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Smoking, all-cause, and cause-specific mortality in individuals with diabetes in Mexico: an analysis of the Mexico city prospective study.
Ramírez-García, Daniel; Fermín-Martínez, Carlos A; Sánchez-Castro, Paulina; Núñez-Luna, Alejandra; Basile-Alvarez, Martín Roberto; Fernández-Chirino, Luisa; Vargas-Vázquez, Arsenio; Díaz-Sánchez, Juan Pablo; Kammar-García, Ashuin; Almeda-Valdés, Paloma; Berumen-Campos, Jaime; Kuri-Morales, Pablo; Tapia-Conyer, Roberto; Alegre-Díaz, Jesus; Seiglie, Jacqueline A; Antonio-Villa, Neftali Eduardo; Bello-Chavolla, Omar Yaxmehen.
Afiliação
  • Ramírez-García D; Division of Research, Instituto Nacional de Geriatría, Anillo Perif. 2767, San Jerónimo Lídice, La Magdalena Contreras, Mexico City, 10200, Mexico.
  • Fermín-Martínez CA; Facultad de Medicina, Universidad Nacional Autónoma de México, Mexico City, Mexico.
  • Sánchez-Castro P; Division of Research, Instituto Nacional de Geriatría, Anillo Perif. 2767, San Jerónimo Lídice, La Magdalena Contreras, Mexico City, 10200, Mexico.
  • Núñez-Luna A; (PECEM) Program, Facultad de Medicina, Universidad Nacional Autónoma de México, Mexico City, Mexico.
  • Basile-Alvarez MR; Division of Research, Instituto Nacional de Geriatría, Anillo Perif. 2767, San Jerónimo Lídice, La Magdalena Contreras, Mexico City, 10200, Mexico.
  • Fernández-Chirino L; Facultad de Medicina, Universidad Nacional Autónoma de México, Mexico City, Mexico.
  • Vargas-Vázquez A; Division of Research, Instituto Nacional de Geriatría, Anillo Perif. 2767, San Jerónimo Lídice, La Magdalena Contreras, Mexico City, 10200, Mexico.
  • Díaz-Sánchez JP; Facultad de Medicina, Universidad Nacional Autónoma de México, Mexico City, Mexico.
  • Kammar-García A; Division of Research, Instituto Nacional de Geriatría, Anillo Perif. 2767, San Jerónimo Lídice, La Magdalena Contreras, Mexico City, 10200, Mexico.
  • Almeda-Valdés P; Facultad de Medicina, Universidad Nacional Autónoma de México, Mexico City, Mexico.
  • Berumen-Campos J; Division of Research, Instituto Nacional de Geriatría, Anillo Perif. 2767, San Jerónimo Lídice, La Magdalena Contreras, Mexico City, 10200, Mexico.
  • Kuri-Morales P; Facultad de Medicina, Universidad Nacional Autónoma de México, Mexico City, Mexico.
  • Tapia-Conyer R; Division of Research, Instituto Nacional de Geriatría, Anillo Perif. 2767, San Jerónimo Lídice, La Magdalena Contreras, Mexico City, 10200, Mexico.
  • Alegre-Díaz J; (PECEM) Program, Facultad de Medicina, Universidad Nacional Autónoma de México, Mexico City, Mexico.
  • Seiglie JA; Division of Research, Instituto Nacional de Geriatría, Anillo Perif. 2767, San Jerónimo Lídice, La Magdalena Contreras, Mexico City, 10200, Mexico.
  • Antonio-Villa NE; Department of Endocrinology and Metabolism, Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán, Mexico City, Mexico.
  • Bello-Chavolla OY; Experimental Research Unit, Faculty of Medicine, National Autonomous University of Mexico, Mexico City, Mexico.
BMC Public Health ; 24(1): 2383, 2024 Sep 02.
Article em En | MEDLINE | ID: mdl-39223469
ABSTRACT

OBJECTIVE:

Evidence from low- and middle-income countries regarding the effect of smoking in people with diabetes is lacking. Here, we report the association of smoking with mortality in a large cohort of Mexican adults with diabetes.

METHODS:

Participants with diabetes mellitus (self-reported diagnosis, use of antidiabetic medications or HbA1c ≥ 6.5%) aged 35-74 years when recruited into the Mexico City Prospective Study were included. Cox regression confounder-adjusted mortality rate ratios (RRs) associated with baseline smoking status were estimated.

RESULTS:

Among 15,975 women and 8225 men aged 35-74 years with diabetes but no other comorbidities at recruitment, 2498 (16%) women and 2875 (35%) men reported former smoking and 2753 (17%) women, and 3796 (46%) men reported current smoking. During a median of 17 years of follow-up there were 5087 deaths at ages 35-74 years. Compared with never smoking, all-cause mortality RR was 1.08 (95%CI 1.01-1.17) for former smoking, 1.11 (95%CI 1.03-1.20) for current smoking, 1.09 (95%CI 0.99-1.20) for non-daily smoking, 1.06 (95%CI 0.96-1.16) for smoking < 10 cigarettes/day (median during follow-up 4 cigarettes/day), and 1.28 (95% CI 1.14-1.43) for smoking ≥ 10 cigarettes/day (median during follow-up 15 cigarettes/day). Mortality risk among daily smokers was greatest for COPD, lung cancer, cardiovascular diseases, and acute diabetic complications.

CONCLUSION:

In this cohort of Mexican adults with diabetes, low-intensity daily smoking was associated with increased mortality, despite observing smoking patterns which are different from other populations, and over 5% of total deaths were associated with smoking.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Fumar / Causas de Morte / Diabetes Mellitus Limite: Adult / Aged / Female / Humans / Male / Middle aged País/Região como assunto: Mexico Idioma: En Revista: BMC Public Health Assunto da revista: SAUDE PUBLICA Ano de publicação: 2024 Tipo de documento: Article País de afiliação: México País de publicação: Reino Unido

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Fumar / Causas de Morte / Diabetes Mellitus Limite: Adult / Aged / Female / Humans / Male / Middle aged País/Região como assunto: Mexico Idioma: En Revista: BMC Public Health Assunto da revista: SAUDE PUBLICA Ano de publicação: 2024 Tipo de documento: Article País de afiliação: México País de publicação: Reino Unido