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. 2012 Jun 25;120(10):1378–1384. doi: 10.1289/ehp.1104406

Table 4.

Associations of PM10, O3, and NO2 with fasting glucose, insulin, and HOMA indices by GSTM1, GSTT1, and GSTP1 genotypes.

Gene/genotype Pollutant n Glucose Insulin HOMA
Estimate (95% CI) p-Value p for interaction Estimate (95% CI) p-Value p for interaction Estimate (95% CI) p-Value p for interaction
GSTM1
Present PM10 225 0.04 (–0.04, 0.13) 0.3019 0.0459 0.19 (–0.25, 0.64) 0.3990 0.6201 0.12 (–0.04, 0.28) 0.1488 0.4944
O3 225 0.04 (–0.10, 0.18) 0.6027 0.0112 0.19 (–0.55, 0.93) 0.6140 0.2934 0.08 (–0.18, 0.34) 0.5552 0.1647
NO2 225 0.06 (–0.02, 0.15) 0.1579 0.2187 0.14 (–0.30, 0.58) 0.5278 0.0054 0.10 (–0.06, 0.25) 0.2308 0.0137
Null PM10 299 0.17 (0.09, 0.25) 0.0001 0.33 (–0.35, 1.02) 0.3430 0.20 (–0.03, 0.43) 0.0894
O3 299 0.30 (0.17, 0.42) < 0.0001 1.14 (0.08, 2.19) 0.0351 0.47 (0.11, 0.83) 0.0102
NO2 299 0.14 (0.06, 0.22) 0.0006 1.27 (0.59, 1.94) 0.0003 0.45 (0.22, 0.68) 0.0002
GSTT1
Present PM10 254 0.05 (–0.03, 0.12) 0.2449 0.1166 0.17 (–0.41, 0.75) 0.5649 0.8711 0.06 (–0.10, 0.22) 0.4812 0.3609
O3 254 0.08 (–0.03, 0.19) 0.1687 0.0151 0.59 (–0.29, 1.47) 0.1875 0.8825 0.15 (–0.09, 0.40) 0.2231 0.4358
NO2 254 0.02 (–0.05, 0.08) 0.6524 0.0020 0.44 (–0.07, 0.96) 0.0908 0.0463 0.11 (–0.03, 0.25) 0.1338 0.0028
Null PM10 270 0.15 (0.07, 0.24) 0.0008 0.21 (–0.41, 0.83) 0.5030 0.20 (–0.03, 0.43) 0.0926
O3 270 0.29 (0.15, 0.44) 0.0001 0.77 (–0.27, 1.81) 0.1490 0.42 (0.03, 0.81) 0.0360
NO2 270 0.21 (0.12, 0.31) < 0.0001 1.08 (0.41, 1.76) 0.0019 0.49 (0.24, 0.75) 0.0002
GSTP1
AA PM10 345 0.09 (0.03, 0.15) 0.0052 0.9598 0.06 (–0.47, 0.59) 0.8326 0.7265 0.05 (–0.13, 0.23) 0.5758 0.3947
O3 345 0.08 (–0.02, 0.17) 0.1029 0.0006 0.15 (–0.07, 0.97) 0.7215 0.0205 0.06 (–0.22, 0.34) 0.6762 0.0036
NO2 345 0.08 (0.02, 0.14) 0.0077 0.3620 0.75 (0.24, 1.26) 0.0042 0.3848 0.26 (0.09, 0.43) 0.0034 0.4972
AG or GG PM10 179 0.12 (0.001, 0.24) 0.0503 0.47 (–0.26, 1.20) 0.2099 0.29 (0.04, 0.54) 0.0250
O3 179 0.40 (0.20, 0.60) 0.0001 1.79 (0.58, 3.01) 0.0044 0.74 (0.32, 1.17) 0.0007
NO2 179 0.14 (0.02, 0.27) 0.0230 0.70 (–0.05, 1.44) 0.0695 0.30 (0.04, 0.56) 0.0235
At-risk genotypea
0–1 PM10 282 0.08 (0.005, 0.15) 0.0382 0.6077 0.04 (–0.37, 0.45) 0.8377 0.3584 0.06 (–0.07, 0.18) 0.3853 0.2277
O3 282 0.05 (–0.06, 0.17) 0.3625 0.0003 –0.06 (–0.69, 0.57) 0.8633 0.0860 –0.01 (–0.20, 0.19) 0.9379 0.0244
NO2 282 0.05 (–0.02, 0.12) 0.1832 0.0358 0.32 (–0.05, 0.69) 0.0943 0.0135 0.11 (–0.001, 0.23) 0.0528 0.0030
2–3 PM10 242 0.13 (0.03, 0.22) 0.0080 0.38 (–0.39, 1.15) 0.3388 0.23 (–0.04, 0.59) 0.1017
O3 242 0.35 (0.20, 0.50) < 0.0001 1.47 (0.19, 2.74) 0.0253 0.61 (0.16, 1.06) 0.0089
NO2 242 0.19 (0.09, 0.29) 0.0003 1.28 (0.45, 2.11) 0.0027 0.51 (0.22, 0.81) 0.0006
p-Values obtained after weighting follow-up observations in the single-pollutant model of PM10, O3, and NO2 on lag day 4, lag day 5, and lag day 7, respectively. Changes in glucose, insulin, and HOMA indices by an IQR-change of PM10 (20.8 µg/m3), O3 (15.1 ppb), and NO2 (10.8 ppb) were obtained after adjusting for age, sex, BMI, cotinine level, and outdoor temperature and dew point of the day. aNumber of risky genotypes.