PMID- 34759603 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20240404 IS - 0973-2284 (Print) IS - 1998-3670 (Electronic) IS - 0973-2284 (Linking) VI - 25 IP - 3 DP - 2021 Jul-Sep TI - Persistent organic pollutants-environmental risk factors for diabetes mellitus? - A population-based study. PG - 157-162 LID - 10.4103/ijoem.ijoem_337_20 [doi] AB - BACKGROUND: Globally, type-2 diabetes mellitus is increasing in epidemic proportions. A major cause of concern in India is the increasing incidence of cases, especially troubling is the observed increase in younger age groups with no risk factors. New evidence suggests that many environmental factors, such as air pollution, persistent organic pollutants (POPs), and environmental estrogens are implicated as risk factors for type-2 diabetes mellitus. Animal and human epidemiological studies have shown ubiquitous lipophilic substances, including POPs, are frequently associated with type-2 diabetes mellitus. Such studies have not been undertaken in Indian youth. METHODS: This is a cross-sectional study that explored the association between POPs and type-2 diabetes mellitus in Indian urban and rural population. About 7 ml of venous blood was collected from all consenting patients and serum was separated immediately and was transported to the lab for further analysis. Serum levels of POPs, including organochlorine (OC) compounds and organophosphorus pesticides, were estimated using sample gas chromatography-mass spectrometry (GC-MS). The fasting blood sugar values and the serum levels of POPS were tested using Pearson correlation coefficient. The magnitude of increase in blood sugar corresponding to increase in POPs was analyzed using linear regression analysis. The odds ratios (ORs) were expressed at 95% confidence intervals (CIs). RESULTS: Three OC pesticides and one organophosphate pesticide were strongly associated with increasing blood sugar levels after adjusting for age, sex, and body mass index - lindane (OR 4.95, 95% CI 1.03-23.73), DDT o, p' (OR 3.50, 95% CI 1.04-11.73), dimethoate (OR 19.31, 95% CI 4.22-88.37), and dichlorvas (OR 6.33, 95% CI 1.28-31.18). CI - Copyright: (c) 2021 Indian Journal of Occupational and Environmental Medicine. FAU - Ramalingam, Sudha AU - Ramalingam S AD - PSG Center for Molecular Medicine and Therapeutics, PSG Institute of Medical Sciences and Research, Coimbatore, Tamil Nadu, India. AD - Department of Community Medicine, PSG Institute of Medical Sciences and Research, Coimbatore, Tamil Nadu, India. FAU - Narayanan, Ramanujam AU - Narayanan R AD - Department of Pharmacology, PSG Institute of Medical Sciences and Research, Coimbatore, Tamil Nadu, India. FAU - Muthusamy, Sivaselvakumar AU - Muthusamy S AD - PSG Center for Molecular Medicine and Therapeutics, PSG Institute of Medical Sciences and Research, Coimbatore, Tamil Nadu, India. FAU - Veronika, Merlin AU - Veronika M AD - PSG Center for Molecular Medicine and Therapeutics, PSG Institute of Medical Sciences and Research, Coimbatore, Tamil Nadu, India. FAU - Sankaran, Ramalingam AU - Sankaran R AD - PSG Center for Molecular Medicine and Therapeutics, PSG Institute of Medical Sciences and Research, Coimbatore, Tamil Nadu, India. AD - Department of Pharmacology, PSG Institute of Medical Sciences and Research, Coimbatore, Tamil Nadu, India. FAU - Toscano, William AU - Toscano W AD - Division of Environmental Health Sciences, School of Public Health, University of Minnesota, Minneapolis, Minnesota, USA. LA - eng PT - Journal Article DEP - 20211009 PL - India TA - Indian J Occup Environ Med JT - Indian journal of occupational and environmental medicine JID - 9815775 PMC - PMC8559882 OTO - NOTNLM OT - DDT OT - dimethoate OT - health effects OT - persistent organic pollutants OT - pesticides OT - type- 2 diabetes mellitus. COIS- There are no conflicts of interest. EDAT- 2021/11/12 06:00 MHDA- 2021/11/12 06:01 PMCR- 2021/07/01 CRDT- 2021/11/11 06:51 PHST- 2020/08/27 00:00 [received] PHST- 2020/11/16 00:00 [revised] PHST- 2021/07/03 00:00 [accepted] PHST- 2021/11/11 06:51 [entrez] PHST- 2021/11/12 06:00 [pubmed] PHST- 2021/11/12 06:01 [medline] PHST- 2021/07/01 00:00 [pmc-release] AID - IJOEM-25-157 [pii] AID - 10.4103/ijoem.ijoem_337_20 [doi] PST - ppublish SO - Indian J Occup Environ Med. 2021 Jul-Sep;25(3):157-162. doi: 10.4103/ijoem.ijoem_337_20. Epub 2021 Oct 9.