BMC Medicine | |
Is it smoking or related lifestyle variables that increase metabolic syndrome risk? | |
Michel de Lorgeril1  Patricia Salen1  Mikael Rabaeus2  | |
[1] Laboratoire Cœur et Nutrition, TIMC-IMAG CNRS 5525, Université Joseph Fourier, Faculté de Médecine, Grenoble, France;Clinique La Prairie, Montreux, Switzerland | |
关键词: Triglycerides; Smoking; Physical activity; Overweight; Obesity; Metabolic syndrome; Lifestyle; High-density lipoprotein; Dietary habits; Cardiovascular disease; Cancer; Alcohol drinking; | |
Others : 855726 DOI : 10.1186/1741-7015-11-196 |
|
received in 2013-08-12, accepted in 2013-08-15, 发布年份 2013 | |
【 摘 要 】
Metabolic syndrome is considered as mainly caused by a deleterious lifestyle (sedentarity and diet). That smoking contributes to metabolic syndrome had been suggested by several small studies and a meta-analysis. The interesting study by Slagter et al. published in BMC Medicine is the first very large study confirming this association in both genders, in all classes of body mass index, and in a dose-related manner. Surprisingly, smoking is even associated with increased abdominal fat. Rather than a direct causal effect of smoking, the reason for these associations is most probably the frequent presence of other lifestyle components in smokers. For example, physical inactivity and alcohol drinking are known to be more often present in smokers and could completely explain the observations of the Slagter et al. study. Unfortunately, these factors, already not properly checked in the first studies, were not assessed at all in the present one. However, as it is still on-going, we hope that other lifestyle factors will be included in future publications.
Please see related research: http://www.biomedcentral.com/1741-7015/11/195. webcite
【 授权许可】
2013 Rabaeus et al.; licensee BioMed Central Ltd.
【 预 览 】
Files | Size | Format | View |
---|---|---|---|
20140722060449102.pdf | 300KB | download |
【 参考文献 】
- [1]Grundy SM, Cleeman JI, Daniels SR, Donato KA, Eckel RH, Franklin BA, Gordon DJ, Krauss RM, Savage PJ, Smith SC Jr, Spertus JA, Costa F, American Heart Association and National Heart, Lung, and Blood Institute: Diagnosis and management of the metabolic syndrome: an American Heart Association/National Heart, Lung, and Blood Institute scientific statement. Circulation 2005, 112:2735-2752.
- [2]de Lorgeril M: Commentary on the clinical management of metabolic syndrome: why a healthy lifestyle is important. BMC Med 2012, 10:139.
- [3]Peto R, Lopez AD, Boreham J, Thun M, Heath C Jr: Mortality from tobacco in developed countries: indirect estimation from national vital statistics. Lancet 1992, 339:1268-1278.
- [4]Wang JB, Jiang Y, Wei WQ, Yang GH, Qiao YL, Boffetta P: Estimation of cancer incidence and mortality attributable to smoking in China. Cancer Causes Control 2010, 21:959-965.
- [5]Wilson PWF, D’Agostino RB, Parise H, Sullivan L, Meigs JB: Metabolic syndrome as a precursor of cardiovascular disease and type 2 diabetes mellitus. Circulation 2005, 112:3066-3072.
- [6]Cowey S, Hardy RW: The metabolic syndrome: a high-risk state for cancer? Am J Pathol 2006, 169:1505-1522.
- [7]de Lorgeril M, Reinharz A, Busslinger B, Reber G, Righetti A: Acute influence of cigarette smoke in platelets, catecholamines and neurophysins in the normal conditions of daily life. Eur Heart J 1985, 6:1063-1068.
- [8]Lee KW, Pausova Z: Cigarette smoking and DNA methylation. Front Genet 2013, 4:132.
- [9]Chen CC, Li TC, Chang PC, Liu CS, Lin WY, Wu MT: Association among cigarette smoking, metabolic syndrome, and its individual components: the metabolic syndrome study in Taiwan. Metabolism 2008, 57:544-548.
- [10]Xu F, Yin XM, Wang Y: The association between amount of cigarettes smoked and overweight, central obesity among Chinese adults in Nanjing, China. Asia Pac J Clin Nutr 2007, 16:240-247.
- [11]Sun K, Liu J, Ning G: Active smoking and risk of metabolic syndrome: a meta-analysis of prospective studies. PLoS One 2012, 7:e47791.
- [12]Clair C, Chiolero A, Faeh D, Cornuz J, Marques-Vidal P, Paccaud F, Mooser V, Waeber G, Vollenweider P: Dose-dependent positive association between cigarette smoking, abdominal obesity and body fat: cross-sectional data from a population-based survey. BMC Publ Health 2011, 11:23.
- [13]Aubin HJ, Farley A, Lycett D, Lahmek P, Aveyard P: Weight gain in smokers after quitting cigarettes: meta-analysis. BMJ 2012, 345:e4439.
- [14]Slagter SN, van Vliet-Ostaptchouk JV, Vonk JM: Associations between smoking, components of the metabolic syndrome and lipoprotein particle size. BMC Med 2013.
- [15]Ortega F, Lee D, Katzmarzyk P, Ruiz J, Sui X, Church T, Blair S: The intriguing metabolically healthy but obese phenotype: cardiovascular prognosis and role of fitness. Eur Heart J 2013, 34:389-397.
- [16]Palaniappan U, Jacobs Starkey L, O'Loughlin J, Gray-Donald K: Fruit and vegetable consumption is lower and saturated fat intake is higher among Canadians reporting smoking. J Nutr 2001, 131:1952-1958.
- [17]Adámkova V, Hubacek JA, Hubalkova M, Lanska V: The quality of the nutrition in smokers. Neuro Endocrinol Lett 2012, 33:3-5.
- [18]Dyer AR, Elliott P, Stamler J, Chan Q, Ueshima H, Zhou BF, INTERMAP Research Group: Dietary intake in male and female smokers, ex-smokers, and never smokers: the INTERMAP study. J Hum Hypertens 2003, 17:641-654.
- [19]Nédó E, Paulik E: Association of smoking, physical activity, and dietary habits with socioeconomic variables: a cross-sectional study in adults on both sides of the Hungarian-Romanian border. BMC Publ Health 2012, 12:60.
- [20]Clair C, Rigotti NA, Porneala B, Fox CS, D'Agostino RB, Pencina MJ, Meigs JB: Association of smoking cessation and weight change with cardiovascular disease among adults with and without diabetes. JAMA 2013, 309:1014-1021.