Evidence map›Paper›PMID 21364465›Full record

ArticleEpidemiology (Cambridge, Mass.)2011

Marine food pollutants as a risk factor for hypoinsulinemia and type 2 diabetes.

Philippe Grandjean, Jan Erik Henriksen, Anna L Choi, Maria Skaalum Petersen, Christine Dalgård, Flemming Nielsen, Pal Weihe

Open access · greenAbstract read
In one paragraph

Article in Epidemiology (Cambridge, Mass.), 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 31 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
31citing papers in PubMed, 4 pooled it
10.1field-weighted citation impact, top 2% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

31 citing papers in PubMed, 4 syntheses or guidelines pooled it, 63 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Pooled it
  5. Organic Pollutants and Risk of Type 2 Diabetes: A Systematic Review and Meta-analysis.Mayo Clinic proceedings. Innovations, quality & outcomes · 2026
    Article
  6. Persistent organic pollutants and β-cell toxicity: a comprehensive review.American journal of physiology. Endocrinology and metabolism · 2022
    Review
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Adipose Tissue as a Site of Toxin Accumulation.Comprehensive Physiology · 2017
    Review
  13. Article
  14. Article
  15. Observational
  16. Polychlorinated biphenyls and links to cardiovascular disease.Environmental science and pollution research international · 2016
    Review
  17. Article
  18. Overview of ongoing cohort and dietary studies in the Arctic.International journal of circumpolar health · 2016
    Article
  19. Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 4 institutions in 3 countries.

Philippe GrandjeanInstitute of Public Health, University of Southern Denmark, Odense, Denmark. pgrand@hsph.harvard.edu
Jan Erik Henriksen
Anna L Choi
Maria Skaalum Petersen
Christine Dalgård
Flemming Nielsen
Pal Weihe
University of Southern Denmark · DKUniversity of the Faroe Islands · FOMassachusetts Department of Public Health · USOdense University Hospital · DK

Funding

Health Effects of Lifetime Exposure to Food ContaminantsR01ES013692 · NIEHS · HARVARD SCHOOL OF PUBLIC HEALTH · PI GRANDJEAN, PHILIPPE ADAM · 2006 to 2009
$1.1M
NIEHS NIH HHS ES013692NIEHS NIH HHS R01 ES013692
6 · The paper itself

Abstract

backgroundSome persistent environmental chemicals are suspected of causing an increased risk of type 2 diabetes mellitus, a disease particularly common after the age of 70. This concern was examined in a cross-sectional study of elderly subjects from a fishing population with elevated contaminant exposures from seafood species high in the food chain.

methodsClinical examinations of 713 Faroese residents aged 70-74 years (64% of eligible population) included fasting plasma concentrations of glucose and insulin, and glycosylated hemoglobin. Lifetime exposure to persistent environmental chemicals from pilot whale and other traditional food was estimated from a dietary questionnaire and by analysis of blood samples for polychlorinated biphenyls (PCBs) and related food contaminants.

resultsSeptuagenarians with type 2 diabetes or impaired fasting glycemia tended to have higher PCB concentrations and higher past intake of traditional foods, especially during childhood and adolescence. In nondiabetic subjects, the fasting insulin concentration decreased by 7% (95% CI = -12% to -2%) for each doubling of the PCB concentration after adjustment for sex and body mass index at age 20. Conversely, the fasting glucose concentration increased by 6% (-1% to 13%) for each doubling in PCB. Similar associations were seen in subjects without impaired fasting glycemia, while further adjustment for current body mass index and lipid metabolism parameters attenuated some of the associations.

conclusionsImpaired insulin secretion appears to constitute an important part of the type 2 diabetes pathogenesis associated with exposure to persistent lipophilic food contaminants.

Indexed as

Food ContaminationAgedAge DistributionBlood GlucoseConfidence IntervalsCross-Sectional StudiesDiabetes Mellitus, Type 2Environmental ExposureFemaleFollow-Up StudiesFood ChainHumansIncidenceInsulinMaleNorwayBlood GlucoseInsulinPolychlorinated Biphenyls

Identifiers

PMID21364465
PMCPMC3107006
OpenAlexW2055898337

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.