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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BMC
2021-11-01
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Series: | BMC Public Health |
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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. |
first_indexed | 2024-12-19T02:29:47Z |
format | Article |
id | doaj.art-8a205c001fdb44c2b8b6bc934735cf85 |
institution | Directory Open Access Journal |
issn | 1471-2458 |
language | English |
last_indexed | 2024-12-19T02:29:47Z |
publishDate | 2021-11-01 |
publisher | BMC |
record_format | Article |
series | BMC Public Health |
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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