ArticleBMC medicine2026
Association of short-term exposure to ambient air pollutants with liver function and mediation by fasting insulin: evidence from a rural cohort in China.
Article in BMC medicine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
backgroundAir pollution and the rising prevalence of liver diseases have become public health concerns. Nevertheless, the relationship and underlying mechanisms between ambient air pollution and liver function remain inadequately investigated.
methodsA total of 4096 rural residents living in the suburb of Xinxiang city, China, were recruited from the Henan Rural Cohort. The participants underwent two physical examinations conducted in 2017 and 2021, respectively. A linear mixed-effects model was utilized to evaluate the associations between individual ambient air pollutants and liver function biomarkers. To determine the main air pollutants that impact liver function biomarkers, weighted quantile sum (WQS) regression models were applied. Additionally, the mediating role of fasting insulin (FINS) in these associations was investigated using mediation analysis.
resultsFor each increase in the interquartile range (IQR) of fine particulate matter (PM
conclusionsThere is a positive association between short-term exposure to ambient air pollutants and biomarkers of liver function. Moreover, FINS may play mediating roles in these associations.
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