Amin Sedigh, Sara Bagheri, Pariya Naeimi, Vahid Rahmanian, Nader Sharifi
The effect of peer mentoring program on clinical academic progress and psychological characteristics of operating room students: a parallel randomized controlled trial
BMC medical education
background growing evidence demonstrated role ambient air pollutants driving diabetes incidence however epidemiological evidence linking ozone o3 exposure diabetes risk scarcely studied zhuang adults china aimed investigate associations longterm exposure o3 diabetes prevalence fasting plasma glucose fpg estimate mediating role liver enzymes zhuang adults methods recruited 13 843 ethnic minority adults 20182019 based crosssectional study covering nine districtscounties guangxi generalized linear mixed models implemented estimate relationships o3 exposure diabetes prevalence fpg mediation effect models constructed investigate roles liver enzymes associations o3 exposure diabetes prevalence fpg subgroup analyses conducted identify potential effect modifications results longterm exposure o3 positively associated diabetes prevalence fpg levels zhuang adults excess risk 732 95 confidence interval ci 256 1230 increase 0047 mmol l1 95 ci 0032 0063 diabetes prevalence fpg levels respectively interquartile range iqr 118 g m3 increment o3 concentrations alanine aminotransferase alt significantly mediated 810 2989 associations o3 fpg diabetes prevalence respectively corresponding mediation proportions alkaline phosphatase alp 848 3000 greater adverse effects observed females obese subjects people low education level rural residents nonclean fuel users people history stroke hypertension associations o3 exposure diabetes prevalence andor fpg levels p values interaction 005 conclusion longterm exposure o3 related increased risk diabetes partially mediated liver enzymes chinese zhuang adults promoting clean air policies reducing exposure environmental pollutants priority public health policies geared toward preventing diabetes