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Glycemic Regulation and Renal Function by Heavy Metal Exposure: A Cross-Sectional Analysis on Cement Plant Workers.

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Τίτλος: Glycemic Regulation and Renal Function by Heavy Metal Exposure: A Cross-Sectional Analysis on Cement Plant Workers.
Συγγραφείς: Erdoğan DS; Division of Occupational Medicine, Department of Public Health, Faculty of Medicine, Gazi University, Ankara, Türkiye., Bozdag F; Division of Occupational Medicine, Department of Public Health, Faculty of Medicine, Gazi University, Ankara, Türkiye., Topcu FB; Division of Occupational Medicine, Department of Public Health, Faculty of Medicine, Gazi University, Ankara, Türkiye., Demirbas OB; Department of Public Health, Mamak District Health Directorate, Turkish Ministry of Health, Ankara, Türkiye., Cetintepe SP; Division of Occupational Medicine, Department of Public Health, Faculty of Medicine, Gazi University, Ankara, Türkiye., Ilhan MN; Division of Occupational Medicine, Department of Public Health, Faculty of Medicine, Gazi University, Ankara, Türkiye.
Πηγή: Journal of applied toxicology : JAT [J Appl Toxicol] 2026 Oct; Vol. 46 (10), pp. 3550-3560. Date of Electronic Publication: 2026 Apr 21.
Τύπος έκδοσης: Journal Article
Γλώσσα: English
Στοιχεία περιοδικού: Publisher: John Wiley And Sons Country of Publication: England NLM ID: 8109495 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1099-1263 (Electronic) Linking ISSN: 0260437X NLM ISO Abbreviation: J Appl Toxicol Subsets: MEDLINE
Imprint Name(s): Publication: : Chichester : John Wiley And Sons
Original Publication: [Philadelphia, Pa. : Heyden & Son, c1981-
Ιατρικοί όροι (MeSH): Occupational Exposure*/adverse effects , Blood Glucose*/drug effects , Blood Glucose*/metabolism , Blood Glucose*/analysis , Metals, Heavy*/toxicity , Metals, Heavy*/blood , Kidney*/drug effects , Kidney*/physiopathology , Construction Materials*/toxicity, Glycated Hemoglobin/analysis ; Glomerular Filtration Rate/drug effects ; Dust/analysis ; Humans ; Male ; Cross-Sectional Studies ; Adult ; Middle Aged ; Air Pollutants, Occupational ; Glycemic Control
Περίληψη: Heavy metal exposure is known to have various effects on renal function and blood glucose regulation. The main objective of this study was to evaluate the effects of cement dust and some metal (cadmium, manganese, nickel, and zinc) exposure on blood glucose and renal function parameters in male cement plant workers. This study is a cross-sectional study involving male workers from a cement plant who presented to our clinic. Based on their HbA1c levels, the participants were divided into two groups: a prediabetes group (HbA1c ≥ 5.7%) and a control group (HbA1c < 5.7%). The differences between two groups were statistically analyzed. A total of 268 male workers were included in the analysis, 134 in the prediabetes group and 134 in the control group. Blood manganese and nickel levels were statistically significantly higher in the prediabetes group, whereas zinc levels were statistically significantly higher in the control group. There was no statistically significant difference between the groups for cadmium. Low-grade positive correlations were found between manganese and nickel and HbA1c. A low-grade positive correlation was found between GFR and cadmium, and a low-grade negative correlation was found between GFR and manganese. In linear models, those with blood manganese levels above 2 μg/L had higher creatinine and lower GFR. Workplace exposure to heavy metals can induce blood glucose dysregulation and renal dysfunction, particularly in workers engaged in high-exposure jobs. The current situation necessitates the implementation of protective measures to reduce exposure.
(© 2026 The Author(s). Journal of Applied Toxicology published by John Wiley & Sons Ltd.)
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Contributed Indexing: Keywords: cement industry; glycemic control; heavy metals; occupational exposure; renal function
Substance Nomenclature: 0 (Blood Glucose)
0 (Metals, Heavy)
0 (Glycated Hemoglobin)
0 (Air Pollutants, Occupational)
0 (Dust)
0 (hemoglobin A1c protein, human)
Entry Date(s): Date Created: 20260421 Date Completed: 20260901 Latest Revision: 20260903
Update Code: 20260904
PubMed Central ID: PMC13532920
DOI: 10.1002/jat.70204
PMID: 42014194
Βάση Δεδομένων: MEDLINE
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  Data: Glycemic Regulation and Renal Function by Heavy Metal Exposure: A Cross-Sectional Analysis on Cement Plant Workers.
