Long-Term Exposure to Traffic-Related Air Pollution and Diabetes: A Systematic Review and Meta-Analysis

M. Kutlar Joss; H. Boogaard; E. Samoli; A. P. Patton; R. Atkinson; J. Brook; H. Chang; P. Haddad; G. Hoek; R. Kappeler; S. Sagiv; A. Smargiassi; A. Szpiro; D. Vienneau; J. Weuve; F. Lurmann; F. Forastiere; B. H. Hoffmann

doi:10.3389/ijph.2023.1605718

Long-Term Exposure to Traffic-Related Air Pollution and Diabetes: A Systematic Review and Meta-Analysis

M. Kutlar Joss, H. Boogaard, E. Samoli, A. P. Patton, R. Atkinson, J. Brook, H. Chang, P. Haddad, G. Hoek, R. Kappeler, S. Sagiv, A. Smargiassi, A. Szpiro, D. Vienneau, J. Weuve, F. Lurmann, F. Forastiere, B. H. Hoffmann

Planetary Health

Research output: Contribution to journal › Article › Academic › peer-review

Abstract

Objectives: We report results of a systematic review on the health effects of long-term traffic-related air pollution (TRAP) and diabetes in the adult population. Methods: An expert Panel appointed by the Health Effects Institute conducted this systematic review. We searched the PubMed and LUDOK databases for epidemiological studies from 1980 to July 2019. TRAP was defined based on a comprehensive protocol. Random-effects meta-analyses were performed. Confidence assessments were based on a modified Office for Health Assessment and Translation (OHAT) approach, complemented with a broader narrative synthesis. We extended our interpretation to include evidence published up to May 2022. Results: We considered 21 studies on diabetes. All meta-analytic estimates indicated higher diabetes risks with higher exposure. Exposure to NO(2) was associated with higher diabetes prevalence (RR 1.09; 95% CI: 1.02; 1.17 per 10 μg/m(3)), but less pronounced for diabetes incidence (RR 1.04; 95% CI: 0.96; 1.13 per 10 μg/m(3)). The overall confidence in the evidence was rated moderate, strengthened by the addition of 5 recently published studies. Conclusion: There was moderate evidence for an association of long-term TRAP exposure with diabetes.

Original language	English
Article number	1605718
Journal	International Journal of Public Health
Volume	68
DOIs	https://doi.org/10.3389/ijph.2023.1605718
Publication status	Published - 2023

Keywords

Adult Humans *Air Pollutants/adverse effects/analysis *Air Pollution/adverse effects/analysis Environmental Exposure/adverse effects/analysis *Diabetes Mellitus/epidemiology/etiology Incidence Particulate Matter/analysis No2 confidence assessment diabetes particulate matter traffic-related air pollution authors declare that they do not have any conflicts of interest.

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Kutlar Joss, M., Boogaard, H., Samoli, E., Patton, A. P., Atkinson, R., Brook, J., Chang, H., Haddad, P., Hoek, G., Kappeler, R., Sagiv, S., Smargiassi, A., Szpiro, A., Vienneau, D., Weuve, J., Lurmann, F., Forastiere, F., & Hoffmann, B. H. (2023). Long-Term Exposure to Traffic-Related Air Pollution and Diabetes: A Systematic Review and Meta-Analysis. International Journal of Public Health, 68, Article 1605718. https://doi.org/10.3389/ijph.2023.1605718

@article{da352bc14f9e490c9c52fa17fe98770c,

title = "Long-Term Exposure to Traffic-Related Air Pollution and Diabetes: A Systematic Review and Meta-Analysis",

abstract = "Objectives: We report results of a systematic review on the health effects of long-term traffic-related air pollution (TRAP) and diabetes in the adult population. Methods: An expert Panel appointed by the Health Effects Institute conducted this systematic review. We searched the PubMed and LUDOK databases for epidemiological studies from 1980 to July 2019. TRAP was defined based on a comprehensive protocol. Random-effects meta-analyses were performed. Confidence assessments were based on a modified Office for Health Assessment and Translation (OHAT) approach, complemented with a broader narrative synthesis. We extended our interpretation to include evidence published up to May 2022. Results: We considered 21 studies on diabetes. All meta-analytic estimates indicated higher diabetes risks with higher exposure. Exposure to NO(2) was associated with higher diabetes prevalence (RR 1.09; 95% CI: 1.02; 1.17 per 10 μg/m(3)), but less pronounced for diabetes incidence (RR 1.04; 95% CI: 0.96; 1.13 per 10 μg/m(3)). The overall confidence in the evidence was rated moderate, strengthened by the addition of 5 recently published studies. Conclusion: There was moderate evidence for an association of long-term TRAP exposure with diabetes.",

keywords = "Adult Humans *Air Pollutants/adverse effects/analysis *Air Pollution/adverse effects/analysis Environmental Exposure/adverse effects/analysis *Diabetes Mellitus/epidemiology/etiology Incidence Particulate Matter/analysis No2 confidence assessment diabetes particulate matter traffic-related air pollution authors declare that they do not have any conflicts of interest.",

author = "{Kutlar Joss}, M. and H. Boogaard and E. Samoli and Patton, {A. P.} and R. Atkinson and J. Brook and H. Chang and P. Haddad and G. Hoek and R. Kappeler and S. Sagiv and A. Smargiassi and A. Szpiro and D. Vienneau and J. Weuve and F. Lurmann and F. Forastiere and Hoffmann, {B. H.}",

