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Association of water arsenic with incident diabetes in U.S. adults: The Multi-Ethnic Study of Atherosclerosis and The Strong Heart Study

OBJECTIVE We examined the association of arsenic in federally regulated community water systems (CWSs) and unregulated private wells with type 2 diabetes (T2D) incidence in the Strong Heart Family Study (SHFS), a prospective study of American Indian communities, and the Multi-Ethnic Study of Atherosclerosis (MESA), a prospective study of racially and ethnically diverse urban U.S. communities. RESEARCH DESIGN AND METHODS We evaluated 1,791 participants from SHFS and 5,777 participants from MESA who had water arsenic estimates available and were free of T2D at baseline (2001–2003 and 2000–2002, respectively). Participants were followed for incident T2D until 2010 (SHFS cohort) or 2019 (MESA cohort). We used Cox proportional hazards mixed-effects models to account for clustering by family and residential zip code, with adjustment for sex, baseline age, BMI, smoking status, and education. RESULTS T2D incidence was 24.4 cases per 1,000 person-years (mean follow-up, 5.6 years) in SHFS and 11.2 per 1,000 person-years (mean follow-up, 14.0 years) in MESA. In a meta-analysis across the SHFS and MESA cohorts, the hazard ratio (95% CI) per doubling in CWS arsenic was 1.10 (1.02, 1.18). The corresponding hazard ratio was 1.09 (0.95, 1.26) in the SHFS group and 1.10 (1.01, 1.20) in the MESA group. The corresponding hazard ratio (95% CI) for arsenic in private wells and incident T2D in SHFS was 1.05 (0.95, 1.16). We observed statistical interaction and larger magnitude hazard ratios for participants with BMI <25 kg/m 2 and female participants. CONCLUSIONS Low to moderate water arsenic levels (<10 µg/L) were associated with T2D incidence in the SHFS and MESA cohorts.

Diabetes Care

Co-occurrence of pesticides and pharmaceuticals and personal care products (PPCPs) across Zostera marina (common eelgrass) communities

Anthropogenic pressures are driving changes in eelgrass communities, which are altering baseline conditions in estuarine environments. Field detections have validated the transport of land-sourced pollutants to aquatic systems; however, studies rarely sample concurrently for pesticides, and pharmaceuticals and personal care products (PPCPs) across environmental compartments. Moreover, studies on contaminant uptake by eelgrass and associated species are even more limited. In collaboration with the Confederated Tribes of the Coos, Lower Umpqua and Siuslaw Indians (CTCLUSI), this study collected samples of water, eelgrass, clams, and sediment at sites of Tribal significance in Southern Oregon to test for organic contaminants (i.e., herbicides and pharmaceuticals). Paired sampling was conducted for analysis by the CTCLUSI in tandem with the United States Geological Survey (USGS) in order for the Tribe to develop analytical standards for future sampling efforts. Ten pesticides and eight pharmaceuticals were detected across the four sites, with the highest number of overall detections (27) at the Florence Marina site. The insecticide bifenthrin was most frequently detected across all media (0.012–1.565 μg/g organic carbon in sediment, 2.7–30 ng/g in organismal tissue) and the anti-diabetic agent metformin was the most detected PPCP in clam tissues (1.33–3.78 ng/g). Pesticides and PPCPs were observed to co-occur in eelgrass habitats, with numerous pesticide detections across media types. These findings demonstrate numerous routes of exposure for estuarine organisms which could be addressed with pharmaceutical disposal strategies or pesticide use restrictions near these habitats.

Oregon

Evaluation of potential protective factors against metabolic syndrome in bottlenose dolphins:feeding and activity patterns of dolphins in Sarasota Bay, Florida

Free-ranging bottlenose dolphins (Tursiops truncatus) living in Sarasota Bay, Florida appear to have a lower risk of developing insulin resistance and metabolic syndrome compared to a group of dolphins managed under human care. Similar to humans, differences in diet and activity cycles between these groups may explain why Sarasota dolphins have lower insulin, glucose, and lipids. To identify potential protective factors against metabolic syndrome, existing and new data were incorporated to describe feeding and activity patterns of the Sarasota Bay wild dolphin community. Sarasota dolphins eat a wide variety of live fish and spend 10&acirc;&euro;&ldquo;20% of daylight hours foraging and feeding. Feeding occurs throughout the day, with the dolphins eating small proportions of their total daily intake in brief bouts. The natural pattern of wild dolphins is to feed as necessary and possible at any time of the day or night. Wild dolphins rarely eat dead fish or consume large amounts of prey in concentrated time periods. Wild dolphins are active throughout the day and night; they may engage in bouts of each key activity category at any time during daytime. Dive patterns of radio-tagged dolphins varied only slightly with time of day. Travel rates may be slightly lower at night, suggesting a diurnal rhythm, albeit not one involving complete, extended rest. In comparison, the managed dolphins are older; often fed a smaller variety of frozen-thawed fish types; fed fish species not in their natural diet; feedings and engaged activities are often during the day; and they are fed larger but fewer meals. In summary, potential protective factors against metabolic syndrome in dolphins may include young age, activity, and small meals fed throughout the day and night, and specific fish nutrients. These protective factors against insulin resistance and type 2 diabetes are similar to those reported in humans. Further studies may benefit humans and dolphins.

Florida