Universität zu Köln

Lucht, Sarah A., Hennig, Frauke ORCID: 0000-0002-8769-7976, Matthiessen, Clara, Ohlwein, Simone, Icks, Andrea, Moebus, Susanne, Joeckel, Karl-Heinz, Jakobs, Hermann and Hoffmann, Barbara (2018). Air Pollution and Glucose Metabolism: An Analysis in Non-Diabetic Participants of the Heinz Nixdorf Recall Study. Environ. Health Perspect., 126 (4). RES TRIANGLE PK: US DEPT HEALTH HUMAN SCIENCES PUBLIC HEALTH SCIENCE. ISSN 1552-9924

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Abstract

BACKGROUND: Despite the importance of understanding the connection between air pollution exposure and diabetes, studies investigating links between air pollution and glucose metabolism in nondiabetic adults are limited. OBJECTIVE: We aimed to estimate the association of medium-term air pollution exposures with blood glucose and glycated hemoglobin A1c (HbA1c) among nondiabetics. METHODS: This study included observations from nondiabetic participants (n(obs)= 7,108) of the population-based Heinz Nixdorf Recall study at baseline (2000-2003) and follow-up examination (2006-2008). Daily fine particulate matter (aerodynamic diameter <= 2.5 mu m, PM2.5; aerodynamic diameter <= 10 mu m, PM10), accumulation mode particle number (PNAM), and nitrogen dioxide (NO2) exposures were estimated at participants residences using the spatiotemporal European Air Pollution Dispersion (EURAD) chemistry transport model. We evaluated the associations between medium-term air pollution exposures (28- and 91-d means) and glucose metabolism measures using mixed linear regression and adjusting for season, meteorology, and personal characteristics. A range of other exposure windows (1-, 2-, 3-, 7-, 14-, 45-, 60-, 75-, 105-, 120-, and 182-d means) were also evaluated to identify potentially relevant biological windows. RESULTS: We observed positive associations between PM2.5 and PNAM exposures and blood glucose levels [e.g., 28-d PM2.5: 0.91 mg/dL (95% CI: 0.38, 1.44) per 5.7 mu g/m(3)]. PM2.5, PM10, and PNAM exposures were positively associated with HbA1c [e.g., 91-d PM2.5: 0.07 p.p. (95% CI: 0.04, 0.10) per 4.0 mu g/m(3)]. Mean exposures during longer exposure windows (75- to 105-d) were most strongly associated with HbA1c, whereas 7- to 45-d exposures were most strongly associated with blood glucose. NO2 exposure was not associated with blood glucose or with HbA1c. CONCLUSIONS: Medium-term PM and PNAM exposures were positively associated with glucose measures in nondiabetic adults. These findings indicate that reducing ambient air pollution levels may decrease the risk of diabetes.

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code Lucht, Sarah A. UNSPECIFIED UNSPECIFIED UNSPECIFIED Hennig, Frauke UNSPECIFIED orcid.org/0000-0002-8769-7976 UNSPECIFIED Matthiessen, Clara UNSPECIFIED UNSPECIFIED UNSPECIFIED Ohlwein, Simone UNSPECIFIED UNSPECIFIED UNSPECIFIED Icks, Andrea UNSPECIFIED UNSPECIFIED UNSPECIFIED Moebus, Susanne UNSPECIFIED UNSPECIFIED UNSPECIFIED Joeckel, Karl-Heinz UNSPECIFIED UNSPECIFIED UNSPECIFIED Jakobs, Hermann UNSPECIFIED UNSPECIFIED UNSPECIFIED Hoffmann, Barbara UNSPECIFIED UNSPECIFIED UNSPECIFIED
URN:	urn:nbn:de:hbz:38-189881
DOI:	10.1289/EHP2561
Journal or Publication Title:	Environ. Health Perspect.
Volume:	126
Number:	4
Date:	2018
Publisher:	US DEPT HEALTH HUMAN SCIENCES PUBLIC HEALTH SCIENCE
Place of Publication:	RES TRIANGLE PK
ISSN:	1552-9924
Language:	English
Faculty:	Unspecified
Divisions:	Unspecified
Subjects:	no entry
Uncontrolled Keywords:	Keywords Language LONG-TERM EXPOSURE; FINE PARTICULATE MATTER; RISK-FACTORS; INSULIN-RESISTANCE; GLYCOSYLATED HEMOGLOBIN; BLOOD-GLUCOSE; ASSOCIATION; INFLAMMATION; POLLUTANTS; PREGNANCY Multiple languages Environmental Sciences; Public, Environmental & Occupational Health; Toxicology Multiple languages
Refereed:	Yes
URI:	http://kups.ub.uni-koeln.de/id/eprint/18988