Dataset Information

Risk Analysis of Air Pollution and Meteorological Factors Affecting the Incidence of Diabetes in the Elderly Population in Northern China.

ABSTRACT: Background:Research investigating the effect of air pollution on diabetes incidence is mostly conducted in Europe and the United States and often produces conflicting results. The link between meteorological factors and diabetes incidence remains to be explored. We aimed to explore associations between air pollution and diabetes incidence and to estimate the nonlinear and lag effects of meteorological factors on diabetes incidence. Methods:Our study included 19,000 people aged ?60 years from the Binhai New District without diabetes at baseline. The generalized additive model (GAM) and the distributed lag nonlinear model (DLNM) were used to explore the effect of air pollutants and meteorological factors on the incidence of diabetes. In the model combining the GAM and DLNM, the impact of each factor (delayed by 30 days) was first observed separately to select statistically significant factors, which were then incorporated into the final multivariate model. The association between air pollution and the incidence of diabetes was assessed in subgroups based on age, sex, and body mass index (BMI). Results:We found that cumulative RRs for diabetes incidence were 1.026 (1.011-1.040), 1.019 (1.012-1.026), and 1.051 (1.019-1.083) per 10??g/m3 increase in PM2.5, PM10, and NO2, respectively, as well as 1.156 (1.058-1.264) per 1?mg/m3 increase in CO in a single-pollutant model. Increased temperature, excessive humidity or dryness, and shortened sunshine duration were positively correlated with the incidence of diabetes in single-factor models. After adjusting for temperature, humidity, and sunshine, the risk of diabetes increased by 9.2% (95% confidence interval (CI):2.1%-16.8%) per 10??g/m3 increase in PM2.5. We also found that women, the elderly (?75 years), and obese subjects were more susceptible to the effect of PM2.5. Conclusion:Our data suggest that PM2.5 is positively correlated with the incidence of diabetes in the elderly, and the relationship between various meteorological factors and diabetes in the elderly is nonlinear.

SUBMITTER: Lin Y

PROVIDER: S-EPMC7593725 | biostudies-literature | 2020

REPOSITORIES: biostudies-literature

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Risk Analysis of Air Pollution and Meteorological Factors Affecting the Incidence of Diabetes in the Elderly Population in Northern China.

Lin Yao Y Zhou Saijun S Liu Hongyan H Cui Zhuang Z Hou Fang F Feng Siyuan S Zhang Yourui Y Liu Hao H Lu Chunlan C Yu Pei P

Journal of diabetes research 20201020

<h4>Background</h4>Research investigating the effect of air pollution on diabetes incidence is mostly conducted in Europe and the United States and often produces conflicting results. The link between meteorological factors and diabetes incidence remains to be explored. We aimed to explore associations between air pollution and diabetes incidence and to estimate the nonlinear and lag effects of meteorological factors on diabetes incidence.<h4>Methods</h4>Our study included 19,000 people aged ≥60 ...[more]

PMID: 33134393

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Project description:The 2019 novel coronavirus disease (COVID-19) has become a severe public health and social problem worldwide. A limitation of the existing literature is that multiple environmental variables have not been frequently elaborated, which is why the overall effect of the environment on COVID-19 has not been conclusive. In this study, we used generalized additive model (GAM) to detect the relationship between meteorological and air pollution variables and COVID-19 in four urban agglomerations in China and made comparisons among the urban agglomerations. The four urban agglomerations are Beijing-Tianjin-Hebei (BTH), middle reaches of the Yangtze River (MYR), Yangtze River Delta (YRD), and the Pearl River Delta (PRD). The daily rates of average precipitation, temperature, relative humidity, sunshine duration, and atmospheric pressure were selected as meteorological variables. The PM2.5, PM10, sulfur dioxide (SO2), nitrogen dioxide (NO2), ozone (O3), and carbon monoxide (CO) contents were selected as air pollution variables. The results indicated that meteorological and air pollution variables tended to be significantly correlated. Moreover, the nature of the relationship between severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) and meteorological and air pollution variables (i.e., linear or nonlinear) varied with urban agglomerations. Among the variance explained by GAMs, BTH had the highest value (75.4%), while MYR had the lowest value (35.2%). The values of the YRD and PRD were between the above two, namely 45.6% and 62.2%, respectively. The findings showed that the association between SARS-CoV-2 and meteorological and air pollution variables varied in regions, making it difficult to obtain a relationship that is applicable to every region. Moreover, this study enriches our understanding of SARS-CoV-2. It is required to create awareness within the government that anti-COVID-19 measures should be adapted to the local meteorological and air pollution conditions.

Project description:Lombardy, the most populated and industrialized Italian region, was the epicentre of the first wave (March and April, 2020) of COVID-19 in Italy and it is among the most air polluted areas of Europe. We carried out an ecological study to assess the association between long-term exposure to particulate matter (PM) and nitrogen dioxide (NO2) on COVID-19 incidence and all-cause mortality after accounting for demographic, socioeconomic and meteorological variables. The study was based on publicly available data. Multivariable negative binomial mixed regression models were fitted, and results were reported in terms of incidence rate ratios (IRRs) and standardized mortality ratios (SMR). The effect of winter temperature and humidity was modelled through restricted cubic spline. Data from 1,439 municipalities out of 1,507 (95%) were included in the analyses, leading to a total of 61,377 COVID-19 cases and 40,401 deaths from all-causes collected from February 20th to April 16th and from March 1st to April 30th, 2020, respectively. Several demographic and socioeconomic variables resulted significantly associated with COVID-19 incidence and all-cause mortality in a multivariable fashion. An increase in average winter temperature was associated with a nonlinear decrease in COVID-19 incidence and all-cause mortality, while an opposite trend emerged for the absolute humidity. An increase of 10 ?g/m3 in the mean annual concentrations of PM2.5 and PM10 over the previous years was associated with a 58% and 34% increase in COVID-19 incidence rate, respectively. Similarly, a 10 ?g/m3 increase of annual mean PM2.5 concentration was associated with a 23% increase in all-cause mortality. An inverse association was found between NO2 levels and COVID-19 incidence and all-cause mortality. Our ecological study showed that exposure to PM was significantly associated with the COVID-19 incidence and excess mortality during the first wave of the outbreak in Lombardy, Italy.

Dataset Information

Risk Analysis of Air Pollution and Meteorological Factors Affecting the Incidence of Diabetes in the Elderly Population in Northern China.

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Risk Analysis of Air Pollution and Meteorological Factors Affecting the Incidence of Diabetes in the Elderly Population in Northern China.

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