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Association between Smoking Behavior Patterns and Glycated Hemoglobin Levels in a General Population
Dong-Woo Choi1,2, Jooeun Jeon3, Sang Ah Lee4,5
1Department of Public Health, Graduate School, Yonsei University, Seoul 03722, Korea. cdw6027@yuhs.ac.
International Journal of Environmental Research and Public Health
|October 19, 2018
Summary
Dual smoking and cigarette smoking are linked to higher glycated hemoglobin (HbA1c) levels, increasing diabetes risk. This association is stronger in men, physically inactive, and overweight/obese individuals.
Area of Science:
- Public Health
- Endocrinology
- Epidemiology
Background:
- Smoking, including dual use of cigarettes and e-cigarettes, is a significant public health concern.
- Elevated glycated hemoglobin (HbA1c) levels are a key indicator of poor glycemic control and increased risk for diabetes complications.
Purpose of the Study:
- To investigate the association between different smoking behaviors (dual, cigarette-only, former smoking) and HbA1c levels.
- To identify specific population subgroups where these associations may be more pronounced.
Main Methods:
- Analysis of data from the Korean National Health and Nutrition Examination Survey (KNHANES) 2014-2016.
- Utilized multiple regression analysis to assess the relationship between smoking patterns and HbA1c levels in 8809 participants.
Main Results:
- Both dual smokers and cigarette-only smokers exhibited significantly higher HbA1c levels compared to non-smokers.
- These associations were particularly strong among men, physically inactive individuals, and those who were overweight or obese.
- Former smokers also showed a significant association, though generally weaker than current smokers.
Conclusions:
- Smoking behaviors, encompassing dual use, are associated with elevated HbA1c levels in the general population, suggesting an increased risk for diabetes.
- The specific health impacts of dual smoking require further investigation to inform targeted public health interventions.
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