Salah Azizi, Mohammad Hadi Dehghani, Ramin Nabizadeh
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Ambient air fine particulate matter (PM10 and PM2.5) and risk of type 2 diabetes mellitus and mechanisms of effects: a global systematic review and meta-analysis.
Type 2 diabetes causes early mortality worldwide. Air pollution's relationship with T2DM has been studied. The association between them is unclear because of inconsistent outcomes. Studies on this topic have been published since 2019, but not thoroughly evaluated. We conducted a systematic review and meta-analysis using relevant data. The study protocol was registered in PROSPIRO and conducted according to MOOSE guidelines. In total, 4510 manuscripts were found. After screening, 46 studies were assessed using the OHAT tool. This meta-analysis evaluated fine particles with T2DM using OR and HR effect estimates. Evaluation of publication bias was conducted by Egger's test, Begg's test, and funnel plot analysis. A sensitivity analysis was conducted to evaluate the influence of several studies on the total estimations. Results show a significant association between PM2.5 and PM10 exposure and T2DM. Long-term exposure to fine air particles may increase the prevalence and incidence of T2DM. Fine air pollution increases the chance of developing T2DM mainly via systemic inflammation, oxidative stress, and endoplasmic reticulum stress.
期刊介绍:
International Journal of Environmental Health Research ( IJEHR ) is devoted to the rapid publication of research in environmental health, acting as a link between the diverse research communities and practitioners in environmental health. Published articles encompass original research papers, technical notes and review articles. IJEHR publishes articles on all aspects of the interaction between the environment and human health. This interaction can broadly be divided into three areas: the natural environment and health – health implications and monitoring of air, water and soil pollutants and pollution and health improvements and air, water and soil quality standards; the built environment and health – occupational health and safety, exposure limits, monitoring and control of pollutants in the workplace, and standards of health; and communicable diseases – disease spread, control and prevention, food hygiene and control, and health aspects of rodents and insects. IJEHR is published in association with the International Federation of Environmental Health and includes news from the Federation of international meetings, courses and environmental health issues.