076-2752 (Print) IS - 1076-2752 (Linking) VI - 39 IP - 5 DP - 1997 May TI - Curvilinear relationship between blood lead level and reaction time. Differential association with blood lead fractions derived from exogenous and endogenous sources. PG - 426-31 AB - Prior studies demonstrate an inconsistent relationship between occupational inorganic lead exposure and simple reaction time (SRT) performance. In this study, we administered a computerized SRT test to 78 currently employed lead smelter workers and then investigated the relationship between different measures of blood lead and components of SRT performance. The measures of blood lead included current blood lead (PbB) and mathematically derived blood lead fractions from the environment (PbB-env) and from bone (PbB-bn). Measures of SRT performance, obtained from 44 trials with interstimulus intervals (ISIs) ranging from 1 to 10 seconds, included median SRT (SRT-md), mean SRT for ISIs between 1 and 5 seconds (SRT-1-5), and mean SRT for ISIs between 6 and 10 seconds (SRT-6-10). Multiple regression analysis after adjustment for age and education revealed a curvilinear relationship between PbB and SRT-md. As PbB increased from 0 to 30 micrograms dl-1, SRT-md decreased, and only with PbB levels above 30 micrograms dl-1 did SRT-md increase. PbB terms accounted for 13.7% of the variance in this SRT measure (P < 0.01). The longer ISI variable, SRT-6-10, was found to be more strongly related to PbB, to have lesser variability across ISIs, and to be unrelated to age. Additional multiple regression analysis to examine the relationship between components of SRT and the PbB fractions, PbB-env and PbB-bn, showed only PbB-env to account for significant variance in SRT-md, (14.4%, P < 0.01), SRT-1-5 (9.7%, P < 0.03), and SRT-1-6 (15%, P < 0.01). We conclude that the relationship between PbB and SRT is U-shaped, that the SRT measure SRT-6-10 has properties that make it the preferred measure of SRT performance in future studies, and finally that only PbB-env, and not PbB-bn, is related to components of SRT. FAU - Bleecker, M L AU - Bleecker ML AD - Center for Occupational and Environmental Neurology, Baltimore, MD 21211, USA. FAU - Lindgren, K N AU - Lindgren KN FAU - Tiburzi, M J AU - Tiburzi MJ FAU - Ford, D P AU - Ford DP LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - United States TA - J Occup Environ Med JT - Journal of occupational and environmental medicine JID - 9504688 RN - 2P299V784P (Lead) SB - IM MH - Adult MH - Environmental Monitoring/methods MH - Factor Analysis, Statistical MH - Humans MH - Lead/*adverse effects/*blood/metabolism MH - Linear Models MH - Male MH - Middle Aged MH - Occupational Exposure/*adverse effects MH - Reaction Time/*drug effects MH - Regression Analysis MH - *Welding EDAT- 1997/05/01 00:00 MHDA- 1997/05/01 00:01 CRDT- 1997/05/01 00:00 PHST- 1997/05/01 00:00 [pubmed] PHST- 1997/05/01 00:01 [medline] PHST- 1997/05/01 00:00 [entrez] AID - 10.1097/00043764-199705000-00008 [doi] PST - ppublish SO - J Occup Environ Med. 1997 May;39(5):426-31. doi: 10.1097/00043764-199705000-00008.