Environmental Health Perspectives

Synthetic chemicals are linked to diabetes risk in women

In a nested case-control study of 985 matched pairs, exposure to two common synthetic chemicals was linked to higher type 2 diabetes risk in women.

Case-control study in peoplePopulations

In a nested case-control study, researchers examined 985 matched pairs of people from the Dongfeng-Tongji Cohort to investigate how synthetic pollutants relate to metabolic health. They measured blood levels of per- and polyfluoroalkyl substances, industrial chemicals known as PFAS, alongside blood fats and genetic risk scores. Two specific compounds, PFOA and PFNA, were associated with a higher risk of developing type 2 diabetes in women. A genetic score related to liver-lipid processing strengthened these links. Chemical exposure was also associated with blood fat patterns related to triglycerides in women. Analyses suggested that baseline lipid measures statistically accounted for part of the link between these chemicals and diabetes risk. A genetic variant tied to hormone processing also modified the relationship in female participants.

Why it matters

Type 2 diabetes is a common metabolic disorder that increases in frequency with advancing age. Understanding how lifelong chemical exposures interact with genetics and fat metabolism may clarify why risks of age-related metabolic disease differ between women and men.

Caveats

Because this was an observational study, it identified associations and cannot establish whether the chemicals directly caused diabetes. The researchers also noted that potential links to hormonal pathways were indirect and require confirmation through direct hormone measurements.

The paper

Sex-Specific Associations Between Per- and Polyfluoroalkyl Substances and the Risk of Type 2 Diabetes: The Role of Genetic Susceptibility and Lipid Metabolism

Huazhong University of Science and Technology

Environmental Health Perspectives, 4 Aug 2026

doi.org/10.1021/ehp.6c00071PubMed 42852016