Department of Cardiology, Peking Union Medical College Hospital, Peking Union Medical College & Chinese Academy of Medical Sciences, No. 1 Shuaifuyuan Wangfujing Dongcheng District, Beijing, 100730, China.
College of Resources and Environment, University of Chinese Academy of Sciences, Beijing, 100049, China.
Environ Sci Pollut Res Int. 2022 Sep;29(45):68247-68256. doi: 10.1007/s11356-022-20591-6. Epub 2022 May 10.
To explore the impacts of household solid fuel use for cooking and heating on diabetes and fasting blood glucose (FBG) levels, we used data from the China Health and Retirement Longitudinal Study, a national survey including middle-aged and older adults. Multivariable logistic and linear regression models were used to explore the relationship between household solid fuel use (coal, crop residue, and wood) for cooking and heating with diabetes and FBG levels. Subgroup analyses were also performed based on age, sex, region of residence, smoking status, and body mass index to examine potential interactions between the variables and household solid fuel use. Among the 6195 participants, 75.4% and 61.4%, respectively, used solid fuels for heating and cooking. Relative to clean fuel users, solid fuel users had higher odds of diabetes (heating: OR, 1.21; 95% CI, 1.01-1.44; cooking: OR, 1.31; 95% CI, 1.12-1.53) and higher FBG levels (heating: β = 3.23; 95% CI, 1.10-5.36; cooking: β = 2.86; 95% CI, 0.95-4.77). Simultaneous use of solid fuels for cooking/heating was also positively associated with diabetes (OR, 1.31; 95% CI, 1.07-1.61) and FBG (β = 4.30; 95% CI, 1.82-6.78). No significant interactions were detected between subgroup variables and the impacts of solid fuel use on diabetes and FBG. Household solid fuel use is positively associated with diabetes and FBG levels. These findings imply that inhibiting household solid fuel use may contribute to decreasing diabetes development in China.
为了探究家庭固体燃料的烹饪和取暖用途对糖尿病和空腹血糖（FBG）水平的影响，我们利用了中国健康与养老追踪调查的数据，这是一项包含中老年人的全国性调查。我们使用多变量逻辑回归和线性回归模型来探究家庭固体燃料（煤、农作物残余物和木材）的烹饪和取暖用途与糖尿病和 FBG 水平之间的关系。还根据年龄、性别、居住地区、吸烟状况和体重指数进行了亚组分析，以检验变量与家庭固体燃料使用之间的潜在交互作用。在 6195 名参与者中，分别有 75.4%和 61.4%的人使用固体燃料进行取暖和烹饪。与使用清洁燃料的人相比，使用固体燃料的人患糖尿病的几率更高（取暖：OR，1.21；95% CI，1.01-1.44；烹饪：OR，1.31；95% CI，1.12-1.53），空腹血糖水平也更高（取暖：β=3.23；95% CI，1.10-5.36；烹饪：β=2.86；95% CI，0.95-4.77）。同时使用固体燃料进行烹饪/取暖也与糖尿病（OR，1.31；95% CI，1.07-1.61）和 FBG（β=4.30；95% CI，1.82-6.78）呈正相关。在亚组变量和固体燃料使用对糖尿病和 FBG 的影响之间未检测到显著的交互作用。家庭固体燃料的使用与糖尿病和 FBG 水平呈正相关。这些发现表明，抑制家庭固体燃料的使用可能有助于减少中国的糖尿病发病。
