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Ambient fine particulate pollution associated with diabetes mellitus among the elderly aged 50 years and older in China

机译：中国50岁以上老年人与糖尿病相关的环境细颗粒物污染

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摘要

The linkage between ambient air pollution exposure and occurrence of diabetes mellitus is not well defined. This study examined the association between exposure to fine particles (PM2.5) and the prevalence of diabetes among Chinese elderly people. We surveyed 11,504 adults aged = 50 years in China, estimated the annual concentrations of ambient PM2.5 using a satellite-based model of aerosol optical depth information. We employed a generalized mixed effects model to examine the association between PM2.5 and the prevalence of diabetes and explored potential effect modifiers. We estimated diabetes burden attributable to ambient PM2.5 if the observed association is indeed causal. The diabetes prevalence among the participants was 6.5% (n = 745). Our analysis found a statistically significant association between PM2.5 and diabetes. The adjusted odds ratio was 1.27 (95% confidence interval (CI), 1.12, 1.43) for each 10 mu g/m(3) increment in ambient PM2.5. Stratified analyses found a lower association among the participants with higher consumption of fruit. We estimated that 22.02% (95% CI: 8.59%, 43.29%) of the diabetes cases could be ascribable to ambient PM2.5. Our finding suggests that PM2.5 exposures could increase the risk of diabetes, and if causal, could be responsible for substantial burden of diabetes among the Chinese elderly; and higher intakes of fruit might reduce the harmful effects of PM2.5, however, due to the limitation of the cross-sectional study design, more studies are warranted to confirm this observation. (C) 2018 Elsevier Ltd. All rights reserved.
机译：周围空气污染暴露与糖尿病发生之间的联系尚未明确。这项研究检查了中国老年人中暴露于细小颗粒（PM2.5）与糖尿病患病率之间的关系。我们对中国11504名年龄≥50岁的成年人进行了调查，并使用基于卫星的气溶胶光学深度信息模型估算了大气中PM2.5的年浓度。我们采用了一个广义的混合效应模型来研究PM2.5与糖尿病患病率之间的关系，并探讨了潜在的效应修饰因子。如果观察到的关联确实是因果关系，我们估计可归因于周围PM2.5的糖尿病负担。参与者中的糖尿病患病率为6.5％（n = 745）。我们的分析发现PM2.5与糖尿病之间存在统计学上的显着关联。在环境PM2.5中每增加10μg / m（3），调整后的优势比为1.27（95％置信区间（CI），1.12、1.43）。分层分析发现，参与者之间的关联度较低，水果消费量较高。我们估计22.02％（95％CI：8.59％，43.29％）的糖尿病病例可归因于环境PM2.5。我们的发现表明，暴露于PM2.5可能会增加患糖尿病的风险，如果有因果关系，则可能造成中国老年人的糖尿病负担。较高的水果摄入量可能会降低PM2.5的有害影响，但是，由于横断面研究设计的局限性，有必要进行更多的研究来证实这一发现。 （C）2018 Elsevier Ltd.保留所有权利。

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  • 来源
    《Environmental Pollution》 |2018年第ptab期|815-823|共9页
  • 作者

    Yang Yin; Guo Yanfei; Qian Zhengmin (Min); Ruan Zengliang; Zheng Yang; Woodward Alistair; Ai Siqi; Howard Steven W.; Vaughn Michael G.; Ma Wenjun; Wu Fan; Lin Hualiang;

  • 作者单位

    Sun Yat Sen Univ, Sch Publ Hlth, Dept Med Stat & Epidemiol, Guangzhou 510080, Guangdong, Peoples R China;

    Shanghai Municipal Ctr Dis Control & Prevent, Shanghai, Peoples R China;

    St Louis Univ, Coll Publ Hlth & Social Justice, St Louis, MO 63103 USA;

    Sun Yat Sen Univ, Sch Publ Hlth, Dept Med Stat & Epidemiol, Guangzhou 510080, Guangdong, Peoples R China;

    Shanghai Municipal Ctr Dis Control & Prevent, Shanghai, Peoples R China;

    Univ Auckland, Sch Populat Hlth, Private Bag 92019, Auckland 1142, New Zealand;

    Sun Yat Sen Univ, Sch Publ Hlth, Dept Med Stat & Epidemiol, Guangzhou 510080, Guangdong, Peoples R China;

    St Louis Univ, Coll Publ Hlth & Social Justice, St Louis, MO 63103 USA;

    St Louis Univ, Coll Publ Hlth & Social Justice, St Louis, MO 63103 USA;

    Guangdong Prov Ctr Dis Control & Prevent, Guangdong Prov Inst Publ Hlth, Guangzhou, Guangdong, Peoples R China;

    Shanghai Municipal Ctr Dis Control & Prevent, Shanghai, Peoples R China;

    Sun Yat Sen Univ, Sch Publ Hlth, Dept Med Stat & Epidemiol, Guangzhou 510080, Guangdong, Peoples R China;

  • 收录信息 美国《科学引文索引》(SCI);美国《工程索引》(EI);美国《生物学医学文摘》(MEDLINE);美国《化学文摘》(CA);
  • 原文格式 PDF
  • 正文语种 eng
  • 中图分类
  • 关键词

    Air pollution; PM2.5; Diabetes mellitus; Burden of disease;

    机译：空气污染;PM2.5;糖尿病;疾病负担;

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