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Estimates, trends, and drivers of the global burden of type 2 diabetes attributable to PM2.5 air pollution, 1990-2019 : An analysis of data from the Global Burden of Disease Study 2019

Burkart, Katrin
; 
Causey, Kate
; 
Cohen, Aaron J.
; 
Wozniak, Sarah S.
; 
Salvi, Devashri Digvijay
; 
Abbafati, Cristiana
; 
Adekanmbi, Victor
; 
Adsuar, Jose C.
; 
Ahmadi, Keivan
; 
Alahdab, Fares
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Author
Burkart, Katrin
Causey, Kate
Cohen, Aaron J.
Wozniak, Sarah S.
Salvi, Devashri Digvijay
Abbafati, Cristiana
Adekanmbi, Victor
Adsuar, Jose C.
Ahmadi, Keivan
Alahdab, Fares
Al-Aly, Ziyad
Alipour, Vahid
Alvis-Guzman, Nelson
Amegah, Adeladza Kofi
Andrei, Catalina Liliana
Andrei, Tudorel
Ansari, Fereshteh
Arabloo, Jalal
Aremu, Olatunde
Aripov, Timur
Babaee, Ebrahim
Banach, Maciej
Barnett, Anthony
Bärnighausen, Till Winfried
Bedi, Neeraj
Behzadifar, Masoud
Béjot, Yannick
Bennett, Derrick A.
Bensenor, Isabela M.
Bernstein, Robert S.
Bhattacharyya, Krittika
Bijani, Ali
Biondi, Antonio
Bohlouli, Somayeh
Breitner, Susanne
Brenner, Hermann
Butt, Zahid A.
Cámera, Luis Alberto
Cantu-Brito, Carlos
Carvalho, Felix
Cerin, Ester
Chattu, Vijay Kumar
Chauhan, Bal Govind
Choi, Jee-Young Jasmine
Chu, Dinh-Toi
Dai, Xiaochen
Dandona, Lalit
Dandona, Rakhi
Daryani, Ahmad
Davletov, Kairat
de Courten, Barbora
Demeke, Feleke Mekonnen
Denova-Gutiérrez, Edgar
Dharmaratne, Samath Dhamminda
Dhimal, Meghnath
Diaz, Daniel
Djalalinia, Shirin
Duncan, Bruce B.
El Sayed Zaki, Maysaa
Eskandarieh, Sharareh
Fareed, Mohammad
Farzadfar, Farshad
Fattahi, Nazir
Fazlzadeh, Mehdi
Fernandes, Eduarda
Filip, Irina
Fischer, Florian
Foigt, Nataliya A.
Freitas, Marisa
Ghashghaee, Ahmad
Gill, Paramjit Singh
Ginawi, Ibrahim Abdelmageed
Gopalani, Sameer Vali
Guo, Yuming
Gupta, Rajat Das
Habtewold, Tesfa Dejenie
Hamadeh, Randah R.
Hamidi, Samer
Hankey, Graeme J.
Hasanpoor, Edris
Hassen, Hamid Yimam
Hay, Simon I.
Heibati, Behzad
Hole, Michael K.
Hossain, Naznin
Househ, Mowafa
Irvani, Seyed Sina Naghibi
Jaafari, Jalil
Jakovljevic, Mihajlo
Jha, Ravi Prakash
Jonas, Jost B.
Jozwiak, Jacek Jerzy
Kasaeian, Amir
Kaydi, Neda
Khader, Yousef Saleh
Khafaie, Morteza Abdullatif
Khan, Ejaz Ahmad
Khan, Junaid
Khan, Md Nuruzzaman
Khatab, Khaled
Khater, Amir M.
Kim, Yun Jin
Kimokoti, Ruth W.
Kisa, Adnan
Kivimäki, Mika
Knibbs, Luke D.
Kosen, Soewarta
Koul, Parvaiz A.
Koyanagi, Ai
Kuate Defo, Barthelemy
Kugbey, Nuworza
Lauriola, Paolo
Lee, Paul H.
Leili, Mostafa
Lewycka, Sonia
Li, Shanshan
Lim, Lee-Ling
Linn, Shai
Liu, Yong
Lorkowski, Stefan
Mahasha, Phetole Walter
Mahotra, Narayan B.
Majeed, Azeem
Maleki, Afshin
Malekzadeh, Reza
Mamun, Abdullah A.
Manafi, Navid
Martini, Santi
Meharie, Birhanu Geta
Menezes, Ritesh G.
Mestrovic, Tomislav
Miazgowski, Bartosz
Miazgowski, Tomasz
Miller, Ted R.
Mini, G. K.
Mirica, Andreea
Mirrakhimov, Erkin M.
Mohajer, Bahram
Mohammed, Shafiu
Mohan, Viswanathan
Mokdad, Ali H.
Monasta, Lorenzo
Moraga, Paula
Morrison, Shane Douglas
Mueller, Ulrich Otto
Mukhopadhyay, Satinath
Mustafa, Ghulam
Muthupandian, Saravanan
Naik, Gurudatta
Nangia, Vinay
Ndwandwe, Duduzile Edith
Negoi, Ruxandra Irina
Ningrum, Dina Nur Anggraini
Noubiap, Jean Jacques
Ogbo, Felix Akpojene
Olagunju, Andrew T.