note = "Publisher Copyright: Copyright {\textcopyright} 2023 Kutlar Joss, Boogaard, Samoli, Patton, Atkinson, Brook, Chang, Haddad, Hoek, Kappeler, Sagiv, Smargiassi, Szpiro, Vienneau, Weuve, Lurmann, Forastiere and Hoffmann.",

year = "2023",

doi = "10.3389/ijph.2023.1605718",

language = "English",

volume = "68",

journal = "International Journal of Public Health",

issn = "1661-8556",

publisher = "Frontiers Media S. A.",

}

Kutlar Joss, M, Boogaard, H, Samoli, E, Patton, AP, Atkinson, R, Brook, J, Chang, H, Haddad, P, Hoek, G, Kappeler, R, Sagiv, S, Smargiassi, A, Szpiro, A, Vienneau, D, Weuve, J, Lurmann, F, Forastiere, F & Hoffmann, BH 2023, 'Long-Term Exposure to Traffic-Related Air Pollution and Diabetes: A Systematic Review and Meta-Analysis', International Journal of Public Health, vol. 68, 1605718. https://doi.org/10.3389/ijph.2023.1605718

TY - JOUR

T1 - Long-Term Exposure to Traffic-Related Air Pollution and Diabetes: A Systematic Review and Meta-Analysis

AU - Kutlar Joss, M.

AU - Boogaard, H.

AU - Samoli, E.

AU - Patton, A. P.

AU - Atkinson, R.

AU - Brook, J.

AU - Chang, H.

AU - Haddad, P.

AU - Hoek, G.

AU - Kappeler, R.

AU - Sagiv, S.

AU - Smargiassi, A.

AU - Szpiro, A.

AU - Vienneau, D.

AU - Weuve, J.

AU - Lurmann, F.

AU - Forastiere, F.

AU - Hoffmann, B. H.

N1 - Publisher Copyright: Copyright © 2023 Kutlar Joss, Boogaard, Samoli, Patton, Atkinson, Brook, Chang, Haddad, Hoek, Kappeler, Sagiv, Smargiassi, Szpiro, Vienneau, Weuve, Lurmann, Forastiere and Hoffmann.

PY - 2023

Y1 - 2023

N2 - Objectives: We report results of a systematic review on the health effects of long-term traffic-related air pollution (TRAP) and diabetes in the adult population. Methods: An expert Panel appointed by the Health Effects Institute conducted this systematic review. We searched the PubMed and LUDOK databases for epidemiological studies from 1980 to July 2019. TRAP was defined based on a comprehensive protocol. Random-effects meta-analyses were performed. Confidence assessments were based on a modified Office for Health Assessment and Translation (OHAT) approach, complemented with a broader narrative synthesis. We extended our interpretation to include evidence published up to May 2022. Results: We considered 21 studies on diabetes. All meta-analytic estimates indicated higher diabetes risks with higher exposure. Exposure to NO(2) was associated with higher diabetes prevalence (RR 1.09; 95% CI: 1.02; 1.17 per 10 μg/m(3)), but less pronounced for diabetes incidence (RR 1.04; 95% CI: 0.96; 1.13 per 10 μg/m(3)). The overall confidence in the evidence was rated moderate, strengthened by the addition of 5 recently published studies. Conclusion: There was moderate evidence for an association of long-term TRAP exposure with diabetes.

AB - Objectives: We report results of a systematic review on the health effects of long-term traffic-related air pollution (TRAP) and diabetes in the adult population. Methods: An expert Panel appointed by the Health Effects Institute conducted this systematic review. We searched the PubMed and LUDOK databases for epidemiological studies from 1980 to July 2019. TRAP was defined based on a comprehensive protocol. Random-effects meta-analyses were performed. Confidence assessments were based on a modified Office for Health Assessment and Translation (OHAT) approach, complemented with a broader narrative synthesis. We extended our interpretation to include evidence published up to May 2022. Results: We considered 21 studies on diabetes. All meta-analytic estimates indicated higher diabetes risks with higher exposure. Exposure to NO(2) was associated with higher diabetes prevalence (RR 1.09; 95% CI: 1.02; 1.17 per 10 μg/m(3)), but less pronounced for diabetes incidence (RR 1.04; 95% CI: 0.96; 1.13 per 10 μg/m(3)). The overall confidence in the evidence was rated moderate, strengthened by the addition of 5 recently published studies. Conclusion: There was moderate evidence for an association of long-term TRAP exposure with diabetes.

KW - Adult Humans Air Pollutants/adverse effects/analysis Air Pollution/adverse effects/analysis Environmental Exposure/adverse effects/analysis Diabetes Mellitus/epidemiology/etiology Incidence Particulate Matter/analysis No2 confidence assessment diabetes pa

U2 - 10.3389/ijph.2023.1605718

DO - 10.3389/ijph.2023.1605718

M3 - Article

SN - 1661-8556

VL - 68

JO - International Journal of Public Health

JF - International Journal of Public Health

M1 - 1605718

ER -

Long-Term Exposure to Traffic-Related Air Pollution and Diabetes: A Systematic Review and Meta-Analysis

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