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被动吸烟作为一个独立的危险因素,与中国城市妇女孕前肥胖协同作用,增加妊娠糖尿病的发病风险。

Passive smoking as an independent risk factor for gestational diabetes that synergizes with prepregnancy obesity in urban Chinese women.

机构信息

Section on Islet and Regenerative Cell Biology, Joslin Diabetes Center, Department of Medicine, Harvard Medical School, Boston, MA, USA.

出版信息

Diabetes Metab Res Rev. 2017 Sep;33(6). doi: 10.1002/dmrr.2910. Epub 2017 Jul 6.

Abstract

There are high-priority public health and legislative efforts around the world to reduce smoking and to reduce the spaces where smoking is allowable. These efforts are aimed at minimizing not only the adverse health effects of active smoking but also the adverse health effects of passive cigarette smoke exposure. While many cultures and societies make protection of a pregnant woman and her about-to-be-born-newborn a priority, the importance of protecting them from passive smoking that is prevalent in many modern societies has not been reported. The article by Leng et al, "Passive smoking increased risk of gestational diabetes mellitus independently and synergistically with prepregnancy obesity in Tianjin, China," newly published in Diabetes Metabolism Research and Reviews, provides evidence that passive smoke inhalation during pregnancy makes gestational diabetes more likely, bringing with it negative health consequences for the mother and her baby. This study will hopefully add support to public health officials' efforts to curb cigarette use, especially in public domains.

摘要

全世界都在高度重视公共卫生和立法工作,以减少吸烟行为,并减少允许吸烟的场所。这些努力不仅旨在尽量减少主动吸烟对健康的不良影响,还旨在尽量减少被动吸烟对健康的不良影响。虽然许多文化和社会将保护孕妇及其即将出生的新生儿放在优先地位,但许多现代社会普遍存在的被动吸烟对她们的危害尚未得到重视。最近发表在《糖尿病代谢研究与评论》上的由 Leng 等人撰写的题为“在中国天津,被动吸烟与孕前肥胖独立且协同增加妊娠期糖尿病的患病风险”的文章提供了证据,表明怀孕期间吸入二手烟会增加妊娠糖尿病的可能性,从而给母亲和婴儿带来健康风险。这项研究有望为公共卫生官员努力遏制吸烟行为,特别是在公共场所吸烟的行为提供支持。

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本文引用的文献

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Nat Rev Dis Primers. 2015 Jul 23;1:15019. doi: 10.1038/nrdp.2015.19.
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Tobacco nitrosamines as culprits in disease: mechanisms reviewed.烟草亚硝胺作为疾病的元凶:作用机制综述
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Type 2 diabetes in migrant south Asians: mechanisms, mitigation, and management.移民南亚的 2 型糖尿病:发病机制、缓解和管理。
Lancet Diabetes Endocrinol. 2015 Dec;3(12):1004-16. doi: 10.1016/S2213-8587(15)00326-5. Epub 2015 Oct 18.

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