TY - JOUR
T1 - Cadmium is associated with type 2 diabetes in a superfund site lead smelter community in Dallas, Texas
AU - Little, Bert B.
AU - Reilly, Robert
AU - Walsh, Brad
AU - Vu, Giang T.
N1 - Funding Information:
This study was funded by the Texas Legislature and administered through the Parkland Hospital and Health System. Acknowledgments: Senator Royce West sponsored the initiative to follow-up the EPA Superfund Cleanup in Dallas, 2000–2002 that was funded by the Texas Legislature and administered through the Parkland Hospital and Health System.
Funding Information:
Acknowledgments: Senator Royce West sponsored the initiative to follow-up the EPA Superfund Cleanup in Dallas, 2000–2002 that was funded by the Texas Legislature and administered through the Parkland Hospital Ranefde HreenacltehsSystem.
Funding Information:
Dallas, 2000–2002 that was funded by the Texas Legislature and administered through the Parkland Hospital and
Publisher Copyright:
© 2020 by the authors. Licensee MDPI, Basel, Switzerland.
PY - 2020/6
Y1 - 2020/6
N2 - Objective: To test the hypothesis that cadmium (Cd) exposure is associated with type 2 diabetes mellitus (T2DM). Materials and Methods: A two-phase health screening (physical examination and laboratory tests) was conducted in a lead smelter community following a Superfund Cleanup. Participants were African Americans aged >19 years to <89 years. Multiple logistic regression was used to analyze T2DM regressed on blood Cd level and covariates: body mass index (BMI), heavy metals (Ar, Cd, Hg, Pb), duration of residence, age, smoking status, and sex. Results: Of 875 subjects environmentally exposed to Cd, 55 were occupationally exposed to by-products of lead smelting and 820 were community residents. In addition, 109 T2DM individuals lived in the community for an average of 21.0 years, and 766 non-T2DM individuals for 19.0 years. T2DM individuals (70.3%) were >50 years old. Blood Cd levels were higher among T2DM subjects (p < 0.006) compared to non-T2DM individuals. Logistic regression of T2DM status identified significant predictors: Cd level (OR = 1.85; 95% CI: 1.14–2.99, p < 0.01), age >50 years (OR = 3.10; 95% CI: 1.91–5.02, p < 0.0001), and BMI (OR = 1.07; CI: 1.04–1.09, 0.0001). In meta-analysis of 12 prior studies and this one, T2DM risk was OR = 1.09 (95% CI: 1.03–1.15, p < 0.004) fixed effects and 1.22 (95% CI: 1.04–1.44, p < 0.02) random effects. Discussion: Chronic environmental Cd exposure was associated with T2DM in a smelter community, controlling for covariates. T2DM onset <50 years was significantly associated with Cd exposure, but >50 years was not. Meta-analysis suggests that Cd exposure is associated with a small, but significant increased risk for T2DM. Available data suggest Cd exposure is associated with an increased propensity to increased insulin resistance.
AB - Objective: To test the hypothesis that cadmium (Cd) exposure is associated with type 2 diabetes mellitus (T2DM). Materials and Methods: A two-phase health screening (physical examination and laboratory tests) was conducted in a lead smelter community following a Superfund Cleanup. Participants were African Americans aged >19 years to <89 years. Multiple logistic regression was used to analyze T2DM regressed on blood Cd level and covariates: body mass index (BMI), heavy metals (Ar, Cd, Hg, Pb), duration of residence, age, smoking status, and sex. Results: Of 875 subjects environmentally exposed to Cd, 55 were occupationally exposed to by-products of lead smelting and 820 were community residents. In addition, 109 T2DM individuals lived in the community for an average of 21.0 years, and 766 non-T2DM individuals for 19.0 years. T2DM individuals (70.3%) were >50 years old. Blood Cd levels were higher among T2DM subjects (p < 0.006) compared to non-T2DM individuals. Logistic regression of T2DM status identified significant predictors: Cd level (OR = 1.85; 95% CI: 1.14–2.99, p < 0.01), age >50 years (OR = 3.10; 95% CI: 1.91–5.02, p < 0.0001), and BMI (OR = 1.07; CI: 1.04–1.09, 0.0001). In meta-analysis of 12 prior studies and this one, T2DM risk was OR = 1.09 (95% CI: 1.03–1.15, p < 0.004) fixed effects and 1.22 (95% CI: 1.04–1.44, p < 0.02) random effects. Discussion: Chronic environmental Cd exposure was associated with T2DM in a smelter community, controlling for covariates. T2DM onset <50 years was significantly associated with Cd exposure, but >50 years was not. Meta-analysis suggests that Cd exposure is associated with a small, but significant increased risk for T2DM. Available data suggest Cd exposure is associated with an increased propensity to increased insulin resistance.
KW - African-American
KW - Cadmium
KW - EPA superfund
KW - Type 2 diabetes
UR - http://www.scopus.com/inward/record.url?scp=85087006308&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85087006308&partnerID=8YFLogxK
U2 - 10.3390/ijerph17124558
DO - 10.3390/ijerph17124558
M3 - Article
C2 - 32599884
AN - SCOPUS:85087006308
SN - 1661-7827
VL - 17
SP - 1
EP - 13
JO - International journal of environmental research and public health
JF - International journal of environmental research and public health
IS - 12
M1 - 4558
ER -