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  • Spijkerman, Annemieke M. W. (author)

Smoking and Long-Term Risk of Type 2 Diabetes : The EPIC-InterAct Study in European Populations

  • Article/chapterEnglish2014

Publisher, publication year, extent ...

  • 2014-11-08
  • American Diabetes Association,2014
  • printrdacarrier

Numbers

  • LIBRIS-ID:oai:DiVA.org:umu-98545
  • https://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-98545URI
  • https://doi.org/10.2337/dc14-1020DOI
  • https://lup.lub.lu.se/record/4733383URI

Supplementary language notes

  • Language:English
  • Summary in:English

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Classification

  • Subject category:ref swepub-contenttype
  • Subject category:art swepub-publicationtype

Notes

  • OBJECTIVEThe aims of this study were to investigate the association between smoking and incident type 2 diabetes, accounting for a large number of potential confounding factors, and to explore potential effect modifiers and intermediate factors.RESEARCH DESIGN AND METHODSThe European Prospective Investigation into Cancer and Nutrition (EPIC)-InterAct is a prospective case-cohort study within eight European countries, including 12,403 cases of incident type 2 diabetes and a random subcohort of 16,835 individuals. After exclusion of individuals with missing data, the analyses included 10,327 cases and 13,863 subcohort individuals. Smoking status was used (never, former, current), with never smokers as the reference. Country-specific Prentice-weighted Cox regression models and random-effects meta-analysis were used to estimate hazard ratios (HRs) for type 2 diabetes.RESULTSIn men, the HRs (95% CI) of type 2 diabetes were 1.40 (1.26, 1.55) for former smokers and 1.43 (1.27, 1.61) for current smokers, independent of age, education, center, physical activity, and alcohol, coffee, and meat consumption. In women, associations were weaker, with HRs (95% CI) of 1.18 (1.07, 1.30) and 1.13 (1.03, 1.25) for former and current smokers, respectively. There was some evidence of effect modification by BMI. The association tended to be slightly stronger in normal weight men compared with those with overall adiposity.CONCLUSIONSFormer and current smoking was associated with a higher risk of incident type 2 diabetes compared with never smoking in men and women, independent of educational level, physical activity, alcohol consumption, and diet. Smoking may be regarded as a modifiable risk factor for type 2 diabetes, and smoking cessation should be encouraged for diabetes prevention.

Subject headings and genre

Added entries (persons, corporate bodies, meetings, titles ...)

  • van der A, Daphne L. (author)
  • Nilsson, PeterLund University,Lunds universitet,Internmedicin - epidemiologi,Forskargrupper vid Lunds universitet,Internal Medicine - Epidemiology,Lund University Research Groups(Swepub:lu)medf-pni (author)
  • Ardanaz, Eva (author)
  • Gavrila, Diana (author)
  • Agudo, Antonio (author)
  • Arriola, Larraitz (author)
  • Balkau, Beverley (author)
  • Beulens, Joline W. (author)
  • Boeing, Heiner (author)
  • de Lauzon-Guillain, Blandine (author)
  • Fagherazzi, Guy (author)
  • Feskens, Edith J. M. (author)
  • Franks, PaulLund University,Lunds universitet,Umeå universitet,Medicin,Genetisk och molekylär epidemiologi,Forskargrupper vid Lunds universitet,Genetic and Molecular Epidemiology,Lund University Research Groups(Swepub:lu)med-plf (author)
  • Grioni, Sara (author)
  • Huerta, Jose Maria (author)
  • Kaaks, Rudolf (author)
  • Key, Timothy J. (author)
  • Overvad, Kim (author)
  • Palli, Domenico (author)
  • Panico, Salvatore (author)
  • Redondo, M. Luisa (author)
  • Rolandsson, OlovUmeå universitet,Allmänmedicin(Swepub:umu)olro0005 (author)
  • Roswal, Nina (author)
  • Sacerdote, Carlotta (author)
  • Sanchez, Maria-Jose (author)
  • Schulze, Matthias B. (author)
  • Slimani, Nadia (author)
  • Teucher, Birgit (author)
  • Tjonneland, Anne (author)
  • Tumino, Rosario (author)
  • van der Schouw, Yvonne T. (author)
  • Langenberg, Claudia (author)
  • Sharp, Stephen J. (author)
  • Forouhi, Nita G. (author)
  • Riboli, Elio (author)
  • Wareham, Nicholas J. (author)
  • Internmedicin - epidemiologiForskargrupper vid Lunds universitet (creator_code:org_t)

Related titles

  • In:Diabetes Care: American Diabetes Association37:12, s. 3164-31710149-59921935-5548

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