{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,10]],"date-time":"2026-08-10T13:31:11Z","timestamp":1786368671356,"version":"build-2736575974"},"reference-count":60,"publisher":"Elsevier BV","license":[{"start":{"date-parts":[[2025,11,1]],"date-time":"2025-11-01T00:00:00Z","timestamp":1761955200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2025,11,1]],"date-time":"2025-11-01T00:00:00Z","timestamp":1761955200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2025,8,27]],"date-time":"2025-08-27T00:00:00Z","timestamp":1756252800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/100000066","name":"National Institute of Environmental Health Sciences","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100000066","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000061","name":"National Institutes of Health Fogarty International Center","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100000061","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Environmental Research"],"published-print":{"date-parts":[[2025,11]]},"DOI":"10.1016\/j.envres.2025.122708","type":"journal-article","created":{"date-parts":[[2025,8,27]],"date-time":"2025-08-27T15:27:45Z","timestamp":1756308465000},"page":"122708","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":1,"special_numbering":"P5","title":["Prenatal exposure to metals and metal mixtures influences birth weight in affected populations in the Republic of Suriname, South America"],"prefix":"10.1016","volume":"285","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6216-9894","authenticated-orcid":false,"given":"Jeffrey K.","family":"Wickliffe","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0008-6020-8715","authenticated-orcid":false,"given":"Ihsan E.","family":"Buker","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cassandra","family":"Newsom","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hannah H.","family":"Covert","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4080-3858","authenticated-orcid":false,"given":"Wilco","family":"Zijlmans","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1062-8670","authenticated-orcid":false,"given":"Firoz","family":"Abdoel Wahid","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maureen Y.","family":"Lichtveld","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ashna D.","family":"Hindori-Mohangoo","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anisma","family":"Gokoel","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gaitree","family":"Baldewsingh","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0810-298X","authenticated-orcid":false,"given":"Martin","family":"Shafer","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0000-4572-0835","authenticated-orcid":false,"given":"Christa","family":"Zaborske","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9133-875X","authenticated-orcid":false,"given":"Patrick J.","family":"Parsons","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christopher D.","family":"Palmer","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Melissa J.","family":"Smith","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"key":"10.1016\/j.envres.2025.122708_bib1","doi-asserted-by":"crossref","first-page":"911","DOI":"10.1038\/s41370-023-00526-0","article-title":"Geographic differences in exposures to metals and essential elements in pregnant women living in Suriname","volume":"33","author":"Abdoel Wahid","year":"2023","journal-title":"J. Expo. Sci. Environ. Epidemiol."},{"key":"10.1016\/j.envres.2025.122708_bib2","doi-asserted-by":"crossref","first-page":"5","DOI":"10.1093\/epirev\/mxq001","article-title":"Maternal nutrition and birth outcomes","volume":"32","author":"Abu-Saad","year":"2010","journal-title":"Epidemiol. Rev."