Onwujekwe, Obinna E.
Ortiz, Alberto
Owolabi, Mayowa O.
Mahesh, P. A.
Panda-Jonas, Songhomitra
Park, Eun-Kee
Pashazadeh Kan, Fatemeh
Pirsaheb, Meghdad
Postma, Maarten J.
Pourjafar, Hadi
Radfar, Amir
Rafiei, Alireza
Rahim, Fakher
Rahimi-Movaghar, Vafa
Rahman, Muhammad Aziz
Rai, Rajesh Kumar
Ranabhat, Chhabi Lal
Raoofi, Samira
Rawal, Lal
Renzaho, Andre M. N.
Rezapour, Aziz
Ribeiro, Daniela
Roever, Leonardo
Ronfani, Luca
Sabour, Siamak
Saddik, Basema
Sadeghi, Ehsan
Saeedi Moghaddam, Sahar
Sahebkar, Amirhossein
Sahraian, Mohammad Ali
Salimzadeh, Hamideh
Salvi, Sundeep Santosh
Samy, Abdallah M.
Sanabria, Juan
Sarmiento-Suárez, Rodrigo
Sathish, Thirunavukkarasu
Schmidt, Maria Inês
Schutte, Aletta Elisabeth
Sepanlou, Sadaf G.
Shaikh, Masood Ali
Sharafi, Kiomars
Sheikh, Aziz
Shigematsu, Mika
Shiri, Rahman
Shirkoohi, Reza
Shuval, Kerem
Soyiri, Ireneous N.
Tabarés-Seisdedos, Rafael
Tefera, Yonatal Mesfin
Tehrani-Banihashemi, Arash
Temsah, Mohamad-Hani
Thankappan, Kavumpurathu Raman
Topor-Madry, Roman
Tudor Car, Lorainne
Ullah, Irfan
Vacante, Marco
Valdez, Pascual R.
Vasankari, Tommi Juhani
Violante, Francesco S.
Waheed, Yasir
Wolfe, Charles D. A.
Yamada, Tomohide
Yonemoto, Naohiro
Yu, Chuanhua
Zaman, Sojib Bin
Zhang, Yunquan
Zodpey, Sanjay
Lim, Stephen S.
Stanaway, Jeffrey D.
Brauer, Michael
Abstract
Background Experimental and epidemiological studies indicate an association between exposure to particulate matter (PM) air pollution and increased risk of type 2 diabetes. In view of the high and increasing prevalence of diabetes, we aimed to quantify the burden of type 2 diabetes attributable to PM2·5 originating from ambient and household air pollution. Methods We systematically compiled all relevant cohort and case-control studies assessing the effect of exposure to household and ambient fine particulate matter (PM2·5) air pollution on type 2 diabetes incidence and mortality. We derived an exposure–response curve from the extracted relative risk estimates using the MR-BRT (meta-regression—Bayesian, regularised, trimmed) tool. The estimated curve was linked to ambient and household PM2·5 exposures from the Global Burden of Diseases, Injuries, and Risk Factors Study 2019, and estimates of the attributable burden (population attributable fractions and rates per 100 000 population of deaths and disability-adjusted life-years) for 204 countries from 1990 to 2019 were calculated. We also assessed the role of changes in exposure, population size, age, and type 2 diabetes incidence in the observed trend in PM2·5-attributable type 2 diabetes burden. All estimates are presented with 95% uncertainty intervals. Findings In 2019, approximately a fifth of the global burden of type 2 diabetes was attributable to PM2·5 exposure, with an estimated 3·78 (95% uncertainty interval 2·68–4·83) deaths per 100 000 population and 167 (117–223) disability-adjusted life-years (DALYs) per 100 000 population. Approximately 13·4% (9·49–17·5) of deaths and 13·6% (9·73–17·9) of DALYs due to type 2 diabetes were contributed by ambient PM2·5, and 6·50% (4·22–9·53) of deaths and 5·92% (3·81–8·64) of DALYs by household air pollution. High burdens, in terms of numbers as well as rates, were estimated in Asia, sub-Saharan Africa, and South America. Since 1990, the attributable burden has increased by 50%, driven largely by population growth and ageing. Globally, the impact of reductions in household air pollution was largely offset by increased ambient PM2·5. Interpretation Air pollution is a major risk factor for diabetes. We estimated that about a fifth of the global burden of type 2 diabetes is attributable PM2·5 pollution. Air pollution mitigation therefore might have an essential role in reducing the global disease burden resulting from type 2 diabetes.
Keywords
Date
2022
Type
Journal article
Journal
The Lancet Planetary Health
Book
Volume
6
Issue
7
Page Range
e586-e600
Article Number
ACU Department
Mary MacKillop Institute for Health Research
Faculty of Health Sciences
Collections
Mary MacKillop Institute for Health Research
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URI
https://hdl.handle.net/20.500.14802/23136
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DOI
10.1016/S2542-5196(22)00122-X
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Published as ‘gold’ (paid) open access
License
CC BY 4.0
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