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Association of Water Arsenic With Incident Diabetes in U.S. Adults: The Multi-Ethnic Study of Atherosclerosis and the Strong Heart Study.
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- Author(s): Spaur M;Spaur M; Galvez-Fernandez M; Galvez-Fernandez M; Chen Q; Chen Q; Lombard MA; Lombard MA; Bostick BC; Bostick BC; Factor-Litvak P; Factor-Litvak P; Fretts AM; Fretts AM; Shea SJ; Shea SJ; Navas-Acien A; Navas-Acien A; Nigra AE; Nigra AE
- Source:
Diabetes care [Diabetes Care] 2024 Jul 01; Vol. 47 (7), pp. 1143-1151.- Publication Type:
Journal Article- Language:
English - Source:
- Additional Information
- Source: Publisher: American Diabetes Association Country of Publication: United States NLM ID: 7805975 Publication Model: Print Cited Medium: Internet ISSN: 1935-5548 (Electronic) Linking ISSN: 01495992 NLM ISO Abbreviation: Diabetes Care Subsets: MEDLINE
- Publication Information: Publication: Alexandria Va : American Diabetes Association
Original Publication: New York, American Diabetes Assn. - Subject Terms:
- Abstract: Objective: We examined the association of arsenic in federally regulated community water systems (CWS) and unregulated private wells with type 2 diabetes (T2D) incidence in the Strong Heart Family Study (SHFS), a prospective study of American Indian communities, and the Multi-Ethnic Study of Atherosclerosis (MESA), a prospective study of racially and ethnically diverse urban U.S. communities.
Research Design and Methods: We evaluated 1,791 participants from SHFS and 5,777 participants from MESA who had water arsenic estimates available and were free of T2D at baseline (2001-2003 and 2000-2002, respectively). Participants were followed for incident T2D until 2010 (SHFS cohort) or 2019 (MESA cohort). We used Cox proportional hazards mixed-effects models to account for clustering by family and residential zip code, with adjustment for sex, baseline age, BMI, smoking status, and education.
Results: T2D incidence was 24.4 cases per 1,000 person-years (mean follow-up, 5.6 years) in SHFS and 11.2 per 1,000 person-years (mean follow-up, 14.0 years) in MESA. In a meta-analysis across the SHFS and MESA cohorts, the hazard ratio (95% CI) per doubling in CWS arsenic was 1.10 (1.02, 1.18). The corresponding hazard ratio was 1.09 (0.95, 1.26) in the SHFS group and 1.10 (1.01, 1.20) in the MESA group. The corresponding hazard ratio (95% CI) for arsenic in private wells and incident T2D in SHFS was 1.05 (0.95, 1.16). We observed statistical interaction and larger magnitude hazard ratios for participants with BMI <25 kg/m2 and female participants.
Conclusions: Low to moderate water arsenic levels (<10 µg/L) were associated with T2D incidence in the SHFS and MESA cohorts.
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Environ Health Perspect. 2017 Dec 20;125(12):127004. (PMID: 29373862) - Grant Information: 75N92020D00002 United States HL NHLBI NIH HHS; N01HC95160 United States HL NHLBI NIH HHS; U01 HL041654 United States HL NHLBI NIH HHS; N01HC95163 United States HL NHLBI NIH HHS; UL1 TR001079 United States TR NCATS NIH HHS; R01 ES025216 United States ES NIEHS NIH HHS; 75N92019D00030 United States HL NHLBI NIH HHS; N01HC95165 United States HL NHLBI NIH HHS; N01HC95159 United States HL NHLBI NIH HHS; U01 HL065521 United States HL NHLBI NIH HHS; UL1 TR000040 United States TR NCATS NIH HHS; 75N92019D00027 United States HL NHLBI NIH HHS; R01 HL109301 United States HL NHLBI NIH HHS; R01 HL109282 United States HL NHLBI NIH HHS; P30 ES009089 United States ES NIEHS NIH HHS; 75N92020D00005 United States HL NHLBI NIH HHS; U01 HL041642 United States HL NHLBI NIH HHS; 75N92020D00001 United States HL NHLBI NIH HHS; N01HC95169 United States HL NHLBI NIH HHS; R01 ES028758 United States ES NIEHS NIH HHS; DP5OD031849 United States DE NIDCR NIH HHS; 75N92019D00028 United States HL NHLBI NIH HHS; P42 ES033719 United States ES NIEHS NIH HHS; DP5 OD031849 United States OD NIH HHS; R01 HL090863 United States HL NHLBI NIH HHS; N01HC95164 United States HL NHLBI NIH HHS; U01 HL041652 United States HL NHLBI NIH HHS; 75N92019D00029 United States HL NHLBI NIH HHS; N01HC95162 United States HL NHLBI NIH HHS; 75N92020D00003 United States HL NHLBI NIH HHS; N01HC95168 United States HL NHLBI NIH HHS; F31ES034284 United States ES NIEHS NIH HHS; R01 ES032638 United States ES NIEHS NIH HHS; R01 HL109315 United States HL NHLBI NIH HHS; N01HC95161 United States HL NHLBI NIH HHS; UL1 TR001420 United States TR NCATS NIH HHS; 75N92020D00004 United States HL NHLBI NIH HHS; R01 HL109319 United States HL NHLBI NIH HHS; 75N92020D00007 United States HL NHLBI NIH HHS; P2C HD058486 United States HD NICHD NIH HHS; F31 ES034284 United States ES NIEHS NIH HHS; R01 HL109284 United States HL NHLBI NIH HHS; P2CHD058486 Eunice Kennedy Shriver National Institute of Child Health and Human Development; N01HC95167 United States HL NHLBI NIH HHS; 75N92020D00006 United States HL NHLBI NIH HHS; N01HC95166 United States HL NHLBI NIH HHS; DP5OD031849 NIH Office of the Director; U01 HL065520 United States HL NHLBI NIH HHS; R01 ES021367 United States ES NIEHS NIH HHS
- Accession Number: N712M78A8G (Arsenic)
0 (Drinking Water) - Publication Date: Date Created: 20240424 Date Completed: 20240620 Latest Revision: 20240629
- Publication Date: 20240629
- Accession Number: PMC11208750
- Accession Number: 10.2337/dc23-2231
- Accession Number: 38656975
- Source:
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