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HbA1c, fasting and 2 h plasma glucose in current, ex- and never-smokers: a meta-analysis

Identifieur interne : 004134 ( Main/Exploration ); précédent : 004133; suivant : 004135

HbA1c, fasting and 2 h plasma glucose in current, ex- and never-smokers: a meta-analysis

Auteurs : Soraya Soulimane [France] ; Dominique Simon [France] ; William H. Herman [États-Unis] ; Celine Lange [France] ; Crystal M. Y. Lee [Australie] ; Stephen Colagiuri [Australie] ; Jonathan E. Shaw [Australie] ; Paul Z. Zimmet [Australie] ; Dianna Magliano [Australie] ; Sandra R. G. Ferreira [Brésil] ; YANGHU DONG [République populaire de Chine] ; LEI ZHANG [République populaire de Chine] ; Torben Jorgensen [Danemark] ; Jaakko Tuomilehto [Autriche, Espagne, Arabie saoudite] ; Viswanathan Mohan [Inde] ; Dirk L. Christensen [Danemark] ; Lydia Kaduka [Kenya] ; Jacqueline M. Dekker [Pays-Bas] ; Giel Nijpels [Pays-Bas] ; Coen D. A. Stehouwer [Pays-Bas] ; Olivier Lantieri [France] ; Wilfred Y. Fujimoto [États-Unis] ; Donna L. Leonetti [États-Unis] ; Marguerite J. Mcneely [États-Unis] ; Knut Borch-Johnsen [Danemark] ; Edward J. Boyko [États-Unis] ; Dorte Vistisen ; Beverley Balkau [France]

Source :

RBID : Pascal:14-0184874

Descripteurs français

English descriptors

Abstract

Aims/Hypothesis The relationships between smoking and glycaemic variables have not been well explored. We compared HbA1c, fasting plasma glucose (FPG) and 2 h plasma glucose (2H-PG) in current, ex- and never-smokers. Methods This meta-analysis used individual data from 16,886 men and 18,539 women without known diabetes in 12 DETECT-2 consortium studies and in the French Data from an Epidemiological Study on the Insulin Resistance Syndrome (DESIR) and Telecom studies. Means of three glycaemic variables in current, ex- and never-smokers were modelled by linear regression, with study as a random factor. The I2 statistic was used to evaluate heterogeneity among studies. Results HbA1c was 0.10% (95% CI 0.08, 0.12) (1.1 mmol/mol [0.9, 1.3]) higher in current smokers and 0.03% (0.01, 0.05) (0.3 mmol/mol [0.1, 0.5]) higher in ex-smokers, compared with never-smokers. For FPG, there was no significant difference between current and never-smokers (-0.004 mmol/l [-0.03, 0.02]) but FPG was higher in ex-smokers (0.12 mmol/l [0.09, 0.14]). In comparison with never-smokers, 2H-PG was lower (-0.44 mmol/l [-0.52, -0.37]) in current smokers, with no difference for ex-smokers (0.02 mmol/l [-0.06, 0.09]). There was a large and unexplained heterogeneity among studies, with I2 always above 50%; I2 was little changed after stratification by sex and adjustment for age and BMI. In this study population, current smokers had a prevalence of diabetes that was 1.30% higher as screened by HbA1c and 0.52% lower as screened by 2H-PG, in comparison with never-smokers. Conclusion/interpretation Across this heterogeneous group of studies, current smokers had a higher HbA1c and lower 2H-PG than never-smokers. This will affect the chances of smokers being diagnosed with diabetes.


