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Arsenic and Type 2 Diabetes: Revealing the Environmental Exposure Relationship Through Effective Factors - a Systematic Review Publisher



Abolli S1, 2 ; Dehghani S1 ; Atlasi R3, 4 ; Maleki Z5 ; Yunesian M1, 6 ; Tabatabaeimalazy O3, 4 ; Saraei M7 ; Khosravifar M8 ; Soleimani Z3, 4, 9
Authors
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Authors Affiliations
  1. 1. Department of Environmental Health, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran
  2. 2. Student's Scientific Research Center, Tehran University of Medical Sciences, Tehran, Iran
  3. 3. Endocrinology and Metabolism Research Center, Endocrinology and Metabolism Clinical Sciences Institute, Tehran University of Medical Sciences, Tehran, Iran
  4. 4. Non-Communicable Diseases Research Center, Endocrinology and Metabolism Population Sciences Institute, Tehran University of Medical Sciences, Tehran, Iran
  5. 5. Student Research Committee, Shiraz University of Medical Sciences, Shiraz, Iran
  6. 6. Department of Research Methodology and Data Analysis, Institute for Environmental Research (IER), Tehran University of Medical Sciences, Iran Center for Research on Occupational Diseases, Tehran, Iran
  7. 7. Center for Research on Occupational Diseases, Tehran University of Medical Sciences, Tehran, Iran
  8. 8. Institute of Diabetes, Obesity, and Metabolism, Perelman School of Medicine, University of Pennsylvania, Philadelphia, 19104, PA, United States
  9. 9. Center for Air Pollution Research (CAPR), Institute for Environmental Research (IER), Tehran University of Medical Sciences, Tehran, Iran

Source: Results in Engineering Published:2024


Abstract

This systematic review focoused on exploring the link between environmental exposure to arsenic (in air, water, and food pathways) and the occurrence of type 2 diabetes mellitus (T2DM). A comprehensive search was carried out in PubMed, Scopus, Web of Science, and Embase databases without time and location limits. The inclusion criteria were studied, and 121 records were included after full screening. The reviewed studies primarily focused on arsenic levels in water samples, followed by urine, blood, serum, and plasma samples analysis. Air, food, diet, nail, and tear samples were in the next rank. Many studies concentrated on females and occasionally pregnancy. Some explored arsenic's impact in occupational settings, while others investigated age, obesity, body mass index, and genetic effects. A few studies were related to the Strong Heart Study (SHS), additives, vitamin D, growth promoters, and agricultural product ripening. Arsenic can contaminate groundwater sources, particularly in areas with natural deposits of arsenic or due to industrial activities. Arsenic can be present in certain foods, especially rice, seafood, and poultry; it is also possible to be emitted into the atmosphere via industrial processes such as mining, smelting, and coal combustion and cause occupational exposure. Genetic elements could also contribute to the link between arsenic exposure and the development of T2DM. This association has been observed in both occupational settings and populations with high levels of arsenic in their diets. In the field of limitations, there was restricted data available regarding the gender-specific effects of environmental arsenic exposure on the onset of T2DM, as well as the connection between arsenic exposure, age, and T2DM development. However, the exact molecular mechanisms still need to be fully understood for the correlation between arsenic exposure and T2DM. © 2024
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