PMID- 38407634
OWN - NLM
STAT- MEDLINE
DCOM- 20240429
LR  - 20240502
IS  - 1432-1254 (Electronic)
IS  - 0020-7128 (Print)
IS  - 0020-7128 (Linking)
VI  - 68
IP  - 5
DP  - 2024 May
TI  - Impacts of heatwaves on type 2 diabetes mortality in China: a comparative 
      analysis between coastal and inland cities.
PG  - 939-948
LID - 10.1007/s00484-024-02638-0 [doi]
AB  - The impacts of extreme temperatures on diabetes have been explored in previous 
      studies. However, it is unknown whether the impacts of heatwaves appear 
      variations between inland and coastal regions. This study aims to quantify the 
      associations between heat exposure and type 2 diabetes mellitus (T2DM) deaths in 
      two cities with different climate features in Shandong Province, China. We used a 
      case-crossover design by quasi-Poisson generalized additive regression with a 
      distributed lag model with lag 2 weeks, controlling for relative humidity, the 
      concentration of air pollution particles with a diameter of 2.5 microm or less 
      (PM(2.5)), and seasonality. The wet- bulb temperature (Tw) was used to measure 
      the heat stress of the heatwaves. A significant association between heatwaves and 
      T2DM deaths was only found in the coastal city (Qingdao) at the lag of 2 weeks at 
      the lowest Tw = 14℃ (relative risk (RR) = 1.49, 95% confidence interval (CI): 
      1.11-2.02; women: RR = 1.51, 95% CI: 1.02-2.24; elderly: RR = 1.50, 95% CI: 
      1.08-2.09). The lag-specific effects were significant associated with Tw at lag 
      of 1 week at the lowest Tw = 14℃ (RR = 1.14, 95% CI: 1.03-1.26; women: RR = 1.15, 
      95% CI: 1.01-1.31; elderly: RR = 1.15, 95% CI: 1.03-1.28). However, no 
      significant association was found in Jian city. The research suggested that Tw 
      was significantly associated with T2DM mortality in the coastal city during 
      heatwaves on T2DM mortality. Future strategies should be implemented with 
      considering socio-environmental contexts in regions.
CI  - (c) 2024. The Author(s).
FAU - Zheng, Wenxiu
AU  - Zheng W
AD  - Ecosystem Change and Population Health Research Group, School of Public Health 
      and Social Work, Queensland University of Technology, Brisbane, QLD, 4059, 
      Australia.
FAU - Chu, Jie
AU  - Chu J
AD  - Shandong Center for Disease Control and Prevention, and Academy of Preventive 
      Medicine, Shandong University, Jinan, Shandong, China.
FAU - Bambrick, Hilary
AU  - Bambrick H
AD  - Ecosystem Change and Population Health Research Group, School of Public Health 
      and Social Work, Queensland University of Technology, Brisbane, QLD, 4059, 
      Australia.
AD  - National Centre for Epidemiology and Population Health, Australian National 
      University, Canberra, Australian Capital Territory, Australia.
FAU - Wang, Ning
AU  - Wang N
AD  - National Center for Chronic and Noncommunicable Disease Control and Prevention, 
      Chinese Center for Disease Control and Prevention, Beijing, China.
FAU - Mengersen, Kerrie
AU  - Mengersen K
AD  - School of Mathematical Sciences, Queensland University of Technology, Brisbane, 
      QLD, Australia.
AD  - Centre for Data Science, Queensland University of Technology, Brisbane, QLD, 
      Australia.
FAU - Guo, Xiaolei
AU  - Guo X
AD  - Shandong Center for Disease Control and Prevention, and Academy of Preventive 
      Medicine, Shandong University, Jinan, Shandong, China.
FAU - Hu, Wenbiao
AU  - Hu W
AUID- ORCID: 0000-0001-6422-9240
AD  - Ecosystem Change and Population Health Research Group, School of Public Health 
      and Social Work, Queensland University of Technology, Brisbane, QLD, 4059, 
      Australia. w2.hu@qut.edu.au.
LA  - eng
PT  - Comparative Study
PT  - Journal Article
DEP - 20240226
PL  - United States
TA  - Int J Biometeorol
JT  - International journal of biometeorology
JID - 0374716
RN  - 0 (Particulate Matter)
SB  - IM
MH  - Humans
MH  - *Diabetes Mellitus, Type 2/mortality
MH  - China/epidemiology
MH  - Female
MH  - *Cities/epidemiology
MH  - Male
MH  - Middle Aged
MH  - Aged
MH  - *Extreme Heat/adverse effects
MH  - Adult
MH  - Hot Temperature/adverse effects
MH  - Particulate Matter/analysis
MH  - Cross-Over Studies
PMC - PMC11058751
OTO - NOTNLM
OT  - Coastal
OT  - Heatwave
OT  - Inland
OT  - Shandong
OT  - T2DM
COIS- The authors declare that they have no known competing financial interests or 
      personal relationships that could have appeared to influence the work reported in 
      this paper.
EDAT- 2024/02/26 12:44
MHDA- 2024/04/29 13:58
PMCR- 2024/02/26
CRDT- 2024/02/26 11:44
PHST- 2023/10/05 00:00 [received]
PHST- 2024/02/12 00:00 [accepted]
PHST- 2023/12/25 00:00 [revised]
PHST- 2024/04/29 13:58 [medline]
PHST- 2024/02/26 12:44 [pubmed]
PHST- 2024/02/26 11:44 [entrez]
PHST- 2024/02/26 00:00 [pmc-release]
AID - 10.1007/s00484-024-02638-0 [pii]
AID - 2638 [pii]
AID - 10.1007/s00484-024-02638-0 [doi]
PST - ppublish
SO  - Int J Biometeorol. 2024 May;68(5):939-948. doi: 10.1007/s00484-024-02638-0. Epub 
      2024 Feb 26.