Arsenic and fasting blood glucose in the context of other drinking water chemicals: a cross-sectional study in Bangladesh

Environmental Research
Shadassa OurshalimianMatthew O Gribble

Abstract

The goal of this study was to evaluate the association between groundwater arsenic and fasting blood glucose in the context of other groundwater chemicals, in Bangladesh. Fasting blood glucose, gender, body mass index, sociodemographic variables, and diabetes medication use were measured among adults ≥ 35 years of age (n = 6587) participating in the Bangladesh Demographic and Health Survey (BDHS) 2011. Groundwater chemicals in 3534 well water samples were measured in the British Geological Survey (BGS) and Department of Public Health Engineering (DPHE) 1998-99 survey. We assigned the nearest BGS-DPHE well's chemical exposure to each BDHS participant. We used survey-estimation linear regression methods to model natural log-transformed fasting blood glucose, among those using groundwater as their primary drinking-water source, as a function of groundwater arsenic. We considered possible interactions between categorical arsenic exposure and each of 14 other groundwater chemicals dichotomized at their medians. The chemicals considered as possible effect modifiers included: aluminum, barium, calcium, iron, potassium, lithium, magnesium, manganese, sodium, phosphorous, silicon, sulfate, strontium, and zinc. Compared to persons expose...Continue Reading

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Citations

Jul 3, 2019·International Journal of Environmental Research and Public Health·Abu Mohd NaserMatthew O Gribble
Apr 7, 2020·Journal of Environmental Management·Md Enamul HuqWasif Ullah Khan
Apr 12, 2021·Journal of Trace Elements in Medicine and Biology : Organ of the Society for Minerals and Trace Elements (GMS)·Zeinab GhaedrahmatMehdi Ahmadi
Apr 18, 2021·Biological Trace Element Research·Munir OzturkTomonori Kawano

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