dc.contributor.author | Clair, Carole | |
dc.contributor.author | Bitton, Asaf | |
dc.contributor.author | Meigs, James Benjamin | |
dc.contributor.author | Rigotti, Nancy Ann | |
dc.date.accessioned | 2013-04-05T17:53:18Z | |
dc.date.issued | 2011 | |
dc.identifier.citation | Clair, Carole, Asaf Bitton, James B. Meigs, and Nancy A. Rigotti. 2011. Relationships of cotinine and self-reported cigarette smoking with hemoglobin \(A_{1c}\) in the U.S. Diabetes Care 34(10): 2250-2255. | en_US |
dc.identifier.issn | 0149-5992 | en_US |
dc.identifier.uri | http://nrs.harvard.edu/urn-3:HUL.InstRepos:10504379 | |
dc.description.abstract | OBJECTIVE: Whether nicotine leads to a persistent increase in blood glucose levels is not clear. Our objective was to assess the relationship between cotinine, a nicotine metabolite, and glycated hemoglobin (Hb\(A_{1c}\)), an index of recent glycemia. RESEARCH DESIGN AND METHODS: We used cross-sectional data from the National Health and Nutrition Examination Survey (NHANES) from 1999 to 2008. We limited our analysis to 17,287 adults without diabetes. We created three cotinine categories: <0.05 ng/mL, 0.05–2.99 ng/mL, and ≥3 ng/mL. RESULTS: Using self-report, 25% of the sample were current smokers, 24% were former smokers, and 51% were nonsmokers. Smokers had a higher mean Hb\(A_{1c}\) (5.36% ± 0.01 SE) compared with never smokers (5.31% ± 0.01) and former smokers (5.31% ± 0.01). In a similar manner, mean Hb\(A_{1c}\) was higher among participants with cotinine ≥3 ng/mL (5.35% ± 0.01) and participants with cotinine 0.05–2.99 ng/mL (5.34% ± 0.01) compared with participants with cotinine <0.05 ng/mL (5.29% ± 0.01). In multivariable-adjusted analysis, we found that both a cotinine ≥3 ng/mL and self-reported smoking were associated with higher Hb\(A_{1c}\) compared with a cotinine <0.05 ng/mL or not smoking. People with a cotinine level ≥3 ng/mL had a relative 5% increase in Hb\(A_{1c}\) compared with people with a cotinine level <0.05 ng/mL, and smokers had a relative 7% increase in Hb\(A_{1c}\) compared with never smokers. CONCLUSIONS: Our study suggests that cotinine is associated with increased Hb\(A_{1c}\) in a representative sample of the U.S. population without diabetes. | en_US |
dc.language.iso | en_US | en_US |
dc.publisher | American Diabetes Association | en_US |
dc.relation.isversionof | doi:10.2337/dc11-0710 | en_US |
dc.relation.hasversion | http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3177720/pdf/ | en_US |
dash.license | LAA | |
dc.title | Relationships of Cotinine and Self-Reported Cigarette Smoking With Hemoglobin \(A_{1c}\) in the U.S. | en_US |
dc.type | Journal Article | en_US |
dc.description.version | Version of Record | en_US |
dc.relation.journal | Diabetes Care | en_US |
dash.depositing.author | Meigs, James Benjamin | |
dc.date.available | 2013-04-05T17:53:18Z | |
dc.identifier.doi | 10.2337/dc11-0710 | * |
dash.contributor.affiliated | Meigs, James | |
dash.contributor.affiliated | Rigotti, Nancy | |
dash.contributor.affiliated | Bitton, Asaf | |