Functional implications of postural disequilibrium due to lead exposure
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Updated: Nov 8, 2026

Computerized Dynamic Posturography for Postural Control Assessment in Patients with Intermittent Claudication
Published on: December 11, 2013
A Bhattacharya1, R Shukla, K N Dietrich
1Department of Environmental Health, University of Cincinnati Medical Center, Ohio 45267-0056.
Insights
Early childhood lead exposure (PbB05) is linked to impaired postural equilibrium in children. This study quantifies balance control deficits, suggesting potential nervous system functional impairment from lead exposure.
Area of Science:
- Neuroscience
- Environmental Health
- Pediatrics
Background:
- Postural equilibrium measurement serves as an indicator of nervous system function.
- Previous research suggests potential links between early life lead exposure and neurological deficits.
Purpose of the Study:
- To investigate the association between early childhood blood lead levels and postural equilibrium in children.
- To identify potential functional impairments in the nervous system related to lead exposure.
Main Methods:
- Assessed postural sway in 109 children (mean age 5.8 years) using a force platform during balance tasks.
- Quantified geometric mean blood lead levels for the first five years of life (PbB05).
- Employed covariate-adjusted multiple regression analysis to determine associations between PbB05 and postural sway.
Main Results:
- Found statistically significant associations between PbB05 and postural sway, particularly in tasks relying on vestibular and proprioceptive input.
- Indicated potential functional impairment of the nervous system due to early life lead exposure.
- Highlighted the need for refined testing methods, including dynamic tasks and stability boundary quantification.
Conclusions:
- Early childhood lead exposure is associated with impaired postural equilibrium and potential nervous system functional deficits.
- Further research is needed to develop dynamic tasks and shorter testing durations for early identification of lead-induced impairments.
- Developing methods to quantify stability boundaries can better characterize safe postural sway limits.
Abstract:
Measurement of postural equilibrium has been employed as an indirect indicator of functional status of the nervous systems of 109 children (mean age: 5.8 +/- 0.78 years) from the Cincinnati Lead Program Project. The geometric mean blood lead for the first five years of life (PbB05) was 11.9 +/- 1.5 micrograms/dL. Postural sway associated with upright balance was noninvasively quantitated with a microprocessor-based force platform and four tasks performed for 30 sec each by the subjects. A covariate-adjusted multiple regression analysis showed statistically significant associations between PbB05 and the postural sway for the task requiring primarily vestibular and/or proprioceptive systems input, implying potential functional impairment. These findings raised several new issues which are addressed here: (1) A dynamic task has been developed to further test the effect of perturbing those afferents' functional capabilities. (2) A method has been developed to quantitate the stability boundary of each subject to better characterize the limits of functionally-safe postural sway. (3) There is a need to perform the postural sway in a shorter duration than 30 sec so that children younger than five years of age can be tested for early identification of Pb-induced functional impairment of postural equilibrium.
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