Title Associations between changes in adipokines and exposure to fine and ultrafine particulate matter in ambient air in Beijing residents with and without pre-diabetes
Authors Chen, Wu
Han, Yiqun
Wang, Yanwen
Chen, Xi
Qiu, Xinghua
Li, Weiju
Yao, Yuan
Zhu, Tong
Affiliation Peking Univ, Coll Environm Sci & Engn, Ctr Environm & Hlth, BIC ESAT & SKL ESPC, Beijing, Peoples R China
Imperial Coll London, Dept Epidemiol & Biostat, MRC Ctr Environm & Hlth, London, England
Peking Univ, Peking Univ Hosp, Beijing, Peoples R China
Keywords LONG-TERM EXPOSURE
GLUCOSE-HOMEOSTASIS
POLLUTION EXPOSURE
INSULIN-RESISTANCE
DIABETES-MELLITUS
LEPTIN
BIOMARKERS
MARKERS
SIZE
HYPERTENSION
Issue Date 2020
Publisher BMJ OPEN DIABETES RESEARCH & CARE
Abstract Objective Exposure to particulate matter (PM) is a risk factor to diabetes, but the underlying mechanism is unclear. Adipokines play important roles in glucose metabolism. This study examined the associations between short-term exposure to ambient PM and adipokine levels and evaluated whether metabolic disorders could enhance susceptibility to PM-induced health effects. Research design and methods In a panel study (SCOPE, Study Comparing the Cardiometabolic and Respiratory Effects of Air Pollution Exposure on Healthy and Pre-diabetic Individuals) in Beijing, China, 60 pre-diabetic individuals and 60 healthy controls completed two to seven clinical visits. The associations between serum adiponectin, leptin, and resistin levels and the moving average (MA) mass concentration of PM2.5 and number concentrations of ultrafine particles (UFP) and accumulation-mode particles (AMP) during the 1-14 days prior to clinical visits, and the effects of metabolic disorders on any such associations, were evaluated using a linear mixed-effects model. Results Short-term exposure to ambient UFP and AMP was inversely associated with adipokine levels at 1-14 days prior to clinical visits. For example, each IQR increment in 1 day MA UFP exposure (6.0x10(3)/cm(3)) was associated with -14.0% (95% CI -20.9%, -6.4%), -6.6% (95% CI -12.4%, -0.4%), and -8.5% (95% CI -14.5%, -2.2%) changes in adiponectin, leptin, and resistin levels, respectively. There was no significant association between adipokine levels and PM2.5 exposure. UFP and AMP exposure was associated with a greater decrease in adiponectin level and a weaker change in leptin level among participants with high insulin resistance levels. Glucose status did not modify PM-induced changes in adipokine levels. Conclusion High level of insulin resistance could aggravate the adverse metabolic impact of exposure to UFP and AMP.
URI http://hdl.handle.net/20.500.11897/602243
DOI 10.1136/bmjdrc-2020-001215
Indexed SCI(E)
Appears in Collections: 环境科学与工程学院
校医院

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