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Le document en format XML

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<name sortKey="Dekker, Jacqueline M" sort="Dekker, Jacqueline M" uniqKey="Dekker J" first="Jacqueline M." last="Dekker">Jacqueline M. Dekker</name>
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<name sortKey="Nijpels, Giel" sort="Nijpels, Giel" uniqKey="Nijpels G" first="Giel" last="Nijpels">Giel Nijpels</name>
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<name sortKey="Lantieri, Olivier" sort="Lantieri, Olivier" uniqKey="Lantieri O" first="Olivier" last="Lantieri">Olivier Lantieri</name>
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<name sortKey="Fujimoto, Wilfred Y" sort="Fujimoto, Wilfred Y" uniqKey="Fujimoto W" first="Wilfred Y." last="Fujimoto">Wilfred Y. Fujimoto</name>
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<s1>Department of Medicine, University of Washington</s1>
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<name sortKey="Leonetti, Donna L" sort="Leonetti, Donna L" uniqKey="Leonetti D" first="Donna L." last="Leonetti">Donna L. Leonetti</name>
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<s1>Department of Anthropology, University of Washington</s1>
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<name sortKey="Mcneely, Marguerite J" sort="Mcneely, Marguerite J" uniqKey="Mcneely M" first="Marguerite J." last="Mcneely">Marguerite J. Mcneely</name>
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<settlement type="city">Seattle</settlement>
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<orgName type="university">Université de Washington</orgName>
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<s1>Holbaek Hospital</s1>
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<settlement type="city">Sydney</settlement>
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<orgName type="university">Université de Sydney</orgName>
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<orgName type="university">Université de São Paulo</orgName>
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<s1>Department of Endocrinology and Metabolism, Qingdao Endocrine and Diabetes Hospital</s1>
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<s1>Weifang Medical University</s1>
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<name sortKey="Lei Zhang" sort="Lei Zhang" uniqKey="Lei Zhang" last="Lei Zhang">LEI ZHANG</name>
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<s1>Department of Endocrinology and Metabolism, Qingdao Endocrine and Diabetes Hospital</s1>
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<s1>Danube University Krems</s1>
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<country>Autriche</country>
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<s1>Center for Vascular Prevention Red RECAVA Grupo, Hospital Universitario La Paz</s1>
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</inist:fA14>
<country>Arabie saoudite</country>
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<name sortKey="Mohan, Viswanathan" sort="Mohan, Viswanathan" uniqKey="Mohan V" first="Viswanathan" last="Mohan">Viswanathan Mohan</name>
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</inist:fA14>
<country>Inde</country>
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<name sortKey="Christensen, Dirk L" sort="Christensen, Dirk L" uniqKey="Christensen D" first="Dirk L." last="Christensen">Dirk L. Christensen</name>
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<s1>Department of Epidemiology and Biostatistics and the EMGO Institute for Health and Care Research, VU University Medical Center</s1>
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<settlement type="city">Seattle</settlement>
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<orgName type="university">Université de Washington</orgName>
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<s1>Department of Medicine, University of Washington</s1>
