Smoking, drinking factors in prediabetes and diabetes
Diabetes and prediabetes are relatively common among adults, according to a recent China study. Pertinent risk factors include smoking, alcohol consumption and low physical activity levels, among others.
In the study sample of 21,435 adults (aged 18–79 years), recruited from Northeast China, the estimated prevalence rates of diabetes and prediabetes were 9.1 percent and 19.8 percent, respectively. Of the diabetics, majority (68.9 percent) had previously been diagnosed while 31.1 percent were diagnosed in the present study.
Those who had had their diabetes diagnosed in the current study tended to be younger, male, single or widowed/widowers, manual laborers, and current smokers or alcohol drinkers. Similarly, these participants were more likely to have a family history of diabetes and engage in lower levels of physical exercise relative to those who had previously been diagnosed.
Moreover, triglycerides, diastolic blood pressure, blood sugar and waist circumference were all also comparatively elevated in the newly-diagnosed patients.
In comparison, those with a previously-diagnosed diabetes showed higher prevalence rates of hypertension, dyslipidaemia and obesity, though these participants tended to be more aware of these conditions.
Multivariate logistic regression analysis further demonstrated that being older (odds ratio [OR], 1.68; 95 percent CI, 1.38–1.66; p<0.001) and male (female: OR, 0.65; 0.59–0.72; p<0.001), living in an urban setting (rural: OR, 0.71; 0.65–0.72; p<0.001), being a widow/widower (OR, 1.52; 1.37–1.69; p<0.001), having high body mass index (obese: OR, 1.83; 1.59–2.09; p<0.001) and waist circumference (OR, 1.33; 1.20–1.47; p<0.001), and current drinking (OR, 1.18; 1.07–1.30; p=0.001) or smoking (OR, 1.15; 1.04–1.26; p=0.007) were all significant risk factors for prediabetes.