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Ambient air pollution and risk of type 2 diabetes in the Chinese

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Abstract

We performed a time series analysis to investigate the potential association between exposure to ambient air pollution and type 2 diabetes (T2D) incidence in the Chinese population. Monthly time series data between 2008 and 2015 on ambient air pollutants and incident T2D (N = 25,130) were obtained from the Environment Monitoring Center of Ningbo and the Chronic Disease Surveillance System of Ningbo. Relative risks (RRs) and 95% confidence intervals (95% CIs) of incident T2D per 10 μg/m3 increases in ambient air pollutants were estimated from Poisson generalized additive models. Exposure to particulate matter < 10 μm (PM10) and sulfur dioxide (SO2) was associated with increased T2D incidence. The relative risks (RRs) of each increment in 10 μg/m3 of PM10 and SO2 were 1.62 (95% CI, 1.16–2.28) and 1.63 (95% CI, 1.12–2.38) for overall participants, whereas for ozone (O3) exposure, the RRs were 0.78 (95% CI, 0.68–0.90) for overall participants, 0.78 (95% CI, 0.69–0.90) for males, and 0.78 (95% CI, 0.67–0.91) for females, respectively. Exposure to PM10 and SO2 is positively associated with T2D incidence, whereas O3 is negatively associated with T2D incidence.

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Funding

The study is supported by grants from National Natural Science Foundation of China (81402745); Natural Science Foundation of Zhejiang Province (LY17H260002); K. C. Wong Magna Fund in Ningbo University; the Ministry of Education, Humanities, and Social Sciences project (14YJC630046); China Postdoctoral Science Foundation funded project (156458); Jiangsu Postdoctoral Science Foundation funded project (1601121B); Ningbo University Scientific Research Fund (XKL14D2098); National Natural Science Foundation of Ningbo (2017A610219); and Ningbo Scientific Innovation Team for Environmental Hazardous Factor Control and Prevention (2016C51001).

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Authors and Affiliations

  1. Ningbo Municipal Center for Disease Control and Prevention, Ningbo, 315010, China

    Hui Li, Donghui Duan & Tianfeng He

  2. Department of Epidemiology, School of Public Health and Tropical Medicine, Tulane University, New Orleans, LA, 70112, USA

    Jiaying Xu

  3. Population Wellbeing and Environment Research Lab (Power Lab), Faculty of Social Sciences, University of Wollongong, Wollongong, NSW, 2522, Australia

    Xiaoqi Feng & Thomas Astell-Burt

  4. Early Start, Faculty of Social Sciences, University of Wollongong, Wollongong, NSW, 2522, Australia

    Xiaoqi Feng & Thomas Astell-Burt

  5. Menzies Centre for Health Policy, University of Sydney, Sydney, NSW, 2006, Australia

    Xiaoqi Feng & Thomas Astell-Burt

  6. Department of Preventive Medicine, Medical School of Ningbo University, Ningbo, 315211, China

    Guodong Xu, Jinshun Zhao, Lina Zhang & Liyuan Han

  7. School of Public Health, Kunming Medical University, Kunming, China

    Dingyun You

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  1. Hui Li
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Correspondence to Dingyun You.

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The study was approved by the institutional review board of Ningbo Municipal Center for Disease Prevention and Control. All the participants provided written informed consent.

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Li, H., Duan, D., Xu, J. et al. Ambient air pollution and risk of type 2 diabetes in the Chinese. Environ Sci Pollut Res 26, 16261–16273 (2019). https://doi.org/10.1007/s11356-019-04971-z

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