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<region type="state">Washington (État)</region>
</placeName>
<orgName type="university">Université de Washington</orgName>
</affiliation>
</author>
<author>
<name sortKey="Borch Johnsen, Knut" sort="Borch Johnsen, Knut" uniqKey="Borch Johnsen K" first="Knut" last="Borch-Johnsen">Knut Borch-Johnsen</name>
<affiliation wicri:level="1">
<inist:fA14 i1="24">
<s1>Holbaek Hospital</s1>
<s2>Holbaek</s2>
<s3>DNK</s3>
<sZ>25 aut.</sZ>
</inist:fA14>
<country>Danemark</country>
<wicri:noRegion>Holbaek Hospital</wicri:noRegion>
</affiliation>
</author>
<author>
<name sortKey="Boyko, Edward J" sort="Boyko, Edward J" uniqKey="Boyko E" first="Edward J." last="Boyko">Edward J. Boyko</name>
<affiliation wicri:level="4">
<inist:fA14 i1="21">
<s1>Department of Medicine, University of Washington</s1>
<s2>Seattle, WA</s2>
<s3>USA</s3>
<sZ>22 aut.</sZ>
<sZ>24 aut.</sZ>
<sZ>26 aut.</sZ>
</inist:fA14>
<country>États-Unis</country>
<placeName>
<settlement type="city">Seattle</settlement>
<region type="state">Washington (État)</region>
</placeName>
<orgName type="university">Université de Washington</orgName>
</affiliation>
<affiliation wicri:level="1">
<inist:fA14 i1="25">
<s1>Seattle Epidemiologic Research and Information Center, VA Puget Sound Health Care System</s1>
<s2>Seattle, WA</s2>
<s3>USA</s3>
<sZ>26 aut.</sZ>
</inist:fA14>
<country>États-Unis</country>
<wicri:noRegion>Seattle, WA</wicri:noRegion>
</affiliation>
</author>
<author>
<name sortKey="Vistisen, Dorte" sort="Vistisen, Dorte" uniqKey="Vistisen D" first="Dorte" last="Vistisen">Dorte Vistisen</name>
</author>
<author>
<name sortKey="Balkau, Beverley" sort="Balkau, Beverley" uniqKey="Balkau B" first="Beverley" last="Balkau">Beverley Balkau</name>
<affiliation wicri:level="1">
<inist:fA14 i1="02">
<s1>UMRS 1018, Université Paris Sud 11</s1>
<s2>Villejuif</s2>
<s3>FRA</s3>
<sZ>1 aut.</sZ>
<sZ>4 aut.</sZ>
<sZ>28 aut.</sZ>
</inist:fA14>
<country>France</country>
<wicri:noRegion>Villejuif</wicri:noRegion>
<wicri:noRegion>Université Paris Sud 11</wicri:noRegion>
<wicri:noRegion>Villejuif</wicri:noRegion>
</affiliation>
<affiliation wicri:level="3">
<inist:fA14 i1="03">
<s1>Diabetes Department, Groupe Hospitalier Pitié Salpetrière</s1>
<s2>Paris</s2>
<s3>FRA</s3>
<sZ>2 aut.</sZ>
<sZ>28 aut.</sZ>
</inist:fA14>
<country>France</country>
<placeName>
<region type="region">Île-de-France</region>
<region type="old region">Île-de-France</region>
<settlement type="city">Paris</settlement>
</placeName>
</affiliation>
</author>
</analytic>
<series>
<title level="j" type="main">Diabetologia : (Berlin)</title>
<title level="j" type="abbreviated">Diabetologia : (Berl.)</title>
<idno type="ISSN">0012-186X</idno>
<imprint>
<date when="2014">2014</date>
</imprint>
</series>
</biblStruct>
</sourceDesc>
<seriesStmt>
<title level="j" type="main">Diabetologia : (Berlin)</title>
<title level="j" type="abbreviated">Diabetologia : (Berl.)</title>
<idno type="ISSN">0012-186X</idno>
</seriesStmt>
</fileDesc>
<profileDesc>
<textClass>
<keywords scheme="KwdEn" xml:lang="en">
<term>Diabetes mellitus</term>
<term>Fasting</term>
<term>Glucose</term>
</keywords>
<keywords scheme="Pascal" xml:lang="fr">
<term>Jeûne alimentaire</term>
<term>Glucose</term>
<term>Diabète</term>
</keywords>
<keywords scheme="Wicri" type="topic" xml:lang="fr">
<term>Glucose</term>
<term>Diabète</term>
</keywords>
</textClass>
</profileDesc>
</teiHeader>
<front>
<div type="abstract" xml:lang="en">Aims/Hypothesis The relationships between smoking and glycaemic variables have not been well explored. We compared HbA
<sub>1c,</sub>
fasting plasma glucose (FPG) and 2 h plasma glucose (2H-PG) in current, ex- and never-smokers. Methods This meta-analysis used individual data from 16,886 men and 18,539 women without known diabetes in 12 DETECT-2 consortium studies and in the French Data from an Epidemiological Study on the Insulin Resistance Syndrome (DESIR) and Telecom studies. Means of three glycaemic variables in current, ex- and never-smokers were modelled by linear regression, with study as a random factor. The I
