Environmental pollutants and type 2 diabetes: a review of human studies

The incidence of diabetes has increased dramatically in recent decades and become one of the leading health problems worldwide. Lifestyle and dietary changes alone cannot account for the dramatic rise of diabetes, while an increasing number of publications have reported the possible relationships between exposure to environmental pollutants and risk of diabetes. In the present review, our objective was to summarize the human studies on environmental pollutants, which includes persistent organic pollutants, pesticides (not on the Stockholm Convention list), bisphenol A, and phthalates, and the risk of diabetes. Currently published results suggest a positive relationship between certain persistent organic pollutants (dichlorodiphenyldichloroethene, dichlorodiphenyltrichloroethane, hexachlorobenzene, and polychlorinated biphenyls) and bisphenol A exposure and risk of diabetes. For pyrethroids, organophosphates, carbamates, and phthalates, there are insufficient studies to reach conclusions and therefore more studies, especially prospective studies, are needed along with in vivo and in vitro studies to understand the underlying mechanisms.