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Association between solid fuel combustion and diabetes mellitus: a systematic review and meta‑analysis


Li, N and Su, W and Wang, H and Guo, X and Liang, Q and Song, Q and Liang, M and Ding, X and Sun, C and Lowe, S and Bentley, R and Zhou, Z and Li, Y and Sun, Y, Association between solid fuel combustion and diabetes mellitus: a systematic review and meta‑analysis, Environmental science and pollution research international, 29, (52) Article 78165-78177. ISSN 1614-7499 (2022) [Refereed Article]

Copyright Statement

The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature 2022

DOI: doi:10.1007/s11356-022-23299-9


In recent years, many epidemiological studies have investigated the relationship between solid fuel combustion and diabetes mellitus (DM). This meta-analysis was performed to explore the potential association between solid fuel combustion and DM. A comprehensive literature search was conducted to identify all relevant studies published prior to January 14, 2022. The pooled odds ratios (OR) with 95% confidence intervals (CI) were used to estimate the effect of solid fuel combustion on DM. The I square value (I2) was used to assess heterogeneity. Due to the heterogeneity of the studies (I2 = 66.70%), a random-effect model was used as the pooling method. A total of 9 articles (10 available datasets) were used for this systematic review and meta-analysis, involving 45,620 study subjects. The results of the meta-analysis showed a statistically positive relationship between household solid fuel combustion and the risk of DM (OR = 1.46, 95% CI = 1.09-1.97). Subgroup analysis based on fuel type revealed a statistically significant association in the mixed solid fuel group (OR = 2.03, 95% CI = 1.59-2.59), but not in the single biomass group (OR = 1.04, 95% CI = 0.73-1.49). This meta-analysis suggests that solid fuel combustion may be associated with an increased risk of DM.

Item Details

Item Type:Refereed Article
Keywords:Solid fuel, biomass, diabetes, meta-analysis
Research Division:Health Sciences
Research Group:Epidemiology
Research Field:Environmental epidemiology
Objective Division:Environmental Management
Objective Group:Air quality, atmosphere and weather
Objective Field:Air quality
UTAS Author:Zhou, Z (Dr Zhen Zhou)
ID Code:153758
Year Published:2022
Web of Science® Times Cited:10
Deposited By:Menzies Institute for Medical Research
Deposited On:2022-10-05
Last Modified:2022-12-06

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