<sup>2</sup>
statistic was used to evaluate heterogeneity among studies. Results HbA
<sub>1c</sub>
was 0.10% (95% CI 0.08, 0.12) (1.1 mmol/mol [0.9, 1.3]) higher in current smokers and 0.03% (0.01, 0.05) (0.3 mmol/mol [0.1, 0.5]) higher in ex-smokers, compared with never-smokers. For FPG, there was no significant difference between current and never-smokers (-0.004 mmol/l [-0.03, 0.02]) but FPG was higher in ex-smokers (0.12 mmol/l [0.09, 0.14]). In comparison with never-smokers, 2H-PG was lower (-0.44 mmol/l [-0.52, -0.37]) in current smokers, with no difference for ex-smokers (0.02 mmol/l [-0.06, 0.09]). There was a large and unexplained heterogeneity among studies, with I
<sup>2</sup>
always above 50%; I
<sup>2</sup>
was little changed after stratification by sex and adjustment for age and BMI. In this study population, current smokers had a prevalence of diabetes that was 1.30% higher as screened by HbA
<sub>1c</sub>
and 0.52% lower as screened by 2H-PG, in comparison with never-smokers. Conclusion/interpretation Across this heterogeneous group of studies, current smokers had a higher HbA
<sub>1c</sub>
and lower 2H-PG than never-smokers. This will affect the chances of smokers being diagnosed with diabetes.</div>
</front>
</TEI>
<affiliations>
<list>
<country>
<li>Arabie saoudite</li>
<li>Australie</li>
<li>Autriche</li>
<li>Brésil</li>
<li>Danemark</li>
<li>Espagne</li>
<li>France</li>
<li>Inde</li>
<li>Kenya</li>
<li>Pays-Bas</li>
<li>République populaire de Chine</li>
<li>États-Unis</li>
</country>
<region>
<li>Communauté de Madrid</li>
<li>Hollande-Septentrionale</li>
<li>Hovedstaden</li>
<li>Nouvelle-Galles du Sud</li>
<li>Washington (État)</li>
<li>État de São Paulo</li>
<li>Île-de-France</li>
</region>
<settlement>
<li>Amsterdam</li>
<li>Copenhague</li>
<li>Madrid</li>
<li>Paris</li>
<li>Seattle</li>
<li>Sydney</li>
<li>São Paulo</li>
<li>Villejuif</li>
</settlement>
<orgName>
<li>Université Pierre-et-Marie-Curie</li>
<li>Université de Sydney</li>
<li>Université de São Paulo</li>
<li>Université de Washington</li>
</orgName>
</list>
<tree>
<noCountry>
<name sortKey="Vistisen, Dorte" sort="Vistisen, Dorte" uniqKey="Vistisen D" first="Dorte" last="Vistisen">Dorte Vistisen</name>
</noCountry>
<country name="France">
<region name="Île-de-France">
<name sortKey="Soulimane, Soraya" sort="Soulimane, Soraya" uniqKey="Soulimane S" first="Soraya" last="Soulimane">Soraya Soulimane</name>
</region>
<name sortKey="Balkau, Beverley" sort="Balkau, Beverley" uniqKey="Balkau B" first="Beverley" last="Balkau">Beverley Balkau</name>
<name sortKey="Balkau, Beverley" sort="Balkau, Beverley" uniqKey="Balkau B" first="Beverley" last="Balkau">Beverley Balkau</name>
<name sortKey="Lange, Celine" sort="Lange, Celine" uniqKey="Lange C" first="Celine" last="Lange">Celine Lange</name>
<name sortKey="Lange, Celine" sort="Lange, Celine" uniqKey="Lange C" first="Celine" last="Lange">Celine Lange</name>
<name sortKey="Lantieri, Olivier" sort="Lantieri, Olivier" uniqKey="Lantieri O" first="Olivier" last="Lantieri">Olivier Lantieri</name>
<name sortKey="Simon, Dominique" sort="Simon, Dominique" uniqKey="Simon D" first="Dominique" last="Simon">Dominique Simon</name>
<name sortKey="Simon, Dominique" sort="Simon, Dominique" uniqKey="Simon D" first="Dominique" last="Simon">Dominique Simon</name>
<name sortKey="Simon, Dominique" sort="Simon, Dominique" uniqKey="Simon D" first="Dominique" last="Simon">Dominique Simon</name>
<name sortKey="Soulimane, Soraya" sort="Soulimane, Soraya" uniqKey="Soulimane S" first="Soraya" last="Soulimane">Soraya Soulimane</name>
</country>
<country name="États-Unis">
<noRegion>
<name sortKey="Herman, William H" sort="Herman, William H" uniqKey="Herman W" first="William H." last="Herman">William H. Herman</name>
</noRegion>
<name sortKey="Boyko, Edward J" sort="Boyko, Edward J" uniqKey="Boyko E" first="Edward J." last="Boyko">Edward J. Boyko</name>
<name sortKey="Boyko, Edward J" sort="Boyko, Edward J" uniqKey="Boyko E" first="Edward J." last="Boyko">Edward J. Boyko</name>
