Long-term use of nicotine gum is associated with hyperinsulinemia and insulin resistance.

Abstract:

BACKGROUND:Insulin sensitivity and cardiovascular risk profile were examined in 20 healthy, nonobese, middle-aged men who were long-term users of nicotine-containing chewing gum and in 20 matched control subjects who did not use nicotine. METHODS AND RESULTS:Long-term use of nicotine-containing chewing gum was associated with insulin resistance and hyperinsulinemia. The degree of insulin sensitivity correlated negatively to the extent of nicotine use measured as plasma cotinine levels. CONCLUSIONS:These findings suggest that nicotine is the major constituent in cigarette smoke that leads to insulin resistance, metabolic abnormalities associated with the insulin resistance syndrome, and increased cardiovascular morbidity. Thus, the use of nicotine replacement therapy during smoking cessation should be transient and limited.

journal_name

Circulation

journal_title

Circulation

authors

Eliasson B,Taskinen MR,Smith U

doi

10.1161/01.cir.94.5.878

subject

Has Abstract

pub_date

1996-09-01 00:00:00

pages

878-81

issue

5

eissn

0009-7322

issn

1524-4539

journal_volume

94

pub_type

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