The relation between pesticides exposure and metabolic syndrome (MetS) has not been clearly identified. Performing a systematic review and meta-analysis, PubMed, Cochrane Library, Embase, and ScienceDirect were searched for studies reporting the risk of MetS following pesticides exposure and their contaminants. We included 12 studies for a total of 6789 participants, in which 1981 (29.1%) had a MetS. Overall exposure to pesticides and their contaminants increased the risk of MetS by 30% (95CI 22%–37%). Overall organochlorine increased the risk of MetS by 23% (14–32%), as well as for most types of organochlorines: hexachlorocyclohexane increased the risk by 53% (28–78%), hexachlorobenzene by 40% (0.01–80%), dichlorodiphenyldichloroethylene by 22% (9–34%), dichlorodiphenyltrichloroethane by 28% (5–50%), oxychlordane by 24% (1–47%), and transnonchlor by 35% (19–52%). Sensitivity analyses confirmed that overall exposure to pesticides and their contaminants increased the risk by 46% (35–56%) using crude data or by 19% (10–29%) using fully-adjusted model. The risk for overall pesticides and types of pesticides was also significant with crude data but only for hexachlorocyclohexane (36% risk increase, 17–55%) and transnonchlor (25% risk increase, 3–48%) with fully-adjusted models. Metaregressions demonstrated that hexachlorocyclohexane increased the risk of MetS in comparison to most other pesticides. The risk increased for more recent periods (Coefficient = 0.28, 95CI 0.20 to 0.37, by year). We demonstrated an inverse relationship with body mass index and male gender. In conclusion, pesticides exposure is a major risk factor for MetS. Besides organochlorine exposure, data are lacking for other types of pesticides. The risk increased with time, reflecting a probable increase of the use of pesticides worldwide. The inverse relationship with body mass index may signify a stockage of pesticides and contaminants in fat tissue.

Concentrations of polychlorinated dibenzo-para-dioxins and dibenzofurans (PCDD/Fs) were measured in sediment and bivalves at 25 locations along the Korean coasts during 2001–2012. Concentrations of PCDD/Fs in sediment and bivalves ranged from 0.15 to 18.9 pg TEQ/g dry weight and from 0.06 to 7.70 pg TEQ/g wet weight, respectively. Elevated PCDD/F concentrations were found at locations close to largest industrial complexes and commercial harbors. A significant decreasing trend of PCDD/Fs in sediment was associated with strong regulation of PCDD/Fs, whereas levels in bivalves did not show a decreasing trend. Octachlorinated dibenzo-p-dioxin (OCDD) was predominant in sediment, while tetrachlorinated dibenzofuran and OCDD were predominant in bivalves. Almost half (46%) of sediment samples exceeded the threshold effect level suggested by the US National Oceanic and Atmospheric Administration, implying ecotoxicological risks to benthic organisms. Our findings support the effectiveness of legislative action on PCDD/Fs for coastal environments of Korea.