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Smoking and risk for diabetes incidence and mortality in Korean men and women.

Authors
 SUN HA JEE  ;  ATHENA W. FOONG  ;  NAM WOOK HUR  ;  JONATHAN M. SAMET 
Citation
 DIABETES CARE, Vol.33(12) : 2567-2572, 2010 
Journal Title
 DIABETES CARE 
ISSN
 0149-5992 
Issue Date
2010
MeSH
Adult ; Aged ; Aged, 80 and over ; Asian Continental Ancestry Group ; Diabetes Mellitus, Type 2/epidemiology* ; Diabetes Mellitus, Type 2/mortality ; Female ; Humans ; Incidence ; Male ; Middle Aged ; Prospective Studies ; Risk Factors ; Smoking/adverse effects*
Abstract
OBJECTIVE: Mounting evidence suggests that smoking is a cause of type 2 diabetes. We explored the association of cigarette smoking with diabetes incidence and mortality in a large cohort of Koreans. RESEARCH DESIGN AND METHODS: A 14-year prospective cohort study was performed on 1,236,443 Korean men and women, aged 30-95 years at baseline, who underwent standardized biennial medical examinations provided by the National Health Insurance Corporation (NHIC). Incident diabetes was identified on the basis of outpatient visits, hospitalization, or prescription medication treatment for diabetes, as captured in the NHIC database. Diabetes mortality was obtained through the national statistical office. Cox proportional hazards models were used to investigate associations of smoking with indicators of diabetes and diabetes mortality. RESULTS: Smoking was significantly associated with increased risk for diabetic outpatient treatment, hospitalization, and mortality among both men and women, and the risk among current smokers increased modestly with the number of cigarettes smoked daily (P(trend) < 0.0001 for all associations). Compared with never smokers, current male smokers who smoked ≥ 20 cigarettes/day had increased risk for incident diabetes defined by outpatient treatment (adjusted hazard ratio 1.55 [1.51-1.60]), incident diabetes defined by ≥ 3 prescription medications for diabetes (1.71 [1.63-1.80]), and death from diabetes (1.60 [1.25-2.06]). The risks for outpatient treatment among smokers were higher in men than in women with evidence for effect modification by sex and age (P(interaction) < 0.0001). CONCLUSIONS: Our study provides longitudinal evidence that smoking increases the risk of incident diabetes and mortality.
Files in This Item:
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DOI
10.2337/dc10-0261
Appears in Collections:
4. Graduate School of Public Health (보건대학원) > Graduate School of Public Health (보건대학원) > 1. Journal Papers
5. Research Institutes (연구소) > Institute for Environmental Research (환경공해연구소) > 1. Journal Papers
Yonsei Authors
Jee, Sun Ha(지선하) ORCID logo https://orcid.org/0000-0001-9519-3068
Hur, Nam Wook(허남욱)
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/103022
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