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CTRI Number  CTRI/2025/09/095234 [Registered on: 22/09/2025] Trial Registered Prospectively
Last Modified On: 19/09/2025
Post Graduate Thesis  No 
Type of Trial  Observational 
Type of Study   Cross Sectional Study 
Study Design  Other 
Public Title of Study   Impurities and metals in air and the risk of diabetes in villages of Tamil Nadu 
Scientific Title of Study   Association of environmental factors and heavy metal exposure with glycemic parameters in rural regions of Tamil Nadu 
Trial Acronym  NIL 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Dr R Guha Pradeepa 
Designation  Executive Scientific Officer and Head Dept of Research Operations and Diabetes Complications 
Affiliation  Madras Diabetes Research Foundation 
Address  No 4 Conran Smith Road Gopalapuram Chennai

Chennai
TAMIL NADU
600004
India 
Phone  09840856063  
Fax    
Email  guhapradeepa@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr R Guha Pradeepa 
Designation  Executive Scientific Officer and Head Dept of Research Operations and Diabetes Complications 
Affiliation  Madras Diabetes Research Foundation 
Address  No 4 Conran Smith Road Gopalapuram Chennai

Chennai
TAMIL NADU
600004
India 
Phone  09840856063  
Fax    
Email  guhapradeepa@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Dr R Guha Pradeepa 
Designation  Executive Scientific Officer and Head Dept of Research Operations and Diabetes Complications 
Affiliation  Madras Diabetes Research Foundation 
Address  No 4 Conran Smith Road Gopalapuram Chennai

Chennai
TAMIL NADU
600004
India 
Phone  09840856063  
Fax    
Email  guhapradeepa@gmail.com  
 
Source of Monetary or Material Support  
Madras Diabetes Research Foundation 
Sri Ramachandra Institute for Higher Education and Research  
 
Primary Sponsor  
Name  Indian Council of Medical Research  
Address  V Ramalingaswami Bhawan PO Box No. 4911 Ansari Nagar New Delhi 10029 India 
Type of Sponsor  Government funding agency 
 
Details of Secondary Sponsor  
Name  Address 
NIL  NIL 
 
Countries of Recruitment     India  
Sites of Study  
No of Sites = 1  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
Dr R Guha Pradeepa  Madras Diabetes Research Foundation  Department of Research Operations and Diabetes Complications 4 Conran Smith Road Gopalapuram Chennai 86
Chennai
TAMIL NADU 
09840856063

guhapradeepa@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Institutional Ethics Committee of Madras Diabetes Research Foundation  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Healthy Human Volunteers  Type 2 diabetes  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  Nil  Nil 
Intervention  Nil  Nil 
 
Inclusion Criteria  
Age From  30.00 Year(s)
Age To  65.00 Year(s)
Gender  Both 
Details  Those who have lived in rural areas for more than 5 years
Willing to give informed consent
 
 
ExclusionCriteria 
Details  Pregnant or lactating
Bedridden
Neurological and cognitive impairment
Individuals who have migrated from and to urban areas within 5 years
Temporarily outside the study area during the time of the study
 
 
Method of Generating Random Sequence   Not Applicable 
Method of Concealment   Not Applicable 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
To quantify the relationship between air pollutantsPM2.5 and black carbon and glycemic parameters and create a pilot personal exposure profile for toxic metals/inorganic elements, providing evidence on how environmental factors can influence metabolic disorders  Baseline 
 
Secondary Outcome  
Outcome  TimePoints 
Explore how PM2.5 black carbon impact betacell function insulin resistance oxidative stress lipid peroxidation & their association with diabetes
 
Baseline  
 
Target Sample Size   Total Sample Size="2000"
Sample Size from India="2000" 
Final Enrollment numbers achieved (Total)= "Applicable only for Completed/Terminated trials"
Final Enrollment numbers achieved (India)="Applicable only for Completed/Terminated trials" 
Phase of Trial   N/A 
Date of First Enrollment (India)   01/12/2025 
Date of Study Completion (India) Applicable only for Completed/Terminated trials 
Date of First Enrollment (Global)  Date Missing 
Date of Study Completion (Global) Applicable only for Completed/Terminated trials 
Estimated Duration of Trial   Years="3"
Months="0"
Days="0" 
Recruitment Status of Trial (Global)   Not Applicable 
Recruitment Status of Trial (India)  Not Yet Recruiting 
Publication Details   N/A 
Individual Participant Data (IPD) Sharing Statement

Will individual participant data (IPD) be shared publicly (including data dictionaries)?  

Response - NO
Brief Summary  
 Air pollution has recently emerged as a novel risk factor for metabolic disorders. Prior research has been largely focused on ambient fine particulate matter PM2.5  a cardio-respiratory and select maternal and child health outcomes among urban populations with limited focus on linkages with diabetes and among rural populations. This study attempts to establish continuous quantitative exposure response relationships between air pollution fine particulate matter and black carbon exposures and glycemic parameters of the rural population by using outdoor and personal exposure monitoring of fine particulate matter and black carbon along with assessments of heavy metals and other pollutants. Further this study is unique to explore the probable mechanism of actions of fine particulate matter and its constituents to glycemic parameters through insulin resistance inflammation oxidative stress and lipid peroxidation. The objective of this study is to estimate the association between air pollutants heavy metals and other inorganic elements and glycemic parameters in the rural adult population of Tamil Nadu in South India. This is a cross-sectional study planned be conducted among 2000 individuals aged 30 to 65 years residing in 10 villages. 200 participants will be selected from each village in two districts of Chengelpet and Kallakurichi of rural Tamil Nadu. Written informed consent will be obtained from all study participants in the local language.An interviewer administered structured questionnaire will be administered to all participants to capture relevant demographic lifestyle personal details medical history information related to household exposure to air pollutants and awareness regarding air pollution. Anthropometric measurements including height weight waist circumference body composition analysis and blood pressure will be measured. A fasting blood sample will be drawn to measure blood sugar HbA1c lipids insulin and other biomarkers. In each participant 24-hour exposure to air pollutants using real-time personal monitors yearlong ambient air data using low-cost devices in one per village and glycemic levels and related biomarkers will be assessed. Every tenth participant that is two hundred participants will undergo additional testing for heavy metals and inorganic elements via personal air quality monitoring and urinary samples. This study will provide critical insights into how air pollutants affect metabolic health in rural India, thereby informing targeted public health interventions and policies.

 
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