},{"key":"10.1016\/j.envres.2025.122708_bib3","doi-asserted-by":"crossref","first-page":"205","DOI":"10.1016\/j.ijheh.2013.04.009","article-title":"Birth outcome measures and maternal exposure to heavy metals (lead, cadmium and mercury) in Saudi Arabian population","volume":"217","author":"Al-Saleh","year":"2014","journal-title":"Int. J. Hyg Environ. Health"},{"key":"10.1016\/j.envres.2025.122708_bib4","doi-asserted-by":"crossref","first-page":"876","DOI":"10.1016\/j.ijheh.2018.05.015","article-title":"Maternal and cord blood manganese (Mn) levels and birth weight: the MIREC birth cohort study","volume":"221","author":"Ashley-Martin","year":"2018","journal-title":"Int. J. Hyg Environ. Health"},{"key":"10.1016\/j.envres.2025.122708_bib5","doi-asserted-by":"crossref","DOI":"10.1016\/j.envint.2020.105606","article-title":"Maternal blood metal and metalloid concentrations in association with birth outcomes in Northern Puerto Rico","volume":"138","author":"Ashrap","year":"2020","journal-title":"Environ. Int."},{"key":"10.1016\/j.envres.2025.122708_bib6","doi-asserted-by":"crossref","first-page":"6370","DOI":"10.3390\/ijerph18126370","article-title":"Association of mercury exposure and maternal sociodemographics on birth outcomes of Indigenous and tribal women in Suriname","volume":"18","author":"Baldewsingh","year":"2021","journal-title":"Int. J. Environ. Res. Publ. Health"},{"key":"10.1016\/j.envres.2025.122708_bib7","doi-asserted-by":"crossref","DOI":"10.3390\/ijerph17114032","article-title":"Prenatal mercury exposure in pregnant women from Suriname's interior and its effects on birth outcomes","volume":"17","author":"Baldewsingh","year":"2020","journal-title":"Int. J. Environ. Res. Publ. Health"},{"key":"10.1016\/j.envres.2025.122708_bib8","doi-asserted-by":"crossref","DOI":"10.3390\/ijerph17114032","article-title":"Prenatal mercury exposure in pregnant women from Suriname's interior and its effects on birth outcomes","volume":"17","author":"Baldewsingh","year":"2020","journal-title":"Int. J. Environ. Res. Publ. Health"},{"key":"10.1016\/j.envres.2025.122708_bib9","doi-asserted-by":"crossref","first-page":"5143","DOI":"10.3390\/ijerph120505143","article-title":"Integrated assessment of artisanal and small-scale gold mining in Ghana\u2014Part 1: human health review","volume":"12","author":"Basu","year":"2015","journal-title":"Int. J. Environ. Res. Publ. Health"},{"key":"10.1016\/j.envres.2025.122708_bib10","doi-asserted-by":"crossref","first-page":"147","DOI":"10.1186\/s12916-016-0692-5","article-title":"Birth weight in relation to health and disease in later life: an umbrella review of systematic reviews and meta-analyses","volume":"14","author":"Belbasis","year":"2016","journal-title":"BMC Med."},{"key":"10.1016\/j.envres.2025.122708_bib11","doi-asserted-by":"crossref","DOI":"10.1289\/EHP10557","article-title":"In Utero Exposure to Metals and Birth Outcomes in an Artisanal and Small-Scale Gold Mining Birth Cohort in Madre de Dios, Peru","volume":"131","author":"Berky","year":"2023","journal-title":"Environ. Health Perspect."},{"key":"10.1016\/j.envres.2025.122708_bib12","article-title":"Low birthweight as a risk factor for non-communicable diseases in adults","volume":"8","author":"Bianchi","year":"2021","journal-title":"Front. Med."},{"key":"10.1016\/j.envres.2025.122708_bib13","doi-asserted-by":"crossref","first-page":"126","DOI":"10.1016\/j.annepidem.2011.11.004","article-title":"Estimating the health effects of exposure to multi-pollutant mixture","volume":"22","author":"Billionnet","year":"2012","journal-title":"Ann. Epidemiol."},{"key":"10.1016\/j.envres.2025.122708_bib14","doi-asserted-by":"crossref","first-page":"493","DOI":"10.1093\/biostatistics\/kxu058","article-title":"Bayesian kernel machine regression for estimating the health effects of multi-pollutant mixtures","volume":"16","author":"Bobb","year":"2015","journal-title":"Biostatistics"},{"key":"10.1016\/j.envres.2025.122708_bib15","doi-asserted-by":"crossref","first-page":"436","DOI":"10.1017\/S0007114511003047","article-title":"Maternal seafood consumption and infant birth weight, length and head circumference in the Norwegian mother and child cohort study","volume":"107","author":"Brants\u00e6ter","year":"2012","journal-title":"Br. J. Nutr."