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Original Articles
The Association Between PM2.5 Exposure and Diabetes Mellitus Among Thai Army Personnel
Apisorn Laorattapong, Sarun Poobunjirdkul, Thanapoom Thanapoom, Wiroj Jiamjarasrangsi
J Prev Med Public Health. 2023;56(5):449-457.   Published online September 26, 2023
DOI: https://doi.org/10.3961/jpmph.23.292
  • 3,530 View
  • 141 Download
  • 1 Web of Science
  • 1 Crossref
AbstractAbstract AbstractSummary PDFSupplementary Material
Objectives
This study investigated the association between baseline exposures to particulate matter with a diameter < 2.5 microns (PM2.5) and subsequent temporal changes in PM2.5 exposure with the incidence of type 2 diabetes among Royal Thai Army personnel.
Methods
A retrospective cohort study was conducted using nationwide health check-up data from 21 325 Thai Army personnel between 2018 and 2021. Multilevel mixed-effects parametric survival statistics were utilized to analyze the relationship between baseline (i.e., PM2.5-baseline) and subsequent changes (i.e., PM2.5-change) in PM2.5 exposure and the occurrence of type 2 diabetes. Hazard ratios (HRs) and 95% confidence intervals (CIs) were employed to assess this association while considering covariates.
Results
There was a significant association between both PM2.5 baseline and PM2.5-change and the incidence of type 2 diabetes in a dose-response manner. Compared to quartile 1, the HRs for quartiles 2 to 4 of PM2.5-baseline were 1.11 (95% CI, 0.74 to 1.65), 1.51 (95% CI, 1.00 to 2.28), and 1.77 (95% CI, 1.07 to 2.93), respectively. Similarly, the HRs for quartiles 2 to 4 of PM2.5-change were 1.41 (95% CI, 1.14 to 1.75), 1.43 (95% CI, 1.13 to 1.81) and 2.40 (95% CI, 1.84 to 3.14), respectively.
Conclusions
Our findings contribute to existing evidence regarding the association between short-term and long-term exposure to PM2.5 and the incidence of diabetes among personnel in the Royal Thai Army.
Summary
Key Message
We simultaneously investigated the impact of the baseline and temporal variations in the exposure to particulate matter (PM) with a diameter <2.5 microns (PM2.5) on type 2 diabetes risk among the Royal Thai Army personnel. We found stronger evidence on the impact of the temporal variation in PM2.5 exposure on the disease risk than that of the baseline variation. This finding may reflect the shorter time frame between the increased PM2.5 exposure and changes in fasting plasma glucose level.

Citations

Citations to this article as recorded by  
  • Influence of Air Pollution Exposures on Cardiometabolic Risk Factors: a Review
    Li-Hao Guo, Mohammed Zeeshan, Guo-Feng Huang, Duo-Hong Chen, Min Xie, Jun Liu, Guang-Hui Dong
    Current Environmental Health Reports.2023; 10(4): 501.     CrossRef
Respiratory Syncytial Virus Outbreak in the Basic Military Training Camp of the Republic of Korea Air Force
Won-Ju Park, Seok-Ju Yoo, Suk-Ho Lee, Jae-Woo Chung, Keun-Ho Jang, Jai-Dong Moon
J Prev Med Public Health. 2015;48(1):10-17.   Published online January 14, 2015
DOI: https://doi.org/10.3961/jpmph.14.037
  • 11,007 View
  • 100 Download
  • 2 Crossref
AbstractAbstract PDF
Objectives
An outbreak of acute febrile illness occurred in the Republic of Korea Air Force boot camp from May to July 2011. An epidemiological investigation of the causative agent, which was of a highly infective nature, was conducted.
Methods
Throat swabs were carried out and a multiplex reverse transcriptase-polymerase chain reaction (RT-PCR) assay was performed to identify possible causative factors.
Results
The mean age of patients who had febrile illness during the study period was 20.24 years. The multiplex RT-PCR assay identified respiratory syncytial virus (RSV) as the causative agent. The main symptoms were sore throat (76.0%), sputum (72.8%), cough (72.1%), tonsillar hypertrophy (67.9%), and rhinorrhea (55.9%). The mean temperature was 38.75°C and the attack rate among the recruits was 15.7% (588 out of 3750 recruits), while the mean duration of fever was 2.3 days. The prognosis was generally favorable with supportive care but recurrent fever occurred in 10.1% of the patients within a month.
Conclusions
This is the first epidemiological study of an RSV outbreak that developed in a healthy young adult group. In the event of an outbreak of an acute febrile illness of a highly infective nature in facilities used by a young adult group, RSV should be considered among the possible causative agents.
Summary

Citations

Citations to this article as recorded by  
  • Respiratory syncytial virus infection and the need for immunization in Korea
    Hye Young Kim, Ki Wook Yun, Hee Jin Cheong, Eun Hwa Choi, Hoan Jong Lee
    Expert Review of Vaccines.2023;[Epub]     CrossRef
  • COVID-19 outbreak in a military unit in Korea
    Chanhee Kim, Young-Man Kim, Namwoo Heo, Eunjung Park, Sojin Choi, Sehyuk Jang, Nayoung Kim, Donghyok Kwon, Young-Joon Park, Byeongseop Choi, Beomman Ha, Kyounghwa Jung, Changbo Park, Sejin Park, Heeyoung Lee
    Epidemiology and Health.2021; 43: e2021065.     CrossRef
Analysis of the Change of Health Status Among the Republic of Korea Air Force Soldiers During Military Service
Seok-Ju Yoo, Won-Ju Park, Kwan Lee, Hyun-Sul Lim, Hyun-Jin Kim, Suk-Ho Lee
J Prev Med Public Health. 2014;47(4):230-235.   Published online July 31, 2014
DOI: https://doi.org/10.3961/jpmph.2014.47.4.230
  • 9,737 View
  • 77 Download
  • 2 Crossref
AbstractAbstract PDF
Objectives
The aim of this study was to investigate whether the health status of Republic of Korea Air Force (ROKAF) soldiers changed after one year of military service. Methods: We selected 483 ROKAF soldiers from the 11 749 recruits who participated in the 2011 physical examination. The selected soldiers underwent another physical examination in 2012 for advancement to senior airman. Data from 2011 and 2012 were merged. To collect data on lifestyle, a questionnaire was sent to all included subjects via the military intranet e-mail service. Results: The percentage of recruits with an abnormal alanine transaminase level (normal range <40 IU/L) decreased from recruitment (13.7%) to the following year (2.7%). Moreover, the percentage of obese soldiers (body mass index ≥25 kg/m2) decreased from recruitment (20.5%) to the following year (10.4%). There was a significant change in mean duration of exercise carried out each day before (0.8±1.3 hours) and after (1.0±0.7 hours) joining the ROKAF service. Conclusions: These ROKAF soldiers were generally in good health before and after joining the armed service. After one year of military service, the health status of most soldiers improved, especially with respect to body mass index and alanine transaminase level.
Summary

Citations

Citations to this article as recorded by  
  • Behavioral impact of national health campaigns on healthy lifestyle practices among young adults in Singapore: a cross-sectional study
    Yong Zhi Khow, Talia Li Yin Lim, Jarret Shoon Phing Ng, Jiaxuan Wu, Chuen Seng Tan, Kee Seng Chia, Nan Luo, Wei Jie Seow
    BMC Public Health.2021;[Epub]     CrossRef
  • Strategic Priorities to Improve Effectiveness of Anti-smoking Interventions for the Korean Military: An Application of the Analytic Hierarchy Process
    Yun-Kyoung Song, Jae Hyun Kim, Boyoon Choi, Nayoung Han, Myeong Gyu Kim, Jeongsam Lee, Handuk Lee, Jieun Yoon, Beom-Jin Lee, Jung Mi Oh
    Military Medicine.2018; 183(7-8): e223.     CrossRef
JPMPH : Journal of Preventive Medicine and Public Health
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