Active smoking and the risk of type 2 diabetes: a systematic review and meta-analysis.

Details

Serval ID
serval:BIB_9686E693FD85
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Active smoking and the risk of type 2 diabetes: a systematic review and meta-analysis.
Journal
Jama
Author(s)
Willi C., Bodenmann P., Ghali W.A., Faris P.D., Cornuz J.
ISSN
1538-3598 (Electronic)
ISSN-L
0098-7484
Publication state
Published
Issued date
2007
Peer-reviewed
Oui
Volume
298
Number
22
Pages
2654-2664
Language
english
Notes
Publication types: Journal Article ; Meta-Analysis ; Research Support, Non-U.S. Gov't ; Review
Publication Status: ppublish
Abstract
CONTEXT: Observational studies have suggested an association between active smoking and the incidence of type 2 diabetes.
OBJECTIVE: To conduct a systematic review with meta-analysis of studies assessing the association between active smoking and incidence of type 2 diabetes.
DATA SOURCES: A search of MEDLINE (1966 to May 2007) and EMBASE (1980 to May 2007) databases was supplemented by manual searches of bibliographies of key retrieved articles, reviews of abstracts from scientific meetings, and contact with experts.
STUDY SELECTION: Studies were included if they reported risk of impaired fasting glucose, impaired glucose tolerance, or type 2 diabetes in relationship to smoking status at baseline; had a cohort design; and excluded persons with diabetes at baseline.
DATA EXTRACTION AND DATA SYNTHESIS: Two authors independently extracted the data, including the presence or absence of active smoking at baseline, the risk of diabetes, methods used to detect diabetes, and key criteria of study quality. Relative risks (RRs) were pooled using a random-effects model. Associations were tested in subgroups representing different patient characteristics and study quality criteria.
RESULTS: The search yielded 25 prospective cohort studies (N = 1.2 million participants) that reported 45 844 incident cases of diabetes during a study follow-up period ranging from 5 to 30 years. Of the 25 studies, 24 reported adjusted RRs greater than 1 (range for all studies, 0.82-3.74). The pooled adjusted RR was 1.44 (95% confidence interval [CI], 1.31-1.58). Results were consistent and statistically significant in all subgroups. The risk of diabetes was greater for heavy smokers (> or =20 cigarettes/day; RR, 1.61; 95% CI, 1.43-1.80) than for lighter smokers (RR,1.29; 95% CI, 1.13-1.48) and lower for former smokers (RR, 1.23; 95% CI, 1.14-1.33) compared with active smokers, consistent with a dose-response phenomenon.
CONCLUSION: Active smoking is associated with an increased risk of type 2 diabetes. Future research should attempt to establish whether this association is causal and to clarify its mechanisms.
Keywords
Diabetes Mellitus, Type 2/epidemiology, Humans, Risk Factors, Smoking/adverse effects, Smoking/epidemiology
Pubmed
Web of science
Create date
03/03/2008 10:52
Last modification date
20/08/2019 14:58
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