Effect of Passive Smoking Exposure on Risk of Type 2 Diabetes: a Systematic Review and Meta-analysis of Prospective Cohort Studies

Overview

Journal Front Endocrinol (Lausanne)

Specialty Endocrinology

Date 2023 Aug 21

PMID 37600719

Authors

Guo-Qiang Qin

Li Chen

Jun Zheng

Xiao-Min Wu

Yang Li

Kai Yang

Tong-Feng Liu

Zhong-Ze Fang

Qiang Zhang

Affiliations

Soon will be listed here.

Abstract

Objective: The effect of passive smoking exposure on the risk of type 2 diabetes has not been systematically studied. A meta-analysis was conducted to assess the association between passive smoking exposure and the risk of diabetes.

Methods: We searched three major databases up to 31 October 2022 to identify relevant prospective cohort studies on the association between passive smoking and the risk of type 2 diabetes. The pooled relative risk (RR) and 95% confidence interval (CI) for the association between passive smoking exposure and the risk of type 2 diabetes were analyzed using a fixed-effect model.

Results: Ten prospective cohort studies were included in this meta-analysis, with a total of 251,620 participants involved. The pooled RR showed a significantly positive association between nonsmokers exposed to passive smoking and type 2 diabetes as compared to non-smokers who were not exposed to passive smoking [RR = 1.27; 95% CI (1.19, 1.36); p < 0.001]. Sensitivity analysis indicated that the pooled RR was not substantially affected by any of the individual studies.

Conclusion: Exposure to passive smoking increases the risk of type 2 diabetes. This study may have a positive effect on the prevention of type 2 diabetes.

Systematic Review Registration: https://www.crd.york.ac.uk/PROSPERO/, identifier CRD42023372532.

Citing Articles

Social and Medical Determinants of Diabetes: A Time-Constrained Multiple Mediator Analysis.

Alemi F, Lee K, Vang J, Lee D, Schwartz M Cureus. 2023; 15(9):e46227.

PMID: 37905243 PMC: 10613532. DOI: 10.7759/cureus.46227.

References

ValdezGuerrero A, Quintana-Perez J, Arellano-Mendoza M, Castaneda-Ibarra F, Tamay-Cach F, Aleman-Gonzalez-Duhart D . Diabetic Retinopathy: Important Biochemical Alterations and the Main Treatment Strategies. Can J Diabetes. 2020; 45(6):504-511. DOI: 10.1016/j.jcjd.2020.10.009. View

Zilliox L, Russell J . Physical activity and dietary interventions in diabetic neuropathy: a systematic review. Clin Auton Res. 2019; 29(4):443-455. PMC: 6697618. DOI: 10.1007/s10286-019-00607-x. View

Stang A . Critical evaluation of the Newcastle-Ottawa scale for the assessment of the quality of nonrandomized studies in meta-analyses. Eur J Epidemiol. 2010; 25(9):603-5. DOI: 10.1007/s10654-010-9491-z. View

Balakumar P, Maung-U K, Jagadeesh G . Prevalence and prevention of cardiovascular disease and diabetes mellitus. Pharmacol Res. 2016; 113(Pt A):600-609. DOI: 10.1016/j.phrs.2016.09.040. View

Thipsawat S . Early detection of diabetic nephropathy in patient with type 2 diabetes mellitus: A review of the literature. Diab Vasc Dis Res. 2021; 18(6):14791641211058856. PMC: 8606936. DOI: 10.1177/14791641211058856. View

Oberg M, Jaakkola M, Woodward A, Peruga A, Pruss-Ustun A . Worldwide burden of disease from exposure to second-hand smoke: a retrospective analysis of data from 192 countries. Lancet. 2010; 377(9760):139-46. DOI: 10.1016/S0140-6736(10)61388-8. View

Jiang L, Chang J, Ziogas A, Deapen D, Reynolds P, Bernstein L . Secondhand smoke, obesity, and risk of type II diabetes among California teachers. Ann Epidemiol. 2019; 32:35-42. PMC: 7469797. DOI: 10.1016/j.annepidem.2019.01.011. View

Lofroth G . Environmental tobacco smoke: overview of chemical composition and genotoxic components. Mutat Res. 1989; 222(2):73-80. DOI: 10.1016/0165-1218(89)90021-9. View

Malfertheiner P, Schutte K . Smoking--a trigger for chronic inflammation and cancer development in the pancreas. Am J Gastroenterol. 2006; 101(1):160-2. DOI: 10.1111/j.1572-0241.2006.00402.x. View

10.

Sun K, Liu D, Wang C, Ren M, Yang C, Yan L . Passive smoke exposure and risk of diabetes: a meta-analysis of prospective studies. Endocrine. 2014; 47(2):421-7. DOI: 10.1007/s12020-014-0194-1. View

11.

Maddatu J, Anderson-Baucum E, Evans-Molina C . Smoking and the risk of type 2 diabetes. Transl Res. 2017; 184:101-107. PMC: 5429867. DOI: 10.1016/j.trsl.2017.02.004. View

12.

Zimmet P, Alberti K, Magliano D, Bennett P . Diabetes mellitus statistics on prevalence and mortality: facts and fallacies. Nat Rev Endocrinol. 2016; 12(10):616-22. DOI: 10.1038/nrendo.2016.105. View

13.

Houston T, Person S, Pletcher M, Liu K, Iribarren C, Kiefe C . Active and passive smoking and development of glucose intolerance among young adults in a prospective cohort: CARDIA study. BMJ. 2006; 332(7549):1064-9. PMC: 1458534. DOI: 10.1136/bmj.38779.584028.55. View

14.

Couriel J . Passive smoking and the health of children. Thorax. 1994; 49(8):731-4. PMC: 475114. DOI: 10.1136/thx.49.8.731. View

15.

Oba S, Goto A, Mizoue T, Inoue M, Sawada N, Noda M . Passive smoking and type 2 diabetes among never-smoking women: The Japan Public Health Center-based Prospective Study. J Diabetes Investig. 2020; 11(5):1352-1358. PMC: 7477535. DOI: 10.1111/jdi.13259. View

16.

Akter S, Goto A, Mizoue T . Smoking and the risk of type 2 diabetes in Japan: A systematic review and meta-analysis. J Epidemiol. 2017; 27(12):553-561. PMC: 5623034. DOI: 10.1016/j.je.2016.12.017. View

17.

Hayashino Y, Fukuhara S, Okamura T, Yamato H, Tanaka H, Tanaka T . A prospective study of passive smoking and risk of diabetes in a cohort of workers: the High-Risk and Population Strategy for Occupational Health Promotion (HIPOP-OHP) study. Diabetes Care. 2008; 31(4):732-4. DOI: 10.2337/dc07-1905. View

18.

Chen R, Ovbiagele B, Feng W . Diabetes and Stroke: Epidemiology, Pathophysiology, Pharmaceuticals and Outcomes. Am J Med Sci. 2016; 351(4):380-6. PMC: 5298897. DOI: 10.1016/j.amjms.2016.01.011. View

19.

Yoshikawa H, Hellstrom-Lindahl E, Grill V . Evidence for functional nicotinic receptors on pancreatic beta cells. Metabolism. 2005; 54(2):247-54. DOI: 10.1016/j.metabol.2004.08.020. View

20.

Lin K, Hsih W, Lin Y, Wen C, Chang T . Update in the epidemiology, risk factors, screening, and treatment of diabetic retinopathy. J Diabetes Investig. 2020; 12(8):1322-1325. PMC: 8354492. DOI: 10.1111/jdi.13480. View