Cited by 236Pesticide Exposure and ToxicityAgricultural safety and regulationsPesticide and Herbicide Environmental Studies

A Systematic Review of Pesticide Exposure, Associated Risks, and Long-Term Human Health Impacts

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Shekhar, Chander, Khosya, Reetu, Thakur, Kushal, Mahajan, Danish, Kumar, Rakesh, Kumar, Sunil, Sharma, Amit Kumar·2024·Toxicology Reports

Abstract

Pesticides are widely used to control pests, but their widespread use raises concerns regarding potential health risks for humans. There are several routes through which pesticides can be ingested, inhaled, and absorbed, resulting in acute and long-term health consequences. This systematic review synthesizes the available evidence regarding the health risks and long-term effects of pesticide exposure, with a particular focus on epidemiological and toxicological studies. A systematic review was conducted by searching scientific databases i.e. Scopus, and Web of Science for peer-reviewed articles published between 2000 and 2024. Studies were selected based on their focus on pesticide exposure, health risks, and long-term effects. Meta-analysis was conducted where sufficient homogeneity of outcomes allowed. This review identified consistent associations between chronic pesticide exposure and non-communicable diseases, including cancer, neurological disorders, and endocrine disruptions. An increased incidence of respiratory issues and neurodegenerative diseases was often associated with occupational exposure to pesticides. People exposed for a prolonged or high intensity time period, particularly agricultural workers, were more likely to experience long-term health effects. There are a number of factors that influences the ability to draw definitive conclusions, including variations in pesticide types, exposure levels, and health outcomes. Chronic exposure to pesticides presents significant health risks, particularly for individuals in high-exposure environments like agriculture. While evidence indicates strong associations with several long-term health conditions, additional research is necessary to elucidate dose-response relationships and mechanisms of action. This review underscores the necessity for enhanced regulatory measures and improved safety protocols to mitigate pesticide-related health risks.

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Crossref · 10.1016/j.toxrep.2024.101840

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  • Pulses have low water requirements, accounting for only 9.61% of the water needed for beef protein production.

    “including low water requirements, accounting for only 9.61% of the water needed for beef protein production;”

    From Valorization of Microalgae as Multifunctional Protein Sources in Plant-Based Systems: Structural, Functional, and Processing Challenges (2026) · cites this paper as [25]

    The ‘Transmission of pesticide residue’ section discusses pesticide contamination of water, not the water required to produce pulses or beef protein. Searches for ‘9.61%’ and for a pulses-versus-beef water comparison found no passage addressing the claim in our copy. (LLM, conf=0.76)

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  • Pulses enhance biodiversity and biological nitrogen fixation, which reduces dependence on synthetic fertilizers and associated greenhouse gas emissions.

    “enhanced biodiversity; and biological nitrogen fixation, which reduces dependence on synthetic fertilizers and associated greenhouse gas emissions (GHGs) (Figure 2) [25].”

    From Valorization of Microalgae as Multifunctional Protein Sources in Plant-Based Systems: Structural, Functional, and Processing Challenges (2026) · cites this paper as [25]

    The Introduction and Conclusion discuss pesticide impacts and sustainable agricultural practices, but neither addresses pulses or biological nitrogen fixation. Searches for pulses, nitrogen fixation, synthetic fertilizers, and greenhouse gas emissions found no passage supporting the claimed connection. (LLM, conf=0.76)

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Cites

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Research works printed but not linked: 11

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Authors
Shekhar, C., Khosya, R., Thakur, K., Mahajan, D., Kumar, R., Kumar, S., & Sharma, A. K.
Affiliations
Central University of Himachal Pradesh (IN)
Corresponding author
Sharma, Amit Kumar
Venue
Toxicology Reports
Publisher
Elsevier BV
Published
2024-12
Volume
13
Pages
101840
ISSN
2214-7500 (ISSN-L)
OpenAlex
W4404885063
Cited by
236
References
156
Citations by year
2026: 161 · 2025: 74 · 2024: 1
FWCI
8.95
Type
journal article
Language
en
Open access
Locations
  • Toxicology Reports (publishedVersion, cc-by)
  • PubMed Central (publishedVersion, cc-by)
  • PubMed (publishedVersion)
  • DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
Topics
  • Life Sciences › Agricultural and Biological Sciences › Plant Science › Pesticide Exposure and Toxicity
  • Life Sciences › Agricultural and Biological Sciences › Food Science › Agricultural safety and regulations
  • Physical Sciences › Environmental Science › Pollution › Pesticide and Herbicide Environmental Studies
Keywords
pesticide exposure, chronic pesticide exposure, long-term health effects, occupational exposure, agricultural labor, non-communicable diseases, cancer, neurological disorders, neurodegenerative diseases, endocrine disruption, exposure routes, dose-response relationship, pesticide regulation

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