暴露和美国成年人2型糖尿病的患病率
Ana Navas-Acien1, Ellen K Silbergeld, Roberto Pastor-Barriuso
1Department of Environmental Health Sciences, Johns Hopkins Bloomberg School of Public Health, 615 N Wolfe St, Room W7033B, Baltimore, MD 21205, USA. anavas@jhsph.edu
JAMA
|August 21, 2008
概括
尿液中的总量与美国成年人患2型糖尿病的更高患病率有关. 这表明无机暴露可能导致糖尿病,需要进一步调查.
科学领域:
- 环境健康 环境健康
- 内分泌学 在内分泌学.
- 毒理学 毒理学 毒理学
背景情况:
- 高度的慢性无机暴露与糖尿病有关.
- 低至中度无机暴露对糖尿病风险的影响尚不清楚.
- 来自海鲜的诺贝他因被认为是无毒的.
研究的目的:
- 检查尿液中含量与2型糖尿病患病率之间的关联.
- 研究的重点是代表性样本的美国成年人.
主要方法:
- 从2003-2004年NHANES.中对788名成年人 (20岁以上) 的横截面研究.
- 测量了尿液中的含量 (总量,二甲基酸盐,乙).
- 在摄入水平上评估了2型糖尿病的患病率.
主要成果:
- 患有2型糖尿病的参与者尿液中的总含量高出26%.
- 患2型糖尿病的几率随着总和二甲基酸盐水平的提高而显著增加.
- 在患有2型糖尿病和没有2型糖尿病的参与者之间,诺贝他因水平没有差异.
结论:
- 总尿与2型糖尿病患病率的增加有关,即使在低暴露水平.
- 这些发现支持了饮用水中的无机可能导致糖尿病患病率的假设.
- 需要进一步的前性研究来确认因果关系.
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