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Badpa, M. ; Schneider, A.E. ; Schwettmann, L. ; Thorand, B. ; Wolf, K. ; Peters, A.

Air pollution, traffic noise, greenness, and temperature and the risk of incident type 2 diabetes: Results from the KORA cohort study.

Environ. Epi. 8:e302 (2024)

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Introduction: Type 2 diabetes (T2D) is a major public health concern, and various environmental factors have been associated with the development of this disease. This study aimed to investigate the longitudinal effects of multiple environmental exposures on the risk of incident T2D in a German population-based cohort. Methods: We used data from the KORA cohort study (Augsburg, Germany) and assessed exposure to air pollutants, traffic noise, greenness, and temperature at the participants' residencies. Cox proportional hazard models were used to analyze the associations with incident T2D, adjusting for potential confounders. Results: Of 7736 participants included in the analyses, 10.5% developed T2D during follow-up (mean: 15.0 years). We found weak or no association between environmental factors and the risk of T2D, with sex and education level significantly modifying the effects of air pollutants. Conclusion: Our study contributes to the growing body of literature investigating the impact of environmental factors on T2D risks and suggests that the impact of environmental factors may be small.

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Publication type Article: Journal article

Document type Scientific Article

Corresponding Author

Keywords Air Pollution ; Environmental Epidemiology ; Greenness ; Population-based Cohort ; Temperature ; Traffic Noise ; Type 2 Diabetes; Long-term Exposure; Fine Particulate Matter; Mellitus; Associations; Metaanalysis

ISSN (print) / ISBN 2474-7882

e-ISSN 2474-7882

Journal Environmental epidemiology

Quellenangaben Volume: 8, Issue: 2, Article Number: e302

Publisher Wolters Kluwer Health

Publishing Place Alphen aan den Rijn

Non-patent literature Publications

Reviewing status Peer reviewed

Institute(s) Institute of Epidemiology II (EPI2)
Institute of Health Economics and Health Care Management (IGM)

Grants Helmholtz Zentrum Munchen - German Research Center for Environmental Health
German Federal Ministry of Education and Research (BMBF)
State of Bavaria