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持久性有机污染物与健康成年人糖尿病和肥胖风险的关系:来自西班牙的一项横断面研究结果。

Persistent organic pollutants and risk of diabetes and obesity on healthy adults: Results from a cross-sectional study in Spain.

机构信息

Toxicology Unit, Research Institute of Biomedical and Health Sciences (IUIBS), Instituto Canario de Investigación del Cáncer (ICIC), Universidad de Las Palmas de Gran Canaria, Las Palmas de Gran Canaria, Spain.

Toxicology Unit, Research Institute of Biomedical and Health Sciences (IUIBS), Instituto Canario de Investigación del Cáncer (ICIC), Universidad de Las Palmas de Gran Canaria, Las Palmas de Gran Canaria, Spain.; Spanish Biomedical Research Centre in Physiopathology of Obesity and Nutrition (CIBERObn), Spain.

出版信息

Sci Total Environ. 2017 Dec 31;607-608:1096-1102. doi: 10.1016/j.scitotenv.2017.07.075. Epub 2017 Jul 27.

Abstract

Environmental exposure to persistent organic pollutants (POPs) has been reported to be relevant in the population of the Canary Islands (Spain), especially that of organochlorine pesticides. On the other hand, the population of this archipelago presents a high prevalence of type 2 diabetes (T2D), and it has been recently reported that environmental chemical contamination could play a role in the development of this disease. We performed a cross-sectional study in a representative sample from this archipelago to evaluate whether serum levels of selected POPs could be considered as risk factors for diabetes in this population. Serum levels of 30 POPs were determined in 429 adults (9.3% with T2D). We found that serum levels of p,p'-DDE (DDE), PCB-153 and PCB-118 were significantly higher among subjects having diabetes than in non-diabetic subjects (p=0.001, p=0.046, and p<0.0001, respectively). We observed a positive correlation between serum p,p'-DDE and glucose levels. Serum p,p'-DDE was identified as a risk factor for diabetes in univariate analysis in the whole series, and it remained as an independent risk factor for diabetes in subjects with serum glucose <126mg/dL (multivariate analysis, Exp(B)=1.283, CI 95% (1.023-1.611), p=0.031). Those normoglycemic subjects that are most exposed to p,p'-DDE (95th percentile: serum p,p'-DDE>5μg/L) seem to be those people at higher risk. Our results showed that p,p'-DDE levels were significantly higher among subjects having diabetes. These findings should be considered by public health Authorities to implement measures devoted to minimize human exposure to pollutants that could be harmful to the population.

摘要

环境持久性有机污染物(POPs)暴露已被报道与加那利群岛(西班牙)的人群有关,尤其是有机氯农药。另一方面,这个群岛的人群中 2 型糖尿病(T2D)的患病率很高,最近有报道称环境化学污染物可能在这种疾病的发展中起作用。我们在该群岛的代表性样本中进行了一项横断面研究,以评估选定的 POPs 血清水平是否可以被视为该人群糖尿病的危险因素。在 429 名成年人(9.3%患有 T2D)中测定了 30 种 POPs 的血清水平。我们发现,患有糖尿病的受试者的血清 p,p'-DDE(DDE)、PCB-153 和 PCB-118 水平明显高于非糖尿病受试者(p=0.001、p=0.046 和 p<0.0001)。我们观察到血清 p,p'-DDE 与血糖水平之间存在正相关。在整个系列的单变量分析中,血清 p,p'-DDE 被确定为糖尿病的危险因素,并且在血清葡萄糖<126mg/dL 的受试者中,它仍然是糖尿病的独立危险因素(多元分析,Exp(B)=1.283,95%CI(1.023-1.611),p=0.031)。那些血清 p,p'-DDE 暴露量最高的正常血糖受试者(第 95 百分位数:血清 p,p'-DDE>5μg/L)似乎是那些风险更高的人。我们的结果表明,患有糖尿病的受试者的血清 p,p'-DDE 水平明显较高。这些发现应引起公共卫生部门的重视,以采取措施尽量减少人类接触可能对人群有害的污染物。

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