mediation role of c-reactive protein on the association between smoking quantity and type 2 diabetes in current chinese smokers

mediation role of c-reactive protein on the association between smoking quantity and type 2 diabetes in current chinese smokers

;Dan Feng;Tao Liu;Hui Wang;Emma Karp;Wenhua Ling;Wei-Qing Chen
applied computer science 2014 Vol. 2014 pp. -
210
feng2014journalmediation

Abstract

Objective. Previous studies have indicated that cigarette smokers are more likely to develop type 2 diabetes and that both smoking and type 2 diabetes are associated with C-reactive protein (CRP). This study examined whether CRP mediates the association between smoking quantity and type 2 diabetes. Methods. Nine hundred and eighty-four current Chinese smokers were selected from a community-based chronic disease survey conducted in Guangzhou and Zhuhai. Type 2 diabetes was defined according to the WHO 1999 criteria. CRP was measured with flow cytometry. Binary logistic regression was performed to assess the mediation. Results. A positive association was observed between smoking quantity and type 2 diabetes (P<0.05). After controlling for potential confounders, daily cigarette consumption was significantly associated with higher CRP levels. Current smokers with type 2 diabetes had higher CRP levels than smokers without type 2 diabetes. The association between the smoking quantity and type 2 diabetes was mediated by CRP, which accounted for 50.77% of the association. Conclusions. This study provides further evidence that smoking quantity is positively associated with type 2 diabetes and suggests that the association between smoking and type 2 diabetes might be mediated by CRP.

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ID: 147771
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147771
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10.1155/2014/171538
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