Smoking significantly increases the risk of type 2 diabetes

Smoking significantly increases the risk of type 2 diabetes

March 14, 2018 Source: Health News

A 13-year follow-up study of 500,000 adults in China was published in the British Lancet and Public Health magazine on March 13, local time. The results showed that long-term smokers had a higher risk of developing type 2 diabetes than non-smokers. 15%~30% higher. In addition, the risk of diabetes has a significant dose-effect relationship with the amount of smoking and the earlier age of smoking.

Researchers from Oxford University, Peking University, and the Chinese Academy of Medical Sciences analyzed the association between smoking and smoking cessation and diabetes risk. The study included approximately 500,000 adults who were recruited from 10 regions of China (5 in urban and rural areas) with no history of diabetes at baseline, and tracked the health of the subjects through routine death reporting systems and hospitalization records. During the 9-year follow-up, a total of 13,500 new cases of type 2 diabetes were observed.

Among men, the risk of diabetes associated with smoking is more pronounced in high-weight individuals: among normal-weight people, smokers with ≥30 cigarettes per day are 30% more likely to have diabetes than non-smokers, while in obese people Smokers who smoked ≥ 30 cigarettes a day were 60% more likely to have diabetes than those who did not smoke. Studies have shown that although the average body mass index of smokers is lower than that of non-smokers (which may be related to smoking suppressing appetite and increasing basal metabolic rate), heavy smokers are more likely than light smokers or non-smokers. Lead to central obesity, which in turn greatly increases the risk of developing diabetes.

It is worth noting that previous studies have suggested that smoking cessation may increase the risk of developing type 2 diabetes, especially in the first five years after smoking cessation. A careful analysis of this study found that this was not the case – the short-term diabetes excess risk that occurred after smoking cessation was only found in individuals who quit smoking due to illness and were not seen in healthy individuals who voluntarily chose to quit. Among individuals who voluntarily choose to quit smoking and quit smoking for more than 5 years, the risk of diabetes increases slightly, but this may be related to a moderate increase in body weight after smoking cessation.

The study found that although Chinese women smoke is not common, the association between smoking and diabetes risk is stronger in women than in men, which may be related to women's body fat ratio. (Reporter Zhang Lei)

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