Serum dioxin level in relation to diabetes mellitus among Air Force Veterans with background levels of exposure

被引:119
作者
Longnecker, MP [1 ]
Michalek, JE
机构
[1] NIEHS, Epidemiol Branch, Res Triangle Pk, NC 27709 USA
[2] USAF, Res Lab, Brooks AFB, TX USA
关键词
dioxin; diabetes mellitus; glucose metabolism; environmental exposures; insulin levels; body mass; gender; occupations;
D O I
10.1097/00001648-200001000-00010
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
Data from several epidemiologic studies suggest that exposure to unusually high amounts of dioxin (2,3,7,8-tetrachlorodibenzo-p-dioxin) increases the risk of diabetes mellitus, and experimental data suggest that the mechanism for this is decreased cellular glucose uptake. To investigate the dose-response relation more closely, we examined the association of serum dioxin level with prevalence of diabetes mellitus and with levels of serum insulin and glucose among 1,197 veterans in the Air Force Health Study who never had contact with dioxin-contaminated herbicides and whose serum dioxin level was within the range of background exposure typically seen in the United States (less than or equal to 10 ng/kg lipid). Compared with those whose serum dioxin level was in the first quartile (<2.8 ng/kg lipid), the multivariate adjusted odds of diabetes among those in the highest quartile (greater than or equal to 5.2 ng/kg lipid) was 1.71 (95% confidence interval = 1.00-2.91). The association was slightly attenuated after adjustment for serum triglycerides. Whether adjustment for serum triglycerides was appropriate, however, cannot be determined with available data. The association of background-level dioxin exposure with the prevalence of diabetes in these data may well be due to reasons other than causality, although a causal contribution cannot be wholly dismissed.
引用
收藏
页码:44 / 48
页数:5
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