ArticleEnvironmental health : a global access science source2014
Environmental tobacco smoke exposure and diabetes in adult never-smokers.
Article in Environmental health : a global access science source, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 2 of them syntheses that pooled it.
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Who cites it
17 citing papers in PubMed, 2 syntheses or guidelines pooled it, 33 citations in OpenAlex.
- Effect of passive smoking exposure on risk of type 2 diabetes: a systematic review and meta-analysis of prospective cohort studies.Frontiers in endocrinology · 2023Pooled it
- Epidemiological evidence relating environmental smoke to COPD in lifelong non-smokers: a systematic review.F1000Research · 2018Pooled it
- The prevalence of secondhand smoke exposure and its association with chronic diseases and metabolic abnormalities: findings from the STEPS survey 2021.Journal of diabetes and metabolic disorders · 2025Article
- Interaction between smoking and diabetes in relation to subsequent risk of cardiovascular events.Cardiovascular diabetology · 2022Article
- Risk of Gestational Diabetes Due to Maternal and Partner Smoking.International journal of environmental research and public health · 2022Observational
- Changes in secondhand smoke exposure levels and risk of type 2 diabetes in middle age: the Korean Genome and Epidemiology Study (KoGES).BMJ open diabetes research & care · 2019Article
- Melatonin attenuates smoking-induced hyperglycemia via preserving insulin secretion and hepatic glycogen synthesis in rats.Journal of pineal research · 2018Article
- Secondhand smoke exposure and risk of incident peripheral arterial disease and mortality: a Scotland-wide retrospective cohort study of 4045 non-smokers with cotinine measurement.BMC public health · 2018Article
- Serum Cotinine and Hemoglobin A1c Among a National Sample of Adolescents Without Known Diabetes.Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco · 2018Article
- Effects of air pollution exposure on glucose metabolism in Los Angeles minority children.Pediatric obesity · 2018Article
- Passive smoking as an independent risk factor for gestational diabetes that synergizes with prepregnancy obesity in urban Chinese women.Diabetes/metabolism research and reviews · 2017Article
- Association of Education and Smoking Status on Risk of Diabetes Mellitus: A Population-Based Nationwide Cross-Sectional Study.International journal of environmental research and public health · 2017Article
- Article
- Particulate Matter and Subclinical Atherosclerosis: Associations between Different Particle Sizes and Sources with Carotid Intima-Media Thickness in the SAPALDIA Study.Environmental health perspectives · 2016Article
- Risk Factors for and Barriers to Control Type-2 Diabetes among Saudi Population.Global journal of health science · 2016Article
- Association between passive smoking and mental distress in adult never-smokers: a cross-sectional study.BMJ open · 2016Article
- A common functional variant on the pro-inflammatory Interleukin-6 gene may modify the association between long-term PM10 exposure and diabetes.Environmental health : a global access science source · 2016Article
Corrections and comments
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Authors and funding
8 authors at 5 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundActive smoking has been linked to type 2 diabetes mellitus (T2DM) but only few recent studies have shown environmental tobacco smoke (ETS) to be associated with DM in never-smokers. We assessed the association between long term ETS exposure and DM, and explored effect modifications of this association in our sample.
methodsWe analysed 6392 participants of the Swiss study on air pollution and lung and heart diseases in adults (SAPALDIA). We used mixed logistic regression models to assess the cross-sectional association between ETS and DM. Selected variables were tested for effect modification and several sensitivity analyses were performed, mostly treating participants' study area as a random effect.
resultsThe prevalence of DM and ETS in the sample was 5.5% and 47% respectively. There were 2779 never-smokers with 4% diabetes prevalence. Exposure to ETS increased risk of DM in never-smokers by 50% [95% confidence interval (CI): 1.00, 2.26], and we observed a positive dose-response relationship between ETS exposure level and DM in never-smokers. Associations were strengthened (more than three-folds) by older age and chronic obstructive pulmonary disease, and were stronger in post-menopausal, obese, hypertriglyceridaemic and physically inactive participants. Estimates of association were robust across all sensitivity analyses (including inverse probability weighting for participation bias and fixed-effect analysis for study area). ETS had no substantial associations in current and ex-smokers in our study.
conclusionsWe found a positive association between ETS exposure and DM in never smokers. Additional longitudinal studies involving biomarkers are needed to further explore underlying mechanisms and susceptibilities.
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