Evidence map›Paper›PMID 27157686›Full record

Observational studyNoise & health

Exposures to road traffic, noise, and air pollution as risk factors for type 2 diabetes: A feasibility study in Bulgaria.

Angel M Dzhambov, Donka D Dimitrova

Open access · goldAbstract readObservational Study
In one paragraph

Observational study in Noise & health. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 3 pooled it
13.4field-weighted citation impact, top 1% 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

19 citing papers in PubMed, 3 syntheses or guidelines pooled it, 45 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Environmental Risk Factors for Developing Type 2 Diabetes Mellitus: A Systematic Review.International journal of environmental research and public health · 2018
    Pooled it
  4. Article
  5. Article
  6. Review
  7. Occupational Noise Exposure and Diabetes Risk.Journal of environmental and public health · 2021
    Article
  8. The Effects of Social, Personal, and Behavioral Risk Factors and PMInternational journal of environmental research and public health · 2020
    Article
  9. Article
  10. Article
  11. Review
  12. Article
  13. Acute effects of air pollution on type II diabetes mellitus hospitalization in Shijiazhuang, China.Environmental science and pollution research international · 2018
    Article
  14. Article
  15. Article
  16. Article
  17. Therapeutic Effect of Sodium Glucose Co-Transporter 2 Inhibitor Dapagliflozin on Renal Cell Carcinoma.Medical science monitor : international medical journal of experimental and clinical research · 2017
    Article
  18. Residential Proximity to Major Roadways and Risk of Type 2 Diabetes Mellitus: A Meta-Analysis.International journal of environmental research and public health · 2016
    Article
  19. 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

2 authors at 1 institution in 1 country.

Angel M DzhambovDepartment of Hygiene and Ecomedicine, Health Economics and general Medicine, Medical University of Plovdiv, Plovdiv, Bulgaria.
Donka D DimitrovaDepartment of Health Management, Health Economics and general Medicine, Medical University of Plovdiv, Plovdiv, Bulgaria.
Medical University Plovdiv · BG

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Type 2 diabetes mellitus (T2DM) is a growing public health problem in Bulgaria. While individual and lifestyle determinants have been researched; till date there has been no study on environmental risks such as road traffic, noise, and air pollution. As a first step toward designing a large-scale population-based survey, we aimed at exploring the overall associations of prevalent T2DM with exposures to road traffic, noise, and air pollution. A total of 513 residents of Plovdiv city, Bulgaria were recruited. Individual data on self-reported doctor-diagnosed T2DM and confounding factors were linked to objective and self-rated exposure indicators. Logistic and log-link Poisson regressions were conducted. In the fully adjusted logistic models, T2DM was positively associated with exposures to L(den) 71-80 dB (odds ratio (OR) = 4.49, 95% confidence interval (CI): 1.38, 14.68), fine particulate matter (PM) 2.5 25.0-66.8 μg/m 3 (OR = 1.32, 95% CI: 0.28, 6.24), benzo alpha pyrene 6.0-14.02 ng/m 3 (OR = 1.76, 95% CI: 0.52, 5.98) and high road traffic (OR = 1.40, 95% CI: 0.48, 4.07). L(den) remained a significant risk factor in the: Poisson regression model. Other covariates with consistently high multivariate effects were age, gender, body mass index, family history of T2DM, subjective sleep disturbance, and especially bedroom location. We concluded that residential noise exposure might be associated with elevated risk of prevalent T2DM. The inferences made by this research and the lessons learned from its limitations could guide the designing of a longitudinal epidemiological survey in Bulgaria.

Indexed as

AdultAir PollutionBulgariaCross-Sectional StudiesDiabetes Mellitus, Type 2Environmental ExposureFeasibility StudiesFemaleHumansLogistic ModelsMaleMiddle AgedNoise, TransportationPrevalenceRisk Factors

Identifiers

PMID27157686
PMCPMC4918667
OpenAlexW2345748343

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-SA
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.