},{"key":"10.1016\/j.envres.2025.122708_bib16","doi-asserted-by":"crossref","first-page":"6170","DOI":"10.1007\/s11356-013-2465-4","article-title":"Manganese concentrations in maternal-infant blood and birth weight","volume":"21","author":"Chen","year":"2014","journal-title":"Environ. Sci. Pollut. Res. Int."},{"key":"10.1016\/j.envres.2025.122708_bib17","doi-asserted-by":"crossref","first-page":"537","DOI":"10.1038\/jes.2014.26","article-title":"Placental transfer and concentrations of cadmium, mercury, lead, and selenium in mothers, newborns, and young children","volume":"24","author":"Chen","year":"2014","journal-title":"J. Expo. Sci. Environ. Epidemiol."},{"key":"10.1016\/j.envres.2025.122708_bib18","doi-asserted-by":"crossref","first-page":"685","DOI":"10.1093\/advances\/nmy123","article-title":"Maternal dietary patterns and birth outcomes: a systematic review and meta-analysis","volume":"10","author":"Chia","year":"2019","journal-title":"Adv. Nutr."},{"key":"10.1016\/j.envres.2025.122708_bib19","doi-asserted-by":"crossref","DOI":"10.3390\/nu13114054","article-title":"Associations between maternal dietary patterns and infant birth weight in the NISAMI cohort: a structural equation modeling analysis","volume":"13","author":"da Mota Santana","year":"2021","journal-title":"Nutrients"},{"key":"10.1016\/j.envres.2025.122708_bib20","doi-asserted-by":"crossref","first-page":"10","DOI":"10.3390\/toxics11010010","article-title":"Prenatal mercury exposure and infant weight trajectories in a UK observational birth cohort","volume":"11","author":"Dack","year":"2023","journal-title":"Toxics"},{"key":"10.1016\/j.envres.2025.122708_bib21","doi-asserted-by":"crossref","DOI":"10.3390\/ijerph20085536","article-title":"Effects of non-essential \"toxic\" trace elements on pregnancy outcomes: a narrative overview of recent literature syntheses","volume":"20","author":"Dettwiler","year":"2023","journal-title":"Int. J. Environ. Res. Publ. Health"},{"key":"10.1016\/j.envres.2025.122708_bib22","doi-asserted-by":"crossref","first-page":"187","DOI":"10.1097\/EDE.0b013e3181cc86e8","article-title":"Protecting human health from air pollution: shifting from a single-pollutant to a multipollutant approach","volume":"21","author":"Dominici","year":"2010","journal-title":"Epidemiology"},{"key":"10.1016\/j.envres.2025.122708_bib23","doi-asserted-by":"crossref","first-page":"1270","DOI":"10.1038\/s41430-018-0356-y","article-title":"Associations between maternal dietary patterns and infant birth weight, small and large for gestational age in the Norwegian mother and child cohort study","volume":"73","author":"Englund-\u00d6gge","year":"2019","journal-title":"Eur. J. Clin. Nutr."},{"key":"10.1016\/j.envres.2025.122708_bib24","doi-asserted-by":"crossref","first-page":"76","DOI":"10.1186\/s12940-019-0515-1","article-title":"An overview of methods to address distinct research questions on environmental mixtures: an application to persistent organic pollutants and leukocyte telomere length","volume":"18","author":"Gibson","year":"2019","journal-title":"Environ. Health"},{"key":"10.1016\/j.envres.2025.122708_bib25","doi-asserted-by":"crossref","first-page":"7683","DOI":"10.3390\/ijerph18147683","article-title":"The cumulative risk of prenatal exposures to chemical and non-chemical stressors on birth outcomes in Suriname","volume":"18","author":"Gokoel","year":"2021","journal-title":"Int. J. Environ. Res. Publ. Health"},{"key":"10.1016\/j.envres.2025.122708_bib26","doi-asserted-by":"crossref","DOI":"10.3390\/ijerph17124444","article-title":"Influence of prenatal exposure to mercury, perceived stress, and depression on birth outcomes in Suriname: results from the MeKiTamara study","volume":"17","author":"Gokoel","year":"2020","journal-title":"Int. J. Environ. Res. Publ. Health"},{"key":"10.1016\/j.envres.2025.122708_bib27","doi-asserted-by":"crossref","first-page":"60","DOI":"10.1186\/s12940-024-01095-x","article-title":"Gestational exposure to organochlorine compounds and metals and infant birth weight: effect modification by maternal hardships","volume":"23","author":"Hu","year":"2024","journal-title":"Environ. Health"},{"key":"10.1016\/j.envres.2025.122708_bib28","first-page":"21","article-title":"Distributions of heavy metals in maternal and cord blood and the association with infant birth weight in China","volume":"60","author":"Hu","year":"2015","journal-title":"J. Reprod. Med."