Evidence map›Paper›PMID 41026385›Full record

ArticleEndocrine2025

The effect of dioxin exposure on diabetes and potential dietary modification in the Korean population.

Youngmin Han, Keum Ji Jung, Young Wook Lim, Yong Jin Lee, Youn Seok Kang, Sun Ha Jee

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Article in Endocrine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

6 authors.

Youngmin HanInstitute for Health Promotion, Graduate School of Public Health, Yonsei University, Seoul, Republic of Korea.
Keum Ji JungInstitute for Health Promotion, Graduate School of Public Health, Yonsei University, Seoul, Republic of Korea.
Young Wook LimInstitute for Environmental Research, Yonsei University College of Medicine, Seoul, Republic of Korea.
Yong Jin LeeInstitute for Environmental Research, Yonsei University College of Medicine, Seoul, Republic of Korea.
Youn Seok KangEnvironment Testing Division, Eurofins Korea Ltd., Gunpo, Gyeonggi-do, Republic of Korea.
Sun Ha JeeInstitute for Health Promotion, Graduate School of Public Health, Yonsei University, Seoul, Republic of Korea. jsunha@yuhs.ac.

Funding

Ministry of Food and Drug Safety (KR) 22192MFDS076
6 · The paper itself

Abstract

purposeThere has been evidence linking dioxin and metabolic disorders, including diabetes. Despite diet being the primary route of dioxin exposure, research assessing dioxin exposure risks using dietary values is still lacking. We aimed to illustrate the risk of dioxin in diabetes by utilizing calculated dioxin dietary intake and blood dioxin concentration values in the Korean population.

methodsThe present study included 202 subjects aged 20–69 undergoing medical evaluations at the Severance health check-up [prediabetes/diabetes (n = 92) vs. control (n = 110)]. Nutritional information for dioxin reduction was provided every month for one year. At baseline and 1-year after points, dioxin concentrations (pg TEQ/g-lipid) in serum were analyzed, and a short version of the food frequency questionnaire with 52 food items was used to calculate dioxin dietary intake.

resultsStrong associations between serum total dioxins, polychlorinated dibenzo-para-dioxins, polychlorinated dibenzofurans, and dioxin-like PCBs (DL-PCBs) concentrations and prediabetes/diabetes risk were observed (all ORs >1.0). Mediation analysis further showed that diastolic blood pressure, high-density lipoprotein-cholesterol, and glucose partially mediated these associations (proportion 11–30%, all p < 0.05). A dietary pattern rich in fish/seafood, meat, eggs, and supplements was positively correlated with serum DL-PCBs in the prediabetes/diabetes group (r = 0.353, p = 0.001). Furthermore, nutrition education has the potential to reduce dioxin dietary intake.

conclusionIf the effectiveness of nutritional education is clearly verified through follow-up research, it can also reduce the risk of dioxin-induced metabolic disorders shown in cross-sectional analyses of baseline data.

Indexed as

Diabetes MellitusDietDietary ExposureDioxinsEnvironmental PollutantsPrediabetic StateAdultAgedEnvironmental ExposureFemaleHumansMaleMiddle AgedPolychlorinated BiphenylsPolychlorinated DibenzodioxinsRepublic of KoreaDioxinsEnvironmental PollutantsPolychlorinated BiphenylsPolychlorinated DibenzodioxinsDiabetesDioxinDioxin-like polychlorinated biphenylsFood frequency questionnaireNutritional educationPolychlorinated dibenzo-para-dioxins/dibenzofurans

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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.