SynthesisEnvironmental health perspectives2015
Association between ambient air pollution and diabetes mellitus in Europe and North America: systematic review and meta-analysis.
Synthesis in Environmental health perspectives, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 239 papers, 13 of them syntheses that pooled it.
What it found
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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.
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Who cites it
239 citing papers in PubMed, 13 syntheses or guidelines pooled it.
- Epidemiological and mechanistic links between PMFrontiers in endocrinology · 2025Pooled it
- The relationship between climate change, globalization and non-communicable diseases in Africa: A systematic review.PloS one · 2024Pooled it
- Associations of the built environment with type 2 diabetes in Asia: a systematic review.BMJ open · 2023Pooled it
- Association between exposure to greenness and atopic march in children and adults-A systematic review and meta-analysis.Frontiers in public health · 2022Pooled it
- Challenges and recommendations on the conduct of systematic reviews of observational epidemiologic studies in environmental and occupational health.Journal of exposure science & environmental epidemiology · 2021Pooled it
- Climate factors and gestational diabetes mellitus risk - a systematic review.Environmental health : a global access science source · 2020Pooled it
- Diabetes mortality burden attributable to short-term effect of PMEnvironmental science and pollution research international · 2020Pooled it
- Air pollution and gestational diabetes mellitus: evidence from cohort studies.BMJ open diabetes research & care · 2020Pooled it
- Effects of long-term exposure to air pollution on the incidence of type 2 diabetes mellitus: a meta-analysis of cohort studies.Environmental science and pollution research international · 2020Pooled it
- Association of Long-Term Exposure to Fine Particulate Matter and Cardio-Metabolic Diseases in Low- and Middle-Income Countries: A Systematic Review.International journal of environmental research and public health · 2019Pooled it
- Meta-Analysis of Heterogeneity in the Effects of Wildfire Smoke Exposure on Respiratory Health in North America.International journal of environmental research and public health · 2019Pooled it
- Exposure to Environmental and Occupational Particulate Air Pollution as a Potential Contributor to Neurodegeneration and Diabetes: A Systematic Review of Epidemiological Research.International journal of environmental research and public health · 2018Pooled it
- Impact of ambient air pollution on obesity: a systematic review.International journal of obesity (2005) · 2018Pooled it
- Review
- Occupational particle exposure and diabetes: a cohort study in Swedish construction workers.International archives of occupational and environmental health · 2026Article
- Effect of pollution on the prevalence of obesity, diabetic complications and olfactory dysfunction in diabetic patients.Journal of endocrinological investigation · 2026Article
- Association Between Long-Term Exposure to Particulate Matter and Glycated Hemoglobin Levels: A Cohort Study from the Korean Genome and Epidemiology Study.Journal of clinical medicine · 2026Article
- Neighborhood Physical Disinvestment and Incident Diabetes between visits 1 and 2 of the Hispanic Community Health Study/Study of Latinos (HCHS/SOL).Journal of urban health : bulletin of the New York Academy of Medicine · 2026Article
- The association between long-term exposure to PM2.5 constituents and diabetes incidence and blood glucose levels among World Trade Center Health Program general responders.American journal of epidemiology · 2026Article
- Associations of PMFrontiers in public health · 2026Article
179 more citing papers are in PubMed but not listed here.
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Authors and funding
8 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundAir pollution is hypothesized to be a risk factor for diabetes. Epidemiological evidence is inconsistent and has not been systematically evaluated.
objectivesWe systematically reviewed epidemiological evidence on the association between air pollution and diabetes, and synthesized results of studies on type 2 diabetes mellitus (T2DM).
methodsWe systematically searched electronic literature databases (last search, 29 April 2014) for studies reporting the association between air pollution (particle concentration or traffic exposure) and diabetes (type 1, type 2, or gestational). We systematically evaluated risk of bias and role of potential confounders in all studies. We synthesized reported associations with T2DM in meta-analyses using random-effects models and conducted various sensitivity analyses.
resultsWe included 13 studies (8 on T2DM, 2 on type 1, 3 on gestational diabetes), all conducted in Europe or North America. Five studies were longitudinal, 5 cross-sectional, 2 case-control, and 1 ecologic. Risk of bias, air pollution assessment, and confounder control varied across studies. Dose-response effects were not reported. Meta-analyses of 3 studies on PM2.5 (particulate matter ≤ 2.5 μm in diameter) and 4 studies on NO2 (nitrogen dioxide) showed increased risk of T2DM by 8-10% per 10-μg/m3 increase in exposure [PM2.5: 1.10 (95% CI: 1.02, 1.18); NO2: 1.08 (95% CI: 1.00, 1.17)]. Associations were stronger in females. Sensitivity analyses showed similar results.
conclusionExisting evidence indicates a positive association of air pollution and T2DM risk, albeit there is high risk of bias. High-quality studies assessing dose-response effects are needed. Research should be expanded to developing countries where outdoor and indoor air pollution are high.
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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.