Tobacco smoke exposure in children and adolescents with diabetes mellitus

Summary Aims To examine active and passive tobacco smoke exposure in children and adolescents attending a diabetic clinic. Methods Salivary cotinine concentrations were measured by gas chromatography and questionnaire data on the smoking habits of patients, families and friends were analysed as well...

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Bibliographic Details
Published in:Diabetic medicine 1999-01, Vol.16 (1), p.31-34
Main Authors: Hargrave, D. R., McMaster, C., O'Hare, M. M. T., Carson, D. J.
Format: Article
Language:English
Subjects:
active and passive smoking
Adolescent
Adult
Aged
Associated diseases and complications
Biological and medical sciences
Child
Child, Preschool
cotinine
Cotinine - blood
Diabetes Mellitus - blood
Diabetes. Impaired glucose tolerance
Endocrine pancreas. Apud cells (diseases)
Endocrinopathies
Female
Humans
Male
Medical sciences
Middle Aged
Smoking - adverse effects
Tobacco Smoke Pollution - adverse effects
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Summary:Summary Aims To examine active and passive tobacco smoke exposure in children and adolescents attending a diabetic clinic. Methods Salivary cotinine concentrations were measured by gas chromatography and questionnaire data on the smoking habits of patients, families and friends were analysed as well as recording of glycosylated haemoglobin (HbA1c), body mass index (BMI) and social deprivation score. Results Salivary cotinine concentrations identified 7% of the patients as active smokers and 72% as passive smokers. The mean cotinine concentration in those with no identifiable source of exposure was 0.10 (95% confidence interval 0.05–0.14) ng/ml, 2.81 (2.24–3.38) ng/ml in the passive smoking group and 103.69 (55.96–151.41) ng/ml in the active smokers. Cotinine concentrations in passive smokers increased with the number of sources of exposure. The mean cotinine concentration was also higher when the mother was the sole source compared to other sources. There was no statistically significant correlation to smoking exposure and HbA1c, BMI and deprivation scores. Conclusion Tobacco smoke exposure may pose serious health risks to children and adolescents with diabetes and additional public health measures are required to reduce overall exposure. Diabet. Med. 16, 31–34 (1999)
ISSN:0742-3071
1464-5491
DOI:10.1046/j.1464-5491.1999.00016.x