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Association Between Smoking Behavior and Insulin Resistance Using Triglyceride-Glucose Index Among South Korean Adults

Authors
 Sung Hoon Jeong  ;  Hye Jin Joo  ;  Junhyun Kwon  ;  Eun-Cheol Park 
Citation
 JOURNAL OF CLINICAL ENDOCRINOLOGY & METABOLISM, Vol.106(11) : e4531-e4541, 2021-10 
Journal Title
JOURNAL OF CLINICAL ENDOCRINOLOGY & METABOLISM
ISSN
 0021-972X 
Issue Date
2021-10
MeSH
Adult ; Aged ; Blood Glucose / analysis ; Body Mass Index ; Cigarette Smoking / epidemiology ; Cross-Sectional Studies ; Electronic Nicotine Delivery Systems / statistics & numerical data ; Female ; Humans ; Insulin Resistance* ; Male ; Middle Aged ; Nutrition Surveys ; Prospective Studies ; Republic of Korea ; Smoking / epidemiology* ; Triglycerides / blood
Keywords
KNHANES ; dual smoking ; insulin resistance ; tobacco ; triglyceride-glucose index
Abstract
Context: Insulin resistance is a determinant of diabetes. With the increasing popularity of electronic smoking, the number of dual smokers (smoking both cigarettes and electronic cigarettes [e-cigarettes]) is increasing. However, few studies have assessed the association between insulin resistance and smoking behavior, including dual smoking.

Objective: This work aims to investigate the association between smoking behaviors and insulin resistance.

Methods: This prospective, cross-sectional study took place among the general community. A total of 11 653 participants (4721 male and 6932 female) aged 19 years or older from the 2016 to 2018 Korea National Health and Nutrition Examination Survey were divided based on their smoking behaviors: dual smokers (both cigarettes and e-cigarettes), single smokers (cigarette smokers), previous smokers, and nonsmokers. Insulin resistance was determined based on the triglyceride-glucose index. Multiple logistic regression analysis was performed to investigate the association between smoking behavior and insulin resistance.

Results: Among the participants, 205 males (3.9%) and 40 females (0.5%) were dual smokers, and 1581 males (29.9%) and 350 females (4.5%) were single smokers. Male and female smokers (dual and single) both had higher odds of being in a group with higher insulin resistance than nonsmokers (male, dual: OR = 2.19; 95% CI, 1.39-3.44; single: OR = 1.78; 95% CI, 1.43-2.22; female, dual: OR = 2.32; 95% CI, 1.01-5.34; single: OR