2008
DOI: 10.1016/j.envres.2008.06.002
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Associations of environmental exposure to dioxins with prevalent diabetes among general inhabitants in Japan

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Cited by 71 publications
(61 citation statements)
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“…The link between exposure to endocrine disruptor xenobiotics and obesity has already been proposed (Elobeid and Allison, 2008) and some phthalates, which are highly prevalent lipophilic pollutants, have been shown to promote adipocyte differentiation, therefore supporting this hypothesis (Feige et al, 2007). Several epidemiological studies have also linked dioxin exposition to increased risk of diabetes or modified glucose metabolism (Uemura et al, 2008).…”
mentioning
confidence: 59%
“…The link between exposure to endocrine disruptor xenobiotics and obesity has already been proposed (Elobeid and Allison, 2008) and some phthalates, which are highly prevalent lipophilic pollutants, have been shown to promote adipocyte differentiation, therefore supporting this hypothesis (Feige et al, 2007). Several epidemiological studies have also linked dioxin exposition to increased risk of diabetes or modified glucose metabolism (Uemura et al, 2008).…”
mentioning
confidence: 59%
“…Recent studies have measured more PCB congeners in detail; however, analyses were performed using the accumulated TEQs [13] or the total/subtotal sum of PCB congeners [14,25], and differences in the specific effects of PCB congeners have rarely been reported. Knowledge from experimental studies is also insufficient.…”
Section: Discussionmentioning
confidence: 99%
“…PCB 126, along with polychlorinated dibenzo-p-dioxin and p,p'-DDT, was considered in a general population in the USA, and a significant association was found with diagnosed diabetes and undiagnosed diabetes, which was defined as an HbA1c level > 6.1% [12]. Among the general population of Japan, a cross-sectional study measured seven polychlorinated dibenzo-p-dioxins (PCDDs), ten polychlorinated dibenzofurans (PCDFs) and 12 dioxin-like PCBs and showed that the accumulated toxic equivalents (TEQs) of these compounds were positively correlated with the HbA1c level [13]. In addition, the prevalence of diabetes, as defined by the self-reporting of physician-diagnosed diabetes or an HbA1c level > 6.5%, was positively associated with the accumulated TEQs of dioxin-like PCBs [13].…”
Section: Study Populationmentioning
confidence: 99%
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“…Consequently, it is not unlikely that POPs, which mainly accumulate in fat tissues, contribute to the production and release of inflammation-related adipose tissue proteins known to be involved in the development of chronic metabolic disorders such as T2DM. A number of studies have found associations between T2DM and POPs, such as polychlorinated biphenyls, [74][75][76][77][78] polychlorinated dibenzo-p-dioxins [75][76][77]79 and organochlorine pesticides, [74][75]77,[80][81][82] which are usually detectable at low levels in humans. The previous observations arise from crosssectional studies, making it difficult to establish a causeeffect relationship.…”
Section: Risksmentioning
confidence: 99%