PM2.5 exposure as a risk factor for type 2 diabetes mellitus in the Mexico City metropolitan area

Abstract Background Exposure to air pollution is the main risk factor for morbidity and mortality in the world. Exposure to particulate matter with aerodynamic diameter ≤ 2.5 μm (PM2.5) is associated with cardiovascular and respiratory conditions, as well as with lung cancer, and there is evidence t...

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Main Authors: Olivia L. Chilian-Herrera, Marcela Tamayo-Ortiz, Jose L. Texcalac-Sangrador, Stephen J. Rothenberg, Ruy López-Ridaura, Martín Romero-Martínez, Robert O. Wright, Allan C. Just, Itai Kloog, Luis F. Bautista-Arredondo, Martha María Téllez-Rojo
Format: Article
Language:English
Published: BMC 2021-11-01
Series:BMC Public Health
Subjects:
Online Access:https://doi.org/10.1186/s12889-021-12112-w
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author Olivia L. Chilian-Herrera
Marcela Tamayo-Ortiz
Jose L. Texcalac-Sangrador
Stephen J. Rothenberg
Ruy López-Ridaura
Martín Romero-Martínez
Robert O. Wright
Allan C. Just
Itai Kloog
Luis F. Bautista-Arredondo
Martha María Téllez-Rojo
author_facet Olivia L. Chilian-Herrera
Marcela Tamayo-Ortiz
Jose L. Texcalac-Sangrador
Stephen J. Rothenberg
Ruy López-Ridaura
Martín Romero-Martínez
Robert O. Wright
Allan C. Just
Itai Kloog
Luis F. Bautista-Arredondo
Martha María Téllez-Rojo
author_sort Olivia L. Chilian-Herrera
collection DOAJ
description Abstract Background Exposure to air pollution is the main risk factor for morbidity and mortality in the world. Exposure to particulate matter with aerodynamic diameter ≤ 2.5 μm (PM2.5) is associated with cardiovascular and respiratory conditions, as well as with lung cancer, and there is evidence to suggest that it is also associated with type II diabetes (DM). The Mexico City Metropolitan Area (MCMA) is home to more than 20 million people, where PM2.5 levels exceed national and international standards every day. Likewise, DM represents a growing public health problem with prevalence around 12%. In this study, the objective was to evaluate the association between exposure to PM2.5 and DM in adults living in the MCMA. Methods Data from the 2006 or 2012 National Health and Nutrition Surveys (ENSANUT) were used to identify subjects with DM and year of diagnosis. We estimated PM2.5 exposure at a residence level, based on information from the air quality monitoring system (monitors), as well as satellite measurements (satellite). We analyzed the relationship through a cross-sectional approach and as a case - control study. Results For every 10 μg/m3 increase of PM2.5 we found an OR = 3.09 (95% CI 1.17–8.15) in the 2012 sample. These results were not conclusive for the 2006 data or for the case - control approach. Conclusions Our results add to the evidence linking PM2.5 exposure to DM in Mexican adults. Studies in low- and middle-income countries, where PM2.5 atmospheric concentrations exceed WHO standards, are required to strengthen the evidence.
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spelling doaj.art-8a205c001fdb44c2b8b6bc934735cf852022-12-21T20:39:42ZengBMCBMC Public Health1471-24582021-11-0121111010.1186/s12889-021-12112-wPM2.5 exposure as a risk factor for type 2 diabetes mellitus in the Mexico City metropolitan areaOlivia L. Chilian-Herrera0Marcela Tamayo-Ortiz1Jose L. Texcalac-Sangrador2Stephen J. Rothenberg3Ruy López-Ridaura4Martín Romero-Martínez5Robert O. Wright6Allan C. Just7Itai Kloog8Luis F. Bautista-Arredondo9Martha María Téllez-Rojo10Homologous Normative Coordination, General Directorate, Mexican Social Security InstituteOccupational Health Research Unit, Mexican Social Security InstituteDepartment of Environmental Health, Center for Population Health Research, National Institute of Public HealthDepartment of Environmental Health, Center for Population Health Research, National Institute of Public HealthNational Center for Disease Prevention and Control ProgramsCenter for Research in Surveys and Evaluation, National Institute of Public HealthDepartment of Environmental Medicine and Public Health, Icahn School of Medicine at Mount SinaiDepartment of Environmental Medicine and Public Health, Icahn School of Medicine at Mount SinaiDepartment of Geography and Environmental Development, Ben-Gurion University of the NegevCenter for Nutrition and Health Research, National Institute of Public HealthCenter for Nutrition and Health Research, National Institute of Public HealthAbstract Background Exposure to air pollution is the main risk factor for morbidity and mortality in the world. Exposure to particulate matter with aerodynamic diameter ≤ 2.5 μm (PM2.5) is associated with cardiovascular and respiratory conditions, as well as with lung cancer, and there is evidence to suggest that it is also associated with type II diabetes (DM). The Mexico City Metropolitan Area (MCMA) is home to more than 20 million people, where PM2.5 levels exceed national and international standards every day. Likewise, DM represents a growing public health problem with prevalence around 12%. In this study, the objective was to evaluate the association between exposure to PM2.5 and DM in adults living in the MCMA. Methods Data from the 2006 or 2012 National Health and Nutrition Surveys (ENSANUT) were used to identify subjects with DM and year of diagnosis. We estimated PM2.5 exposure at a residence level, based on information from the air quality monitoring system (monitors), as well as satellite measurements (satellite). We analyzed the relationship through a cross-sectional approach and as a case - control study. Results For every 10 μg/m3 increase of PM2.5 we found an OR = 3.09 (95% CI 1.17–8.15) in the 2012 sample. These results were not conclusive for the 2006 data or for the case - control approach. Conclusions Our results add to the evidence linking PM2.5 exposure to DM in Mexican adults. Studies in low- and middle-income countries, where PM2.5 atmospheric concentrations exceed WHO standards, are required to strengthen the evidence.https://doi.org/10.1186/s12889-021-12112-wPM2.5Particulate matterAir pollutionDiabetes mellitus, type 2Mexico
spellingShingle Olivia L. Chilian-Herrera
Marcela Tamayo-Ortiz
Jose L. Texcalac-Sangrador
Stephen J. Rothenberg
Ruy López-Ridaura
Martín Romero-Martínez
Robert O. Wright
Allan C. Just
Itai Kloog
Luis F. Bautista-Arredondo
Martha María Téllez-Rojo
PM2.5 exposure as a risk factor for type 2 diabetes mellitus in the Mexico City metropolitan area
BMC Public Health
PM2.5
Particulate matter
Air pollution
Diabetes mellitus, type 2
Mexico
title PM2.5 exposure as a risk factor for type 2 diabetes mellitus in the Mexico City metropolitan area
title_full PM2.5 exposure as a risk factor for type 2 diabetes mellitus in the Mexico City metropolitan area
title_fullStr PM2.5 exposure as a risk factor for type 2 diabetes mellitus in the Mexico City metropolitan area
title_full_unstemmed PM2.5 exposure as a risk factor for type 2 diabetes mellitus in the Mexico City metropolitan area
title_short PM2.5 exposure as a risk factor for type 2 diabetes mellitus in the Mexico City metropolitan area
title_sort pm2 5 exposure as a risk factor for type 2 diabetes mellitus in the mexico city metropolitan area
topic PM2.5
Particulate matter
Air pollution
Diabetes mellitus, type 2
Mexico
url https://doi.org/10.1186/s12889-021-12112-w
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