PMID- 27148900 OWN - NLM STAT- MEDLINE DCOM- 20180201 LR - 20221207 IS - 1873-6750 (Electronic) IS - 0160-4120 (Print) IS - 0160-4120 (Linking) VI - 92-93 DP - 2016 Jul-Aug TI - Associations between long-term exposure to ambient particulate air pollution and type 2 diabetes prevalence, blood glucose and glycosylated hemoglobin levels in China. PG - 416-421 LID - 10.1016/j.envint.2016.03.028 [doi] AB - BACKGROUND: The evidence for an association between particulate air pollution and type 2 diabetes mellitus (T2DM) in developing countries was very scarce. OBJECTIVE: To investigate the associations of long-term exposure to fine particulate matter (PM2.5) with T2DM prevalence and with fasting glucose and glycosylated hemoglobin (HbA1c) levels in China. METHODS: This is a cross-sectional study based on a nation-wide baseline survey of 11,847 adults who participated in the China Health and Retirement Longitudinal Study from June 2011 to March 2012. The average residential exposure to PM2.5 for each participant in the same period was estimated using a satellite-based spatial statistical model. We determined the association between PM2.5 and T2DM prevalence by multivariable logistic regression models. We also evaluated the association between PM2.5 and fasting glucose and HbA1c levels using multivariable linear regression models. Stratification analyses were conducted to explore potential effect modification. RESULTS: We identified 1760 cases of T2DM, corresponding to 14.9% of the study population. The average PM2.5 exposure for all participants was 72.6mug/m(3) during the study period. An interquartile range increase in PM2.5 (41.1mug/m(3)) was significantly associated with increased T2DM prevalence (prevalence ratio, PR=1.14), and elevated levels of fasting glucose (0.26mmol/L) and HbA1c (0.08%). The associations of PM2.5 with T2DM prevalence and with fasting glucose and HbA1c were stronger in several subgroups. CONCLUSIONS: This nationwide cross-sectional study suggested that long-term exposure to PM2.5 might increase the risk of T2DM in China. CI - Copyright (c) 2016 Elsevier Ltd. All rights reserved. FAU - Liu, Cong AU - Liu C AD - School of Public Health, Key Lab of Public Health Safety of the Ministry of Education and Key Lab of Health Technology Assessment of the Ministry of Health, Fudan University, Shanghai, China. FAU - Yang, Changyuan AU - Yang C AD - School of Public Health, Key Lab of Public Health Safety of the Ministry of Education and Key Lab of Health Technology Assessment of the Ministry of Health, Fudan University, Shanghai, China. FAU - Zhao, Yaohui AU - Zhao Y AD - National School of Development, Peking University, Beijing, China. FAU - Ma, Zongwei AU - Ma Z AD - State Key Laboratory of Pollution Control and Resource Reuse, School of the Environment, Nanjing University, Nanjing, Jiangsu Province, China. FAU - Bi, Jun AU - Bi J AD - State Key Laboratory of Pollution Control and Resource Reuse, School of the Environment, Nanjing University, Nanjing, Jiangsu Province, China. FAU - Liu, Yang AU - Liu Y AD - Department of Environmental Health, Rollins School of Public Health, Emory University, Atlanta, GA, United States. FAU - Meng, Xia AU - Meng X AD - Department of Environmental Health, Rollins School of Public Health, Emory University, Atlanta, GA, United States. FAU - Wang, Yafeng AU - Wang Y AD - Institute for Social Science Survey, Peking University, Beijing, China. FAU - Cai, Jing AU - Cai J AD - School of Public Health, Key Lab of Public Health Safety of the Ministry of Education and Key Lab of Health Technology Assessment of the Ministry of Health, Fudan University, Shanghai, China. FAU - Chen, Renjie AU - Chen R AD - School of Public Health, Key Lab of Public Health Safety of the Ministry of Education and Key Lab of Health Technology Assessment of the Ministry of Health, Fudan University, Shanghai, China. AD - Shanghai Key Laboratory of Atmospheric Particle Pollution and Prevention (LAP), Fudan University, Shanghai, China. FAU - Kan, Haidong AU - Kan H AD - School of Public Health, Key Lab of Public Health Safety of the Ministry of Education and Key Lab of Health Technology Assessment of the Ministry of Health, Fudan University, Shanghai, China. AD - Shanghai Key Laboratory of Atmospheric Particle Pollution and Prevention (LAP), Fudan University, Shanghai, China. LA - eng GR - R01 AG037031/AG/NIA NIH HHS/United States GR - R03 AG049144/AG/NIA NIH HHS/United States PT - Journal Article DEP - 20160503 PL - Netherlands TA - Environ Int JT - Environment international JID - 7807270 RN - 0 (Air Pollutants) RN - 0 (Blood Glucose) RN - 0 (Glycated Hemoglobin A) RN - 0 (Particulate Matter) SB - IM MH - Adult MH - Aged MH - Air Pollutants/analysis MH - *Blood Glucose MH - China/epidemiology MH - Cross-Sectional Studies MH - Diabetes Mellitus, Type 2/*epidemiology/*etiology MH - Environmental Exposure/analysis MH - Female MH - *Glycated Hemoglobin MH - Humans MH - Longitudinal Studies MH - Male MH - Middle Aged MH - Particulate Matter/analysis/*toxicity MH - Prevalence PMC - PMC4902714 MID - NIHMS783908 OTO - NOTNLM OT - *Cross-sectional study OT - *Fasting glucose OT - *Fine particulate matter OT - *Glycosylated hemoglobin OT - *Type 2 diabetes mellitus EDAT- 2016/05/06 06:00 MHDA- 2018/02/02 06:00 PMCR- 2017/07/01 CRDT- 2016/05/06 06:00 PHST- 2016/01/15 00:00 [received] PHST- 2016/03/20 00:00 [revised] PHST- 2016/03/22 00:00 [accepted] PHST- 2016/05/06 06:00 [entrez] PHST- 2016/05/06 06:00 [pubmed] PHST- 2018/02/02 06:00 [medline] PHST- 2017/07/01 00:00 [pmc-release] AID - S0160-4120(16)30108-8 [pii] AID - 10.1016/j.envint.2016.03.028 [doi] PST - ppublish SO - Environ Int. 2016 Jul-Aug;92-93:416-421. doi: 10.1016/j.envint.2016.03.028. Epub 2016 May 3.