美国医学会杂志的这项研究表明，影响该区域的糖尿病趋势的因素各式各样，从基因构造和文化差异到抽烟和城市化程度。

Trends of diabetes in the region are influenced by everything from genetic makeup and cultural differences to smoking and degrees of urbanization, the JAMA study showed.

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这些因素是：抽烟，胆固醇、高血压、糖尿病、肥胖病、饮食、体育活动、酒精消耗量和心理社会的问题例如情志过极和消沉。

These factors were: smoking, cholesterol, hypertension, diabetes, obesity, diet, physical activity, alcohol consumption and psychosocial issues such as emotional stress and depression.

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