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			 Researchers studied more than 1,000 Mexican-Americans living in 
			southern California and found short-term exposure to contaminated 
			air was linked to an increased risk of high cholesterol and impaired 
			processing of blood sugar – risk factors for diabetes. 
			 
			Scientists aren’t exactly sure how air pollution might lead to 
			diabetes. 
			 
			It’s possible that air pollution causes inflammation in the body, 
			which triggers a chain reaction that makes it harder for people to 
			process blood sugar, said senior study author Dr. Frank Gilliland, 
			director of the Southern California Environmental Health Sciences 
			Center and researcher at the Keck School of Medicine at the 
			University of Southern California in Los Angeles. 
			 
			Some previous research has linked air pollution from traffic and 
			other sources to an increased risk of type 2, or adult-onset, 
			diabetes, which happens when the body can't properly use or make 
			enough of the hormone insulin to convert blood sugar into energy. 
			But few tests have been done in humans, the researchers note in the 
			journal Diabetes Care. 
			
			  
			For the current study, Gilliland and colleagues examined 
			concentrations of ozone, an unstable form of oxygen produced when 
			various types of traffic and industrial pollution react with 
			sunlight; nitrogen dioxide, a byproduct of fossil fuel combustion 
			that can contribute to smog; and so-called PM 2.5, a mixture of 
			solid particles and liquid droplets smaller than 2.5 micrometers in 
			diameter that can include dust, dirt, soot and smoke. 
			 
			All of these pollutants have been found to damage lungs and some PM 
			2.5 particles are small enough to enter the bloodstream, where they 
			have been linked to increased risk of heart disease and stroke. 
			 
			All of the participants in the current study completed 
			questionnaires on their dietary and exercise habits, and they also 
			had lab tests to measure levels of cholesterol and sugars in their 
			blood. 
			 
			The researchers also looked at what’s known as insulin resistance, 
			the body’s failure to respond to the hormone, which is a hallmark of 
			diabetes. Participants were around 35 years old on average and 
			typically overweight or obese. Many of them lived in low-income 
			neighborhoods and lacked any education beyond high school. 
			 
			In addition, they all either had diabetes during pregnancy or were 
			related to a woman who did. 
			 
			Even with this diabetes family history, people exposed to higher 
			levels of overall air pollution had greater levels of insulin 
			resistance, more sugars in their blood and higher cholesterol. 
			
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			Weight and body fat percentage explained a significant portion of 
			the connection. 
			 
			Researchers did not find a connection between levels of 
			traffic-related nitrogen dioxide from freeways and risk factors for 
			diabetes. However, PM 2.5 exposure was significantly associated with 
			diabetes risk factors, with an effect equivalent to that of obesity, 
			the authors note. 
			Among the study’s limitations is that researchers lacked data on how 
			long people lived at their current address, which made it impossible 
			to assess lifetime exposure to air pollution. 
			 
			Even so, the findings suggest people who live in cities and other 
			areas with poor air quality should take precautions, said Michael 
			Jerrett, director of the Center for Occupational and Environmental 
			Health at the University of California, Los Angeles. 
			 
			Among other things, people could try to limit outdoor exercise 
			during peak commute hours to lower exposure to traffic fumes and try 
			not to run or ride a bike along a major highway, said Jerrett, who 
			wasn’t involved in the study. 
			 
			Indoors, people should use what’s known as a high-efficiency 
			particulate air (HEPA) filter on furnaces or air conditioning units, 
			or buy stand-alone units for bedrooms, Jerrett said. These 
			mechanical filters force air through a fine mesh that can trap 
			harmful pollutants, but there’s a limit to how much individuals can 
			do, he said. 
			  
			
			  
			 
			 
			“Air pollution is an involuntary risk factor,” Jerrett said. “We all 
			breathe the air, and this should create a stronger incentive for 
			government to take action to reduce emissions that lead to air 
			pollution.” 
			 
			SOURCE: http://bit.ly/22mZPxU Diabetes Care, online February 11, 
			2016. 
			  
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