Cigarette Smoking Increases Risk for Incident Metabolic Syndrome in Chinese Men—Shanghai Diabetes Study

• Published in: Biomedical and environmental sciences Vol. 24; no. 5; pp. 475 - 482
• Main Authors: ZHU, YunXia, ZHANG, MingLiang, HOU, XuHong, LU, JunXi, PENG, LiangPu, GU, HuiLin, WANG, Chen, JIA, WeiPing
• Format: Journal Article
• Language: English
• Published: China Elsevier B.V 01.10.2011; Department of Endocrinology and Metabolism, Shanghai Jiao Tong University Affiliated Sixth People's Hospital,Shanghai 200233, China; Diabetes Institute, Shanghai Jiao Tong University, Shanghai 200233, China; Shanghai Clinical Center for Diabetes, Shanghai 200233, China; Shanghai Clinical Center for Diabetes, Shanghai 200233, China%Department of Endocrinology and Metabolism, Shanghai Jiao Tong University Affiliated Sixth People's Hospital,Shanghai 200233, China; Shanghai Key Laboratory of Diabetes Mellitus, Shanghai 200233, China%Diabetes Institute, Shanghai Jiao Tong University, Shanghai 200233, China%Diabetes Institute, Shanghai Jiao Tong University, Shanghai 200233, China; Shanghai Key Laboratory of Diabetes Mellitus, Shanghai 200233, China%Shanghai Caoyang Community Health Care Center, Shanghai 200062, China%Shanghai Huayang Community Health Care Center, Shanghai 200042, China%Diabetes Institute, Shanghai Jiao Tong University, Shanghai 200233, China; Shanghai Key Laboratory of Diabetes Mellitus, Shanghai 200233, China
• Subjects: Adult; Aged; Aged, 80 and over; alcohol drinking; Blood Glucose - metabolism; Body Mass Index; China - epidemiology; Chinese people; Cholesterol, HDL - blood; diabetes; Diabetes Mellitus - blood; Diabetes Mellitus - epidemiology; Dyslipidemia; educational status; fasting; Follow-Up Studies; Humans; hypertriglyceridemia; Hypertriglyceridemia - blood; Hypertriglyceridemia - epidemiology; insulin; Male; men; Metabolic syndrome; Metabolic Syndrome - blood; Metabolic Syndrome - epidemiology; Metabolic Syndrome - etiology; Middle Aged; Odds Ratio; Risk Factors; risk reduction; Smoking; smoking (habit); Smoking - adverse effects; Smoking - blood; Smoking - epidemiology; Waist Circumference; 上海; 中国; 事件; 代谢综合征; 吸烟者; 糖尿病; 综合症; 风险; Metabolic syndrome; Dyslipidemia; Smoking
• ISSN: 0895-3988; 2214-0190
• DOI: 10.3967/0895-3988.2011.05.004

Objective To determine whether smoking increases the risk for developing metabolic syndrome （MetS） in Chinese men.Methods A total of 693 men with no MetS at baseline were followed for 2.9‐5.5 years.Subjects were divided into nonsmokers,ex‐smokers,and current smokers according to baseline smoking status.Results After adjusting for age,education level,alcohol intake,fasting plasma insulin,HOMA‐IR index,and BMI at baseline and weight change,current smokers were dose‐dependently associated with increased risk for developing new MetS compared with nonsmokers.The odds ratio （OR） was 2.131 （95% CI,1.264,3.592;P0.01） for the NCEPIII definition or 3.083 （95% CI,1.807,5.295;P0.01） for the JCDCG definition of MetS.Ex‐smokers who had quit for ≥13 years significantly decreased the risk for developing new MetS defined by the JCDCG definition.Compared with nonsmokers,current smokers were significantly associated with increased incidence of hypertriglyceridemia and low HDL‐C.Conclusion Smoking is a risk factor for developing MetS in Chinese men after adjusting for age,education level,alcohol intake,fasting plasma insulin,HOMA‐IR,BMI,and weight change.This could be due to an increased incidence of dyslipidemia.Smoking cessation for 13 years decreased the risk for developing MetS defined by the JCDCG definition.