},{"issue":"Suppl. 1","key":"10.1016\/j.envres.2025.122708_bib29","doi-asserted-by":"crossref","first-page":"178","DOI":"10.1111\/j.1365-3016.2012.01308.x","article-title":"Maternal nutrition and birth outcomes: effect of balanced protein-energy supplementation","volume":"26","author":"Imdad","year":"2012","journal-title":"Paediatr. Perinat. Epidemiol."},{"key":"10.1016\/j.envres.2025.122708_bib30","doi-asserted-by":"crossref","DOI":"10.1016\/j.scitotenv.2023.168380","article-title":"Exposure to metal mixtures and adverse pregnancy and birth outcomes: a systematic review","volume":"908","author":"Issah","year":"2024","journal-title":"Sci. Total Environ."},{"key":"10.1016\/j.envres.2025.122708_bib31","doi-asserted-by":"crossref","first-page":"4671","DOI":"10.1017\/S1368980021000276","article-title":"Maternal dietary diversity during pregnancy and risk of low birth weight in newborns: a systematic review","volume":"24","author":"Kheirouri","year":"2021","journal-title":"Public Health Nutr."},{"key":"10.1016\/j.envres.2025.122708_bib32","doi-asserted-by":"crossref","first-page":"1051","DOI":"10.3390\/jox14030059","article-title":"Association between liver and kidney function and birth outcomes in pregnant Surinamese women exposed to mercury and lead in the Caribbean consortium for research in environmental and occupational health (CCREOH) environmental epidemiologic cohort study","volume":"14","author":"Kort","year":"2024","journal-title":"Journal of Xenobiotics"},{"key":"10.1016\/j.envres.2025.122708_bib33","doi-asserted-by":"crossref","first-page":"1051","DOI":"10.3390\/jox14030059","article-title":"Association between liver and kidney function and birth outcomes in pregnant Surinamese women exposed to mercury and lead in the Caribbean consortium for research in environmental and occupational health (CCREOH) environmental epidemiologic cohort study","volume":"14","author":"Kort","year":"2024","journal-title":"J Xenobiot"},{"key":"10.1016\/j.envres.2025.122708_bib34","doi-asserted-by":"crossref","first-page":"1223","DOI":"10.1093\/ajcn\/28.11.1223","article-title":"Influence of maternal nutrition on birth weight","volume":"28","author":"Lechtig","year":"1975","journal-title":"Am. J. Clin. Nutr."},{"key":"10.1016\/j.envres.2025.122708_bib35","doi-asserted-by":"crossref","first-page":"506","DOI":"10.3945\/ajcn.113.067421","article-title":"Fish intake during pregnancy, fetal growth, and gestational length in 19 European birth cohort studies 1, 2, 3, 4","volume":"99","author":"Leventakou","year":"2014","journal-title":"Am. J. Clin. Nutr."},{"key":"10.1016\/j.envres.2025.122708_bib36","doi-asserted-by":"crossref","first-page":"347","DOI":"10.1037\/bul0000091","article-title":"Mental health of extremely low birth weight survivors: a systematic review and meta-analysis","volume":"143","author":"Mathewson","year":"2017","journal-title":"Psychol. Bull."},{"key":"10.1016\/j.envres.2025.122708_bib37","doi-asserted-by":"crossref","first-page":"139","DOI":"10.1186\/s12940-022-00950-z","article-title":"Prenatal exposure to heavy metal mixtures and anthropometric birth outcomes: a cross-sectional study","volume":"21","author":"Michael","year":"2022","journal-title":"Environ. Health"},{"key":"10.1016\/j.envres.2025.122708_bib38","doi-asserted-by":"crossref","first-page":"397","DOI":"10.5551\/jat.RV17039","article-title":"Adult-onset diseases in low birth weight infants: association with adipose tissue maldevelopment","volume":"27","author":"Nakano","year":"2020","journal-title":"J. Atherosclerosis Thromb."