Type 2 & other diabetes

The Association Between Serum Polychlorinated Biphenyls and Incident Cardiovascular Disease Among Type 2 Diabetes

J Clin Endocrinol MetabPublished Prospective cohort study

Authors' conclusion

Serum PCB independently increased the risk of incident CVD among T2D cases, in which lower-chlorinated PCBs played a dominant role.

Study context

Population
Participants with T2D from the Dongfeng-Tongji cohort, 2008, followed up until December 31, 20181,180 developed cardiovascular disease (CVD)
Participants
2,806 participants
Exposure
Serum PCB quartiles
Outcome
Incident CVD
Follow-up
Until December 31, 2018
Methodological detailsDongfeng-Tongji cohort, Cox proportional hazard regression, quantile g-computation
  • Dongfeng-Tongji cohort
  • Cox proportional hazard regression
  • Quantile g-computation

Main finding

As reported in the abstract

Incident CVD by serum PCB quartile
HR, lower-chlorinated PCBs (PCB28 + PCB52 + PCB101) (95% CI)P value
Q3vs Q1
1.257(1.063–1.486)
Q4vs Q1
1.346(1.139–1.589)
P = 0.001for trend
Q4 vs Q1
increase in risk, PCB28 25%
Q4 vs Q1
increase in risk, PCB52 30%
Q4 vs Q1
increase in risk, PCB101 28%

Observational data: associations, not effects.

Further findings

Mixed PCB exposure (quantile g-computation)

Mixed exposure to polychlorinated biphenyls (PCBs) increased the risk of CVD; top 3 weights: PCB101, PCB52, PCB28

Original publication

The Association Between Serum Polychlorinated Biphenyls and Incident Cardiovascular Disease Among Type 2 Diabetes. J Clin Endocrinol Metab. Published 15 January 2025. doi:10.1210/clinem/dgaf014

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