Search

Epidemiological evidence linking type 2 diabetes mellitus (T2DM) with air pollution is discrepant and most are restricted to the influences of air-pollutant mass concentration. This study aims to explore the effects of long-term exposure to air pollution and its metal constituents on T2DM prevalence in China. We used data on 10,253 adult residents from the baseline survey of Wuhan Chronic Disease Cohort in 2019. Ambient PM 2.5 , PM 10 and NO 2 exposure were estimated at residences based on Chinese Air Quality Reanalysis Dataset. Concentrations of 10 metal constituents were measured by 976 PM 2.5 filter samples collected from four monitoring stations. Logistic regression models were employed to examine associations of T2DM prevalence with 3-year mean concentrations of each air pollutant and PM 2.5 metal constituents prior to the baseline investigation. A total of 673 T2DM cases (6.6%) were identified. The 3-year mean exposures to PM 2.5 , PM 10 and NO 2 were 50.89 μg/m3, 82.86 μg/m3, and 39.79 μg/m3, respectively. And interquartile range (IQR) of 10 metals in PM 2.5 varied from 0.03 ng/m3 to 78.30 ng/m3. For 1 μg/m3 increment in PM 2.5 , PM 10 and NO 2 , the odds of T2DM increased by 7.2% (95%CI: 1.026, 1.136), 3.1% (95%CI: 1.013, 1.050), and 2.1% (95%CI: 1.005, 1.038) after adjusting for potential confounders. Cd and Sb in PM 2.5 were significant risk factors to T2DM with odds ratios of 1.350 (95%CI: 1.089, 1.673) and 1.389 (95%CI: 1.164, 1.658) for per IQR increase, respectively. Stratification analyses indicated that males and those aged ≥45 years were more susceptive to long-term air pollution. Long-term exposure to PM 2.5 , PM 10 and NO 2 increased T2DM prevalence in a Wuhan population, especially for men and middle-aged and elderly people. Moreover, T2DM was significantly associated with Cd and Sb in PM 2.5. Further research to validate these results and to clarify the underlying mechanisms is warranted. • Long-term exposure to PM2.5, PM10, and NO2 was positively associated with T2DM prevalence. •Cd and Sb in PM2.5 were risk factors to T2DM. •Association of air pollution and T2DM was stronger in males than in females. •Participants aged ≥45 years old were more susceptible to air pollution exposure. [ABSTRACT FROM AUTHOR]

Evidence on the associations between long-term exposure to ambient air pollutants (including particle with aerodynamic diameter ≤10 μm (PM 10), particle with aerodynamic diameter ≤2.5 μm (PM 2.5), ozone (O 3), nitrogen dioxide (NO 2), and sulfur dioxide (SO 2)) and prevalence of metabolic syndrome (MetS) remains inconclusive. This study aimed to determine the associations based on a case-control study nested in the Wuhan Chronic Disease Cohort study (WCDCS), a population-based study with baseline survey in 2019. A total of 10,253 residents living in Wuhan were recruited. The 3-year average concentrations of main pollutants (PM 10 , PM 2.5 , O 3 , NO 2 , and SO 2) at residences prior to the survey date were estimated to evaluate the long-term exposures. The generalized linear mixed models were used to investigate the changes in MetS prevalence by an IQR increases in each air pollutant exposure concentrations. Interaction effects between air pollutants and demographic, lifestyle, and dietary factors on MetS were evaluated by including an interactive item in the main model. The prevalence of MetS in Wuhan was 9.8%, and the 3-year exposure concentrations of PM 10 , PM 2.5 , O 3 , NO 2 , and SO 2 were 84.1 μg/m3, 50.5 μg/m3, 55.7 μg/m3, 46.0 μg/m3, and 9.4 μg/m3, respectively. Higher PM 10 , PM 2.5 and O 3 exposure concentrations were associated with an elevated MetS prevalence (e.g. an IQR increase in PM 2.5 , OR = 1.193, 95% confidence intervals (95%CIs): 1.028, 1.385; for O 3 , OR = 1.074, 95%CIs: 1.025, 1.124), whereas NO 2 , and SO 2 were negatively or insignificant correlated with odds of Mets (e.g. an IQR increase in NO 2 , OR = 0.865, 95%CIs: 0.795, 0.941). Males, smokers, alcohol drinkers and individuals who intake fruits occasionally exposure to PM 10 and PM 2.5 were found had a higher risk of developing MetS. Long-term exposure to higher concentrations of ambient air pollutants may elevate the prevalence of MetS in populations in Central China. Susceptible individuals especially those with unhealthy lifestyles had a higher risk for MetS. [ABSTRACT FROM AUTHOR]