Association Between Long-term Exposure to Air Pollution and Biomarkers Related to Insulin Resistance, Subclinical Inflammation, and Adipokines

作者：Wolf Kathrin^*; Popp Anita; Schneider Alexandra; Breitner Susanne; Hampel Regina; Rathmann Wolfgang; Herder Christian; Roden Michael; Koenig Wolfgang; Meisinger Christa; Peters Annette

来源：Diabetes, 2016, 65(11): 3314-3326.

DOI：10.2337/db15-1567

Insulin resistance (IR) is present long before the onset of type 2 diabetes and results not only from inherited and lifestyle factors but also likely from environmental conditions. We investigated the association between modeled long-term exposure to air pollution at residence and biomarkers related to IR, subclinical inflammation, and adipokines. Data were based on 2,944 participants of the KORA (Cooperative Health Research in the Region Augsburg) F4 study conducted in southern Germany (2006-2008). We analyzed associations between individual air pollution concentration estimated by land use regression and HOMA-IR, glucose, insulin, HbA(1c), leptin, and high-sensitivity C-reactive protein levels from fasting samples using multivariable linear regression models. Effect estimates were calculated for the whole study population and subgroups of individuals who did not have diabetes, had prediabetes, or had diabetes. Among all participants, a 7.9 mu g/m(3) increment in particulate matter of <10 pLm was associated with higher HOMA-IR (15.6% [95% CI 4.0; 28.6]) and insulin (14.5% [3.6; 26.5]). Nitrogen dioxide was associated with HOMA-IR, glucose, insulin, and leptin. Effect estimates for individuals with prediabetes were much larger and highly statistically significant, whereas individuals who did not have diabetes or had diabetes showed rather weak associations. No association was seen for HbA(1c) level. Our results suggested an association between long-term exposure to air pollution and IR in the general population was attributable mainly to individuals with diabetes.

• 出版日期2016-11
• 单位河北医科大学