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Smoking and diabetes in Chinese men.
1Department of Medicine and Therapeutics, Chinese University of Hong Kong, Prince of Wales Hospital, Shatin, NT, Hong Kong. gtc_ko@hotmail.com
Postgraduate Medical Journal
|March 27, 2001
Summary
Smoking is linked to a higher risk of developing diabetes in Chinese men, but the association is unclear in women due to low smoking rates. This study investigated smoking habits and diabetes risk in a Chinese population.
Area of Science:
- Endocrinology
- Public Health
- Cardiovascular Medicine
Background:
- Smoking is a significant risk factor for cardiovascular disease and mortality.
- Diabetes mellitus also contributes to increased mortality and morbidity.
- Existing evidence on the link between smoking and diabetes incidence is conflicting.
Purpose of the Study:
- To assess the association between smoking and the risk of diabetes in the Chinese population.
- To analyze glycaemic status and smoking habits in a cohort of Chinese subjects.
- To investigate potential gender-specific associations between smoking and diabetes.
Main Methods:
- Analyzed glycaemic status and smoking habits in 3718 Chinese subjects.
- Used World Health Organization 1998 criteria for diagnosing glucose intolerance.
- Employed logistic regression analysis, adjusting for age, body mass index, alcohol consumption, and family history of diabetes.
Main Results:
- In men, smoking was independently associated with an increased risk of diabetes (Odds Ratio: 1.705).
- In women, smoking prevalence was low (2.9%), and no significant association with diabetes was found after adjustments.
- Age and body mass index were independently associated with diabetes in both genders.
Conclusions:
- Smoking is an independent risk factor for diabetes in Hong Kong Chinese men.
- The association between smoking and diabetes in Hong Kong Chinese women is inconclusive due to low smoking prevalence.
- Public health strategies should consider the impact of smoking on diabetes risk, particularly in men.