<name sortKey="Fujimoto, Wilfred Y" sort="Fujimoto, Wilfred Y" uniqKey="Fujimoto W" first="Wilfred Y." last="Fujimoto">Wilfred Y. Fujimoto</name>
<name sortKey="Leonetti, Donna L" sort="Leonetti, Donna L" uniqKey="Leonetti D" first="Donna L." last="Leonetti">Donna L. Leonetti</name>
<name sortKey="Mcneely, Marguerite J" sort="Mcneely, Marguerite J" uniqKey="Mcneely M" first="Marguerite J." last="Mcneely">Marguerite J. Mcneely</name>
</country>
<country name="Australie">
<region name="Nouvelle-Galles du Sud">
<name sortKey="Lee, Crystal M Y" sort="Lee, Crystal M Y" uniqKey="Lee C" first="Crystal M. Y." last="Lee">Crystal M. Y. Lee</name>
</region>
<name sortKey="Colagiuri, Stephen" sort="Colagiuri, Stephen" uniqKey="Colagiuri S" first="Stephen" last="Colagiuri">Stephen Colagiuri</name>
<name sortKey="Magliano, Dianna" sort="Magliano, Dianna" uniqKey="Magliano D" first="Dianna" last="Magliano">Dianna Magliano</name>
<name sortKey="Shaw, Jonathan E" sort="Shaw, Jonathan E" uniqKey="Shaw J" first="Jonathan E." last="Shaw">Jonathan E. Shaw</name>
<name sortKey="Zimmet, Paul Z" sort="Zimmet, Paul Z" uniqKey="Zimmet P" first="Paul Z." last="Zimmet">Paul Z. Zimmet</name>
</country>
<country name="Brésil">
<region name="État de São Paulo">
<name sortKey="Ferreira, Sandra R G" sort="Ferreira, Sandra R G" uniqKey="Ferreira S" first="Sandra R. G." last="Ferreira">Sandra R. G. Ferreira</name>
</region>
</country>
<country name="République populaire de Chine">
<noRegion>
<name sortKey="Yanghu Dong" sort="Yanghu Dong" uniqKey="Yanghu Dong" last="Yanghu Dong">YANGHU DONG</name>
</noRegion>
<name sortKey="Lei Zhang" sort="Lei Zhang" uniqKey="Lei Zhang" last="Lei Zhang">LEI ZHANG</name>
<name sortKey="Lei Zhang" sort="Lei Zhang" uniqKey="Lei Zhang" last="Lei Zhang">LEI ZHANG</name>
<name sortKey="Yanghu Dong" sort="Yanghu Dong" uniqKey="Yanghu Dong" last="Yanghu Dong">YANGHU DONG</name>
</country>
<country name="Danemark">
<noRegion>
<name sortKey="Jorgensen, Torben" sort="Jorgensen, Torben" uniqKey="Jorgensen T" first="Torben" last="Jorgensen">Torben Jorgensen</name>
</noRegion>
<name sortKey="Borch Johnsen, Knut" sort="Borch Johnsen, Knut" uniqKey="Borch Johnsen K" first="Knut" last="Borch-Johnsen">Knut Borch-Johnsen</name>
<name sortKey="Christensen, Dirk L" sort="Christensen, Dirk L" uniqKey="Christensen D" first="Dirk L." last="Christensen">Dirk L. Christensen</name>
</country>
<country name="Autriche">
<noRegion>
<name sortKey="Tuomilehto, Jaakko" sort="Tuomilehto, Jaakko" uniqKey="Tuomilehto J" first="Jaakko" last="Tuomilehto">Jaakko Tuomilehto</name>
</noRegion>
</country>
<country name="Espagne">
<region name="Communauté de Madrid">
<name sortKey="Tuomilehto, Jaakko" sort="Tuomilehto, Jaakko" uniqKey="Tuomilehto J" first="Jaakko" last="Tuomilehto">Jaakko Tuomilehto</name>
</region>
</country>
<country name="Arabie saoudite">
<noRegion>
<name sortKey="Tuomilehto, Jaakko" sort="Tuomilehto, Jaakko" uniqKey="Tuomilehto J" first="Jaakko" last="Tuomilehto">Jaakko Tuomilehto</name>
</noRegion>
</country>
<country name="Inde">
<noRegion>
<name sortKey="Mohan, Viswanathan" sort="Mohan, Viswanathan" uniqKey="Mohan V" first="Viswanathan" last="Mohan">Viswanathan Mohan</name>
</noRegion>
</country>
<country name="Kenya">
<noRegion>
<name sortKey="Kaduka, Lydia" sort="Kaduka, Lydia" uniqKey="Kaduka L" first="Lydia" last="Kaduka">Lydia Kaduka</name>
</noRegion>
</country>
<country name="Pays-Bas">
<region name="Hollande-Septentrionale">
<name sortKey="Dekker, Jacqueline M" sort="Dekker, Jacqueline M" uniqKey="Dekker J" first="Jacqueline M." last="Dekker">Jacqueline M. Dekker</name>
</region>
<name sortKey="Nijpels, Giel" sort="Nijpels, Giel" uniqKey="Nijpels G" first="Giel" last="Nijpels">Giel Nijpels</name>
<name sortKey="Stehouwer, Coen D A" sort="Stehouwer, Coen D A" uniqKey="Stehouwer C" first="Coen D. A." last="Stehouwer">Coen D. A. Stehouwer</name>
</country>
</tree>
</affiliations>
</record>

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