PMID- 35989060 OWN - NLM STAT- MEDLINE DCOM- 20220823 LR - 20220922 IS - 1558-1381 (Electronic) IS - 1047-9651 (Linking) VI - 33 IP - 3 DP - 2022 Aug TI - Environmental Medicine: Exploring the Pollutome for Solutions to Chronic Diseases. PG - 719-732 LID - S1047-9651(22)00040-7 [pii] LID - 10.1016/j.pmr.2022.04.010 [doi] AB - Environmental toxicant exposure, according to many researchers in the field, is the leading cause of chronic disease and premature death globally. For the purposes of this review, we will use obesity and type 2 diabetes as examples of toxicant-induced chronic diseases. Endocrine Disrupting chemicals (EDCs) such as phthalates and bisphenols, per- and polyfluoroalkyl substances (PFAS), and persistent organic pollutants (POPs) have been linked to increased risk for obesity and type 2 diabetes in both animal and large epidemiologic studies. These two conditions are well-documented examples of evidence for mechanisms of both adipose metabolism disruption and pancreatic cell dysfunction. The implications for health care directives to both identify, prevent, and treat these exposures are reviewed. CI - Copyright (c) 2022 Elsevier Inc. All rights reserved. FAU - Fine, Anne Marie AU - Fine AM AD - Environmental Medicine Education International, LLC, PO Box 802, Mancos, CO 81328, USA. Electronic address: Dr.annemariefine@gmail.com. FAU - Patrick, Lyn AU - Patrick L AD - Environmental Medicine Education International, LLC, PO Box 802, Mancos, CO 81328, USA. LA - eng PT - Journal Article PT - Review DEP - 20220623 PL - United States TA - Phys Med Rehabil Clin N Am JT - Physical medicine and rehabilitation clinics of North America JID - 9102787 RN - 0 (Endocrine Disruptors) SB - IM MH - Animals MH - Chronic Disease MH - *Diabetes Mellitus, Type 2 MH - *Endocrine Disruptors/toxicity MH - *Environmental Medicine MH - Humans MH - Obesity/chemically induced OTO - NOTNLM OT - Diabetes OT - Endocrine-disrupting chemicals OT - Environmental medicine OT - Obesity OT - Pollutome EDAT- 2022/08/22 06:00 MHDA- 2022/08/24 06:00 CRDT- 2022/08/21 21:07 PHST- 2022/08/21 21:07 [entrez] PHST- 2022/08/22 06:00 [pubmed] PHST- 2022/08/24 06:00 [medline] AID - S1047-9651(22)00040-7 [pii] AID - 10.1016/j.pmr.2022.04.010 [doi] PST - ppublish SO - Phys Med Rehabil Clin N Am. 2022 Aug;33(3):719-732. doi: 10.1016/j.pmr.2022.04.010. Epub 2022 Jun 23.