Evidence map›Paper›PMID 40140736›Full record

ArticleBMC pediatrics2025

Did smoking behavior change in adolescents and young adults with and without diabetes during the COVID-19 pandemic? A cohort study from the DPV registry.

Katharina Warncke, Sabine E Hofer, Simone von Sengbusch, Uwe Ermer, Mareike Niemeyer, Andreas Lemmer, Dörte Hilgard, Alena Welters, Reinhard W Holl, Alexander J Eckert

Abstract read
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Article in BMC pediatrics, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

10 authors.

Katharina WarnckeDepartment of Pediatrics, Kinderklinik München Schwabing, Technical University of Munich School of Medicine, Kölner Platz 1, 80804, Munich, Germany. katharina.warncke@mri.tum.ORCID http://orcid.org/0000-0003-1758-7656
Sabine E HoferDepartment of Pediatrics 1, Medical University of Innsbruck, Innsbruck, Austria.
Simone von SengbuschDepartment of Paediatrics and Adolescent Medicine, University Hospital Schleswig-Holstein, Campus Luebeck, Luebeck, Germany.
Uwe ErmerSt Elisabeth Klinik, Neuburg an der Donau, Germany.
Mareike NiemeyerDiabetes Centre for Children and Adolescents, Kinder- und Jugendkrankenhaus Auf der Bult, Hannover, Germany.
Andreas LemmerDepartment of Pediatrics and Adolescent Medicine, Helios Clinical Center, Erfurt, Germany.
Dörte HilgardPediatric Endocrinology and Diabetology, Primary Psychosomatic Care, Witten, Germany.
Alena WeltersDepartment of General Pediatrics, Neonatology and Pediatric Cardiology, Medical Faculty and University Hospital Düsseldorf, Heinrich Heine University Düsseldorf, Düsseldorf, Germany.
Reinhard W HollInstitute of Epidemiology and Medical Biometry, University of Ulm, CAQM, Ulm, Germany.
Alexander J EckertInstitute of Epidemiology and Medical Biometry, University of Ulm, CAQM, Ulm, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSmoking is a risk factor for cardiovascular complications and can promote a severe course of COVID-19 infection. The aim of this study was to compare smoking habits of young people with diabetes with the general population.

methodsWe analyzed smoking behavior in the Diabetes Prospective Follow-up Registry (DPV) cohort (type 1 (T1D) and type 2 diabetes (T2D) from Germany and T1D from Austria aged 14-24 years) and compared it to data from the German survey on smoking behavior (DEBRA study) of the general population. Data were aggregated per year and patient for 2016-2023. Logistic regression models adjusted for gender and migration background were calculated stratified by age groups (14-17; 18-24 years), taking repeated measurements into account. Smoking behavior between T1D and T2D or between Germany and Austria was compared with similar regression models.

resultsThirty-four thousand two hundred seventy-five patients from the DPV cohort were included in data analysis. The overall proportion of people who smoked was lower in DPV than in the general population (13.4% vs. 24.0%), with the exception of young adults with T2D at the beginning of the pandemic (36.7% vs. 33.4%). For T1D, there was a significant upward trend in the number of patients who smoked in the group of 14-17 years (2.86%, CI 1.21-4.55 per year, p < 0.001) and also in the group of 18-24 years (4.94 per year, CI 1.37-8.63; p < 0.01) between 2016 and 2023. The proportion of smokers and the number of smoked cigarettes was higher in Austria than in Germany (10.7% vs. 8.0%; OR with 95%-CI 1.38 [1.22-1.56], p < 0.001; and 7.5 [6.8-8.1] vs. 5.9 [5.7-6.0] cigarettes/day, p < 0.001) and in T2D than T1D (11.0% vs. 7.9%; OR 1.44 [1.23-1.68], p < 0.001 and 8.0 [7.2-8.8] vs. 5.9 [5.7-6.1] cigarettes/day, p < 0.001).

conclusionThe reported proportion of smokers among young people with diabetes was lower than in the general population. Only young adults with T2D temporarily smoked more than the general population at the beginning of the pandemic. This could be explained by stress, but also by a changed daily structure during the lockdown.

Indexed as

COVID-19Diabetes Mellitus, Type 1Diabetes Mellitus, Type 2SmokingAdolescentAustriaFemaleGermanyHumansMalePandemicsProspective StudiesRegistriesSARS-CoV-2Young AdultCOVID-19Diabetes mellitusPandemicSmoking

Identifiers

PMID40140736
PMCPMC11948826

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.