Abstract:Objective To explore the effect of smoking on blood glucose level among male patients with type 2 diabetes in Changshu City. Methods Totally 4157 male patients with type 2 diabetes involved in the national basic public health service were selected and assigned into four groups, includingheavy smokers, currentmild smokers, formersmokers and non-smokers. Allof them were investigated about the general social demographic data, livinghabits and health condition. Height, weight, waist and hipline were measured. BMI and WHR were calculated. FPG and HbA1c were checked. Covariance analysis was used to correct the confounding factors, and the methods of multiple linear regression and partial correlation were used to evaluate the relationship between smoking and blood glucose level. Results FPG of the heavy smokers was higher than the current mild smokers, former smokers and non-smokers( P<0.05),but after the correction of the confounding factors, the differences were not statistically significant(P>0.05). HbA1c of the heavy smokers and current mild smokers were higher than the former smokers and non-smokers(P<0.05), and after the correction of the confounding factors, the differences were still statistically significant(all P<0.05). Daily smoking amount was one of the influencing factors of HbA1c(β=0.07,P<0.05). There was no correlation between the age of smoking initiation and FPG, HbA1c(P>0.05). Daily smoking amount was positively correlated with HbA1c(r=0.06,P<0.05),but was not correlated with FPG(P>0.05). Conclusion Smoking has a certain degree of influence on blood glucose level among male patients with type 2 diabetes in Changshu City, and we need to reduce the smoking rate among male patients with type 2 diabetes by health education.
苏靖, 盛红艳, 顾淑君, 周犇. 男性2型糖尿病患者吸烟对血糖水平的影响[J]. 预防医学, 2016, 28(9): 883-886.
SU Jing, SHENG Hong-yan, GU Shu-jun, ZHOU Ben. A study on the effect of smoking on blood glucose level among male patients with type 2 diabetes. Preventive Medicine, 2016, 28(9): 883-886.
[1]XU Y,WANG L,HE J,et al. Prevalence and control of diabetes in Chinese adults[J]. JAMA,2013,310(9):948-959. [2]WHITING DR,GUARIGUATA L,WEIL C,et al. IDF diabetes atlas:global estimates of the prevalence of diabetes for 2011 and 2030[J]. Diabetes Res Clin Pract,2011,94(3):311-321. [3]中华医学会糖尿病学分会.中国T2DM防治指南(2013年版)[J].中华内分泌代谢杂志,2014,30(10):893-942. [4]唐玲,陈兴宝,陈惠云. T2DM患者的血糖控制和医疗费用的多因素分析[J].中华糖尿病杂志,2004,12(3):205-208. [5]中国疾病预防控制中心.2010年全球成人烟草调查中国报告[M].北京:中国三峡出版社,2011. [6]张梅,王丽敏,李镒冲,等. 2010年中国成年人吸烟与戒烟行为现状调查[J].中华预防医学杂志,2012,46(5):404-408. [7]王昕,吕筠,郭彧,等.中国慢性病前瞻性研究:10个项目地区成年人群吸烟行为特征差异分析[J].中华流行病学杂志,2015,36(11):1200-1204. [8]程莉,王佑民,刘佳.吸烟对T2DM男性患者血糖控制的影响[J].安徽医药,2015,19(8):1507-1510. [9]王付曼,赵景波,杨利婷.社区居民吸烟、饮酒与糖尿病关系的研究[J].疾病控制杂志,2008,12(2):103-106. [10]纪立农,陆菊明,郭晓蕙,等.中国T2DM药物治疗现状与血糖控制的调查研究[J].中华糖尿病杂志,2012,4(7):397-401. [11]曾庆奇,蒋莹,袁雁飞,等.糖尿病患者健康素养与健康管理的关系[J].中华预防医学杂志,2014,48(8):717-721. [12]谢玲玎,陈晓平,王彦玲,等. T2DM患者的睡眠质量对血糖控制达标的影响[J].中华糖尿病杂志,2013,5(4):221-225. [13]洪忻,李解权,梁亚琼,等.南京市成年人BMI、腰围、腰臀比、腰高比与高血糖关系的随访研究[J].中华流行病学杂志,2009,30(3):209-213. [14]李杰,唐佳萍,吴海娅,等.文化程度和个体化教育对T2DM患者血糖控制的影响[J].中华糖尿病杂志,2009,1(3):183-185. [15]胡志勇,张国成,曾长佑,等.山区空巢老年T2DM患者健康状况研究[J].浙江预防医学,2016,28(5):445-448,452.