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Cited by 274

The DOI matches its Crossref record; 10 of the 10 references it cites were found in a registry or an index.

Environmental Chemicals and Type 2 Diabetes: An Updated Systematic Review of the Epidemiologic Evidence

Open access
Kuo, Chin-Chi, Moon, Katherine, Thayer, Kristina A., Navas-Acien, Ana·2013·Current Diabetes Reports

Abstract

The burden of diabetes is increasing globally. Identifying novel preventable risk factors is an urgent need. In 2011, the U.S. National Toxicological Program (NTP) conducted a workshop to evaluate the epidemiologic and experimental evidence on the relationship of environmental chemicals with obesity, diabetes, and metabolic syndrome. Although the evidence was insufficient to establish causality, the NTP workshop review identified an overall positive association between some environmental chemicals and diabetes. In the present systematic review, our objective was to summarize the epidemiological research published since the NTP workshop. We identified a total of 29 articles (7 on arsenic, 3 on cadmium, 2 on mercury, 11 on persistent organic pollutants, 3 on phthalates, and 4 on bisphenol A), including 7 prospective studies. Considering consistency, temporality, strength, dose–response relationship, and biological plausibility (confounding), we concluded that the evidence is suggestive but not sufficient for a relationship between arsenic and persistent organic pollutants and is insufficient for mercury, phthalates, and bisphenol A. For cadmium, the epidemiologic evidence does not seem to suggest an association with diabetes. Important research questions include the need for additional prospective studies and the evaluation of the dose–response relationship, the role of joint exposures, and effect modification with other comorbidities and genetic variants.

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Metadata

Authors
Kuo, C.-C., Moon, K., Thayer, K. A., & Navas-Acien, A.
Venue
Current Diabetes Reports
Published
2013-10-11
Volume
13
Issue
6
Pages
831-849
ISSN
  • 1534-4827 (ISSN-L)
  • 1539-0829
OpenAlex
W2037898660
Cited by
274
References
10
FWCI
5.80
Type
journal article
Language
en
Open access
green

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CoChat. (2026). Citation check: Environmental Chemicals and Type 2 Diabetes: An Updated Systematic Review of the Epidemiologic Evidence. https://app.cochat.ai/papers/10.1007/s11892-013-0432-6
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Kuo, C.-C., Moon, K., Thayer, K. A., & Navas-Acien, A. (2013). Environmental Chemicals and Type 2 Diabetes: An Updated Systematic Review of the Epidemiologic Evidence. Current Diabetes Reports. https://doi.org/10.1007/s11892-013-0432-6

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