Abstract:
:Arsenic in drinking water presents a serious public health problem in Serbia, but its relationship with diabetes has not been studied previously. The aim of this study was to explore the association between exposure to arsenic in drinking water and the occurrence of type 2 diabetes in Middle Banat region, Serbia. This cross-sectional study comprised two populations. Exposed population in Middle Banat region consumes drinking water with arsenic (mean = 56 μg/L); unexposed population from six regions in Central Serbia consumes arsenic below detection limit (2 μg/L). Newly diagnosed cases of type 2 diabetes were obtained from the National Registry of Diabetes in 2008. The Registry included age, gender, family history of diabetes, presence of overweight, central obesity, cholesterol and triglyceride levels. In addition, the number of cases of diabetes reported in years 2006, 2007 and 2009 was used to calculate standardized incidence rates for both populations. Two populations were comparable by age, family history of diabetes and prevalence of overweight persons. Unexposed population was more likely to have central obesity, and high total cholesterol and triglycerides. Standardized incidence rates of type 2 diabetes were higher in exposed population. Odds ratios for type 2 diabetes were significantly higher for the exposed population, both men and women, in the period from 2006 to 2009, when compared with the unexposed population. The population from Middle Banat region, consuming drinking water with low levels of arsenic, was at higher risk for the occurrence of type 2 diabetes in comparison to the unexposed population in Central Serbia.
journal_name
Int J Hyg Environ Healthauthors
Jovanovic D,Rasic-Milutinovic Z,Paunovic K,Jakovljevic B,Plavsic S,Milosevic Jdoi
10.1016/j.ijheh.2012.01.001subject
Has Abstractpub_date
2013-01-01 00:00:00pages
50-5issue
1eissn
1438-4639issn
1618-131Xpii
S1438-4639(12)00002-8journal_volume
216pub_type
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