2017
DOI: 10.1016/j.envint.2016.12.011
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Ambient ozone and incident diabetes: A prospective analysis in a large cohort of African American women

Abstract: Background Ozone is a ubiquitous air pollutant with increasing concentrations in many populous regions. Toxicological studies show that ozone can cause oxidative stress and increase insulin resistance. These pathways may contribute to metabolic changes and diabetes formation. In this paper, we investigate the association between ozone and incident type 2 diabetes in a large cohort of African American women. Methods We used Cox proportional hazards models to calculate hazard ratios (HRs) for incident type 2 d… Show more

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Cited by 54 publications
(29 citation statements)
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“…Racial/ethnic minorities are more likely to be of low SES and live in dense urban centers [86, 87]. Consequently, racial/ethnic minority groups, especially African Americans, have consistently shown an increased risk for CVD due to air pollution [81, 82, 51, 49, 83]. For example, Coogan et al found that higher O 3 level was associated with a 9% increased incidence of hypertension [HR=1.09 (95% CI = 1.00, 1.18)] in a large cohort of black women after a median follow-up of 11 years (total of 348,154 person-years) [49].…”
Section: Sociodemographics (Age Sex Racial/ethnic Minorities and Lomentioning
confidence: 99%
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“…Racial/ethnic minorities are more likely to be of low SES and live in dense urban centers [86, 87]. Consequently, racial/ethnic minority groups, especially African Americans, have consistently shown an increased risk for CVD due to air pollution [81, 82, 51, 49, 83]. For example, Coogan et al found that higher O 3 level was associated with a 9% increased incidence of hypertension [HR=1.09 (95% CI = 1.00, 1.18)] in a large cohort of black women after a median follow-up of 11 years (total of 348,154 person-years) [49].…”
Section: Sociodemographics (Age Sex Racial/ethnic Minorities and Lomentioning
confidence: 99%
“…Many subgroups defined by sociodemographics (race/ethnicity, age, sex and SES) [81, 82, 51, 49, 83], geographic location (rural vs. urban populations) [81, 28, 84] and country economic conditions (developed vs. developing countries) [85] show striking disparities in adverse cardiovascular outcomes resulting from exposure to air pollution. Yet, all the reviews thus far have discussed this topic very broadly in the general population.…”
Section: Introductionmentioning
confidence: 99%
“…Air pollution, especially traffic-related exposures, NO 2 , tobacco smoke, and particulate matter, have been associated with obesity, type 2 diabetes, and metabolic syndrome with women showing higher susceptibility than men, and children being especially susceptible [161][162][163][164]. Studies conducted in several countries, such as Europe, America, and Asia reported strong associations among exposure to air pollutants, insulin resistance, obesity, and diabetes with women overrepresented in the affected groups [165][166][167][168][169][170]. These findings have also been recapitulated in animal models, where exposure to particulate matter resulted in increased insulin resistance followed by a high-fat diet [171][172][173], and these effects were associated with inflammation triggered by mechanisms involving pulmonary oxidative stress [174].…”
Section: Outdoor Air Pollution and Lung Healthmentioning
confidence: 99%
“…Estudou-se a relação entre concentrações de ozônio na atmosfera e incidência de diabetes tipo 2 em mulheres afro-americanas [40]. O O 3 inalado muitas vezes causa estresse oxidativo nos pulmões e leva a aumento na resistência à insulina.…”
Section: Ozônio E Saúdeunclassified