The association between long-term exposure to PM2.5 constituents and diabetes incidence and blood glucose levels among World Trade Center Health Program general responders - Summary - MDSpire

The association between long-term exposure to PM2.5 constituents and diabetes incidence and blood glucose levels among World Trade Center Health Program general responders

  • By

  • Helena Krasnov

  • Pablo Knobel

  • Hsiao-Hsien Leon Hsu

  • Susan L Teitelbaum

  • Mary Ann McLaughlin

  • Allan C Just

  • Itai Kloog

  • Maayan Yitshak-Sade

  • October 23, 2025

  • 0 min

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Objective:

To study the associations between annual source-apportioned PM2.5 exposures and self-reported diabetes or repeated blood glucose measurements among general responders in the Tri-state area.

Key Findings:
  • An interquartile range increase in PM2.5 from metal industry sources was associated with an 8.35% higher risk of diabetes (1.39%, 15.79%) and a 1.31% increase in glucose levels (0.80%, 1.82%).
  • Women showed larger associations with biomass burning and motor vehicle pollution, while men had larger associations with oil combustion pollution.
Interpretation:

Findings indicate that specific PM2.5 sources are linked to increased diabetes risk and elevated blood glucose levels, highlighting the need for targeted interventions.

Limitations:
  • Study relies on self-reported diabetes and may be subject to reporting bias.
  • Potential confounding factors, such as lifestyle and environmental variables, were not fully accounted for in the analysis.
Conclusion:

The study underscores the importance of addressing emissions from specific PM2.5 sources to mitigate diabetes risk among populations exposed to extreme air pollution, highlighting the need for targeted public health interventions.

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