Environmental Science and Pollution Research

, Volume 25, Issue 30, pp 30151–30159 | Cite as

Acute effects of air pollution on type II diabetes mellitus hospitalization in Shijiazhuang, China

  • Jie SongEmail author
  • Yue Liu
  • Liheng Zheng
  • Lihui Gui
  • Xiangmei Zhao
  • Dongqun Xu
  • Weidong Wu
Research Article


Air pollution has been considered as an important contributor to diabetes development. However, the evidence is fewer in developing countries where air pollution concentrations were much higher. In this study, we conduct a time-series study to investigate the acute adverse effect of six air pollutants on type II diabetes mellitus (T2DM) hospitalization in Shijiazhuang, China. An over-dispersed passion generalized addictive model adjusted for weather conditions, day of the week, and long-term and seasonal trends was used. Finally, a 10-μg/m3 increase of fine particulate matter (PM2.5), inhalable particulate matter (PM10), sulfur dioxide (SO2), nitrogen dioxide (NO2), and carbon monoxide (CO) corresponded to 0.53% (95% confidence interval = 0.22–0.83), 0.32% (95% CI = 0.10–0.55), 0.55% (95% CI = 0.04–1.07), 1.27% (95% CI = 0.33–2.22), and 0.04% (95% CI = 0.02–0.06) increment of T2DM hospitalization, respectively. The effects of PM2.5, PM10, and CO were robust when adjusted for co-pollutants. The associations appeared to be a little stronger in the cool season than in the warm season. And stronger associations were found in male and elderly (≥ 65 years) than in female and younger people (35–65 years). Our results contribute to the limited data in the scientific literature on acute effects of air pollution on type II diabetes mellitus in developing countries. Main findings: This is the first adverse effect evidence of air pollution on T2DM in Shijiazhuang, a severely polluted city in China. Males were more vulnerable than females in severe pollution.


Air pollution Type II diabetes mellitus Hospitalization Time-series study 



The study was supported by the National Natural Science Foundation of China (21677136), the Ph.D. Research Project of Xinxiang Medical University (XYBSKYZZ201804), Key Scientific Research Projects in Universities of Henan Province (19B330004), and Peak Subject Project of Public Health in Xinxiang Medical University.

Compliance with Ethical Standards

Conflict of Interest

The authors declare they have no actual or potential competing financial interests.

Ethics Approval

This study does not involve experimental animals or individual information of human subjects.


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Copyright information

© Springer-Verlag GmbH Germany, part of Springer Nature 2018

Authors and Affiliations

  • Jie Song
    • 1
    • 2
    Email author
  • Yue Liu
    • 3
  • Liheng Zheng
    • 4
  • Lihui Gui
    • 1
  • Xiangmei Zhao
    • 1
  • Dongqun Xu
    • 3
  • Weidong Wu
    • 1
    • 2
  1. 1.School of Public HealthXinxiang Medical UniversityXinxiangChina
  2. 2.Henan International Collaborative Laboratory for Health Effects and Intervention of Air PollutionXinxiangChina
  3. 3.National Institute of Environmental Health, Chinese Center for Disease Control and PreventionBeijingChina
  4. 4.Hebei Chest HospitalShijiazhuangChina

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