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• W3040161614 abstract "Objectives The risk of diabetes mellitus may be elevated among persons exposed to some pesticides, including cholinesterase-inhibiting insecticides (organophosphates and carbamates). The objective of this study was to investigate how acetylcholinesterase activity was associated with mean blood glucose levels among smallholder farmers in Uganda. Methods We conducted a short-term follow-up study among 364 smallholder farmers in Uganda. Participants were examined three times from September 2018 to February 2019. At each visit, we measured glycosylated haemoglobin A (HbA 1c ) as a measure of long-term average blood glucose levels. Exposure to organophosphate and carbamate insecticides was quantified using erythrocyte acetylcholinesterase normalised by haemoglobin (AChE/Hb). For a subgroup of participants, fasting plasma glucose (FPG) was also available. We analysed HbA 1c and FPG versus AChE/Hb in linear mixed and fixed effect models adjusting for age, sex, physical activity level, and consumption of fruits and vegetables, alcohol and tobacco. Results Contrary to our hypothesis, our mixed effect models showed significant correlation between low AChE/Hb and low HbA 1c . Adjusted mean HbA 1c was 0.74 (95% CI 0.17 to 1.31) mmol/mol lower for subjects with AChE/Hb=24.3 U/g (35th percentile) compared with subjects with AChE/Hb=25.8 U/g (50th percentile). Similar results were demonstrated for FPG. Fixed effect models showed less clear correlations for between-phase changes in AChE/Hb and HbA 1c . Conclusions Our results do not clearly support a causal link between exposure to cholinesterase-inhibiting insecticides and elevated blood glucose levels (expressed as HbA 1c and FPG), but results should be interpreted with caution due to the risk of reverse causality." @default.
• W3040161614 created "2020-07-10" @default.
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• W3040161614 date "2020-07-06" @default.
• W3040161614 modified "2023-09-25" @default.
• W3040161614 title "Exposure to cholinesterase inhibiting insecticides and blood glucose level in a population of Ugandan smallholder farmers" @default.
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• W3040161614 doi "https://doi.org/10.1136/oemed-2020-106439" @default.
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