Endothelial Dysfunction: Associations with Exposure to Ambient Fine Particles in Diabetic Individuals
2008

Effects of Air Pollution on Blood Vessel Function in Diabetics

Sample size: 22 publication 10 minutes Evidence: moderate

Author Information

Author(s): Schneider Alexandra, Neas Lucas, Herbst Margaret C., Case Martin, Williams Ronald W., Cascio Wayne, Hinderliter Alan, Holguin Fernando, Buse John B., Dungan Kathleen, Styner Maya, Peters Annette, Devlin Robert B.

Primary Institution: Helmholtz Zentrum München, German Research Center for Environmental Health

Hypothesis

Does exposure to increased ambient air pollutants impair endothelial function in individuals with type 2 diabetes?

Conclusion

The study found that exposure to PM2.5 can cause immediate endothelial dysfunction in diabetic individuals.

Supporting Evidence

  • Flow-mediated dilatation decreased in association with PM2.5 during the first 24 hours.
  • Participants with higher body mass index and glycosylated hemoglobin A1c showed greater decrements in endothelial function.
  • High levels of myeloperoxidase on the examination day led to stronger effects on endothelial dysfunction.

Takeaway

Breathing in dirty air can make the blood vessels of people with diabetes work worse, which is not good for their health.

Methodology

A prospective panel study measuring PM2.5 exposure and endothelial function in diabetic volunteers over several visits.

Potential Biases

Potential unmeasured confounding factors related to air pollution exposure.

Limitations

The small sample size limits the generalizability of the findings.

Participant Demographics

Participants were aged 48-80 years, predominantly male, with type 2 diabetes.

Statistical Information

P-Value

p<0.05

Confidence Interval

95% CI, −2.0 to 0.0

Statistical Significance

p<0.05

Digital Object Identifier (DOI)

10.1289/ehp.11666

Want to read the original?

Access the complete publication on the publisher's website

View Original Publication