Chronic arsenic exposure and type 2 diabetes : a meta-analysis

Tanvir Abir, Hossain Akbar, Rahman Bayzidur, Islam Rafiqul, Milton Abul Hasnat

    Research output: Chapter in Book / Conference PaperConference Paperpeer-review

    Abstract

    Chronic exposure to inorganic arsenic in drinking water has been associated with Type 2 Diabetes (T2D). However, the association is still inconclusive. We incorporated 33 studies in the analysis including 13 cross-sectional, 6 case-control and 4 cohort studies reporting Odds Ratio (OR), 6 cross-sectional and cohort studies reporting Relative Risk (RR) and 3 mortality studies reporting Standardized Mortality Ratio (SMR). The pooled OR estimate was 1.76 (95% CI: 1.43, 2.17), pooled RR was 1.17 (95% CI: 0.95, 1.45) and pooled SMR was 0.79 (95% CI: 0.59, 1.06), and the overall pooled estimate was 1.55 (95% CI: 1.27, 1.88). The study heterogeneity was very high (I2 = 97% for case-control studies, 47% for cohort studies, and overall 98%). Because of the very high heterogeneity and non-significant results from cohort studies, this analysis provides a limited evidence for an association between arsenic and Type 2 Diabetes (T2D) that needs further validation.
    Original languageEnglish
    Title of host publicationOne Century of the Discovery of Arsenicosis in Latin America (1914-2014) As2014: Proceedings of the 5th International Congress on Arsenic in the Environment, Buenos Aires, Argentina, 11-16 May 2014
    PublisherCRC Press
    Pages590-591
    Number of pages2
    ISBN (Print)9781138001411
    Publication statusPublished - 2014
    EventInternational Congress on Arsenic in the Environment -
    Duration: 11 May 2014 → …

    Conference

    ConferenceInternational Congress on Arsenic in the Environment
    Period11/05/14 → …

    Keywords

    • Latin America
    • arsenic
    • drinking water
    • non-insulin-dependent diabetes
    • risk assessment

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