},{"key":"10.1016\/j.envres.2025.122708_bib39","doi-asserted-by":"crossref","first-page":"643","DOI":"10.3390\/nu11030643","article-title":"Maternal fatty fish intake prior to and during pregnancy and risks of adverse birth outcomes: findings from a British cohort","volume":"11","author":"Nykjaer","year":"2019","journal-title":"Nutrients"},{"key":"10.1016\/j.envres.2025.122708_bib40","doi-asserted-by":"crossref","DOI":"10.1016\/j.envint.2023.107808","article-title":"Periconceptional maternal diet quality influences blood heavy metal concentrations and their effect on low birth weight: the Japan environment and Children's study","volume":"173","author":"Okubo","year":"2023","journal-title":"Environ. Int."},{"key":"10.1016\/j.envres.2025.122708_bib41","doi-asserted-by":"crossref","first-page":"1007","DOI":"10.3390\/ijerph15051007","article-title":"Mercury levels in women and children from interior villages in Suriname, South America","volume":"15","author":"Ouboter","year":"2018","journal-title":"Int. J. Environ. Res. Publ. Health"},{"key":"10.1016\/j.envres.2025.122708_bib42","doi-asserted-by":"crossref","first-page":"873","DOI":"10.1007\/s13280-012-0299-9","article-title":"Mercury levels in pristine and gold mining impacted aquatic ecosystems of Suriname, South America","volume":"41","author":"Ouboter","year":"2012","journal-title":"Ambio"},{"key":"10.1016\/j.envres.2025.122708_bib43","doi-asserted-by":"crossref","first-page":"980","DOI":"10.1016\/j.sab.2006.09.001","article-title":"Determination of lead, cadmium and mercury in blood for assessment of environmental exposure: a comparison between inductively coupled plasma\u2013mass spectrometry and atomic absorption spectrometry","volume":"61","author":"Palmer","year":"2006","journal-title":"Spectrochim. Acta B Atom Spectrosc."},{"key":"10.1016\/j.envres.2025.122708_bib44","doi-asserted-by":"crossref","DOI":"10.1136\/bmjopen-2019-030427","article-title":"Early life exposure in Mexico to ENvironmental toxicants (ELEMENT) project","volume":"9","author":"Perng","year":"2019","journal-title":"BMJ Open"},{"key":"10.1016\/j.envres.2025.122708_bib45","doi-asserted-by":"crossref","first-page":"1224","DOI":"10.1039\/c1ja10039d","article-title":"Monitoring Mn in whole blood and urine: a comparison between electrothermal atomic absorption and inorganic mass spectrometry","volume":"26","author":"Praamsma","year":"2011","journal-title":"J. Anal. Atomic Spectrom."},{"key":"10.1016\/j.envres.2025.122708_bib46","doi-asserted-by":"crossref","first-page":"138","DOI":"10.1016\/j.reprotox.2014.10.006","article-title":"Changes in low levels of lead over the course of pregnancy and the association with birth outcomes","volume":"50","author":"Rabito","year":"2014","journal-title":"Reprod. Toxicol."},{"key":"10.1016\/j.envres.2025.122708_bib47","doi-asserted-by":"crossref","first-page":"382","DOI":"10.1080\/15287394.2017.1331490","article-title":"Blood lead levels and risk factors for lead exposure among pregnant women in western French Guiana: the role of manioc consumption","volume":"80","author":"Rimbaud","year":"2017","journal-title":"J. Toxicol. Environ. Health, Part A"},{"key":"10.1016\/j.envres.2025.122708_bib48","series-title":"Modern Nutrition in Health and Disease","year":"2014"},{"key":"10.1016\/j.envres.2025.122708_bib49","doi-asserted-by":"crossref","DOI":"10.1371\/journal.pone.0185645","article-title":"Heavy metals exposure levels and their correlation with different clinical forms of fetal growth restriction","volume":"12","author":"Sabra","year":"2017","journal-title":"PLoS One"},{"key":"10.1016\/j.envres.2025.122708_bib50","doi-asserted-by":"crossref","DOI":"10.1016\/j.envint.2022.107318","article-title":"Individual and mixed metal maternal blood concentrations in relation to birth size: an analysis of the Japan environment and Children's study (JECS)","volume":"165","author":"Takatani","year":"2022","journal-title":"Environ. Int."},{"key":"10.1016\/j.envres.2025.122708_bib51","doi-asserted-by":"crossref","first-page":"18","DOI":"10.1186\/s12940-024-01061-7","article-title":"Association between maternal blood or cord blood metal concentrations and catch-up growth in children born small for gestational age: an analysis by the Japan environment and children's study","volume":"23","author":"Takatani","year":"2024","journal-title":"Environ. Health"},{"key":"10.1016\/j.envres.2025.122708_bib52","doi-asserted-by":"crossref","first-page":"253","DOI":"10.1186\/s12884-023-05431-w","article-title":"Maternal seafood consumption and fetal growth: a birth cohort study in urban China","volume":"23","author":"Wei","year":"2023","journal-title":"BMC Pregnancy Childbirth"},{"key":"10.1016\/j.envres.2025.122708_bib53","doi-asserted-by":"crossref","first-page":"117","DOI":"10.1038\/s41370-020-0233-3","article-title":"Exposure to total and methylmercury among pregnant women in Suriname: sources and public health implications","volume":"31","author":"Wickliffe","year":"2021","journal-title":"J. Expo. Sci. Environ. Epidemiol."},{"key":"10.1016\/j.envres.2025.122708_bib54","doi-asserted-by":"crossref","first-page":"416","DOI":"10.1111\/j.1753-4887.2009.00214.x","article-title":"Manganese and birth outcome","volume":"67","author":"Wood","year":"2009","journal-title":"Nutr. Rev."},{"key":"10.1016\/j.envres.2025.122708_bib55","doi-asserted-by":"crossref","first-page":"105","DOI":"10.1038\/s43856-023-00335-4","article-title":"Association of birth and childhood weight with risk of chronic diseases and multimorbidity in adulthood","volume":"3","author":"Zhang","year":"2023","journal-title":"Commun. Med."},{"key":"10.1016\/j.envres.2025.122708_bib56","doi-asserted-by":"crossref","DOI":"10.1136\/bmjopen-2019-034702","article-title":"Caribbean consortium for research in environmental and occupational health (CCREOH) cohort study: influences of complex environmental exposures on maternal and child health in Suriname","volume":"10","author":"Zijlmans","year":"2020","journal-title":"BMJ Open"},{"key":"10.1016\/j.envres.2025.122708_bib57","doi-asserted-by":"crossref","first-page":"3700","DOI":"10.3390\/ijerph16193700","article-title":"The cumulative risk of chemical and nonchemical exposures on birth outcomes in healthy women: the fetal growth study","volume":"16","author":"Zilversmit Pao","year":"2019","journal-title":"Int. J. Environ. Res. Publ. Health"},{"key":"10.1016\/j.envres.2025.122708_bib58","doi-asserted-by":"crossref","DOI":"10.3390\/ijerph16193700","article-title":"The cumulative risk of chemical and nonchemical exposures on birth outcomes in healthy women: the fetal growth study","volume":"16","author":"Zilversmit Pao","year":"2019","journal-title":"Int. J. Environ. Res. Publ. Health"},{"key":"10.1016\/j.envres.2025.122708_bib59","doi-asserted-by":"crossref","DOI":"10.1038\/s41598-023-46271-0","article-title":"Effects of heavy metal exposure during pregnancy on birth outcomes","volume":"13","author":"Zinia","year":"2023","journal-title":"Sci. Rep."},{"key":"10.1016\/j.envres.2025.122708_bib60","doi-asserted-by":"crossref","first-page":"367","DOI":"10.1097\/EDE.0b013e31819b93c0","article-title":"Maternal blood manganese levels and infant birth weight","volume":"20","author":"Zota","year":"2009","journal-title":"Epidemiology"}],"container-title":["Environmental Research"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0013935125019607?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0013935125019607?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2026,8,10]],"date-time":"2026-08-10T13:00:25Z","timestamp":1786366825000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S0013935125019607"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,11]]},"references-count":60,"alternative-id":["S0013935125019607"],"URL":"https:\/\/doi.org\/10.1016\/j.envres.2025.122708","relation":{},"ISSN":["0013-9351"],"issn-type":[{"value":"0013-9351","type":"print"}],"subject":[],"published":{"date-parts":[[2025,11]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Prenatal exposure to metals and metal mixtures influences birth weight in affected populations in the Republic of Suriname, South America","name":"articletitle","label":"Article Title"},{"value":"Environmental Research","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.envres.2025.122708","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2025 The Authors. Published by Elsevier Inc.","name":"copyright","label":"Copyright"}],"article-number":"122708"}}