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  Data: Heavy metal exposure is known to have various effects on renal function and blood glucose regulation. The main objective of this study was to evaluate the effects of cement dust and some metal (cadmium, manganese, nickel, and zinc) exposure on blood glucose and renal function parameters in male cement plant workers. This study is a cross-sectional study involving male workers from a cement plant who presented to our clinic. Based on their HbA1c levels, the participants were divided into two groups: a prediabetes group (HbA1c ≥ 5.7%) and a control group (HbA1c &amp;lt; 5.7%). The differences between two groups were statistically analyzed. A total of 268 male workers were included in the analysis, 134 in the prediabetes group and 134 in the control group. Blood manganese and nickel levels were statistically significantly higher in the prediabetes group, whereas zinc levels were statistically significantly higher in the control group. There was no statistically significant difference between the groups for cadmium. Low-grade positive correlations were found between manganese and nickel and HbA1c. A low-grade positive correlation was found between GFR and cadmium, and a low-grade negative correlation was found between GFR and manganese. In linear models, those with blood manganese levels above 2 μg/L had higher creatinine and lower GFR. Workplace exposure to heavy metals can induce blood glucose dysregulation and renal dysfunction, particularly in workers engaged in high-exposure jobs. The current situation necessitates the implementation of protective measures to reduce exposure.&lt;br /&gt; (&#169; 2026 The Author(s). Journal of Applied Toxicology published by John Wiley &amp; Sons Ltd.)
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– Name: SubjectMinor
  Label: Contributed Indexing
  Group:
  Data: &lt;i&gt;Keywords: &lt;/i&gt;cement industry; glycemic control; heavy metals; occupational exposure; renal function
– Name: NumberCAS
  Label: Substance Nomenclature
  Group: ID
  Data: 0 (Blood Glucose)&lt;br /&gt;0 (Metals, Heavy)&lt;br /&gt;0 (Glycated Hemoglobin)&lt;br /&gt;0 (Air Pollutants, Occupational)&lt;br /&gt;0 (Dust)&lt;br /&gt;0 (hemoglobin A1c protein, human)
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  Label: Entry Date(s)
  Group: Date
  Data: &lt;i&gt;Date Created: &lt;/i&gt;20260421 &lt;i&gt;Date Completed: &lt;/i&gt;20260901 &lt;i&gt;Latest Revision: &lt;/i&gt;20260903
– Name: DateUpdate
  Label: Update Code
  Group: Date
  Data: 20260904
– Name: PubmedCentralID
  Label: PubMed Central ID
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  Data: PMC13532920
– Name: DOI
  Label: DOI
  Group: ID
  Data: 10.1002/jat.70204
– Name: AN
  Label: PMID
  Group: ID
  Data: 42014194
PLink https://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=cmedm&AN=42014194
RecordInfo BibRecord:
  BibEntity:
    Identifiers:
      – Type: doi
        Value: 10.1002/jat.70204
    Languages:
      – Code: eng
        Text: English
    PhysicalDescription:
      Pagination:
        StartPage: 3550
    Subjects:
      – SubjectFull: Glycated Hemoglobin analysis
        Type: general
      – SubjectFull: Glomerular Filtration Rate drug effects
        Type: general
      – SubjectFull: Dust analysis
        Type: general
      – SubjectFull: Humans
        Type: general
      – SubjectFull: Male
        Type: general
      – SubjectFull: Cross-Sectional Studies
        Type: general
      – SubjectFull: Adult
        Type: general
      – SubjectFull: Middle Aged
        Type: general
      – SubjectFull: Air Pollutants, Occupational
        Type: general
      – SubjectFull: Glycemic Control
        Type: general
      – SubjectFull: Occupational Exposure adverse effects
        Type: general
      – SubjectFull: Blood Glucose drug effects
        Type: general
      – SubjectFull: Blood Glucose metabolism
        Type: general
      – SubjectFull: Blood Glucose analysis
        Type: general
      – SubjectFull: Metals, Heavy toxicity
        Type: general
      – SubjectFull: Metals, Heavy blood
        Type: general
      – SubjectFull: Kidney drug effects
        Type: general
      – SubjectFull: Kidney physiopathology
        Type: general
      – SubjectFull: Construction Materials toxicity
        Type: general
    Titles:
      – TitleFull: Glycemic Regulation and Renal Function by Heavy Metal Exposure: A Cross-Sectional Analysis on Cement Plant Workers.
        Type: main
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            NameFull: Erdoğan DS
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            NameFull: Bozdag F
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            NameFull: Cetintepe SP
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            NameFull: Ilhan MN
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          Dates:
            – D: 01
              M: 10
              Text: 2026 Oct
              Type: published
              Y: 2026
          Identifiers:
            – Type: issn-electronic
              Value: 1099-1263
          Numbering:
            – Type: volume
              Value: 46
            – Type: issue
              Value: 10
          Titles:
            – TitleFull: Journal of applied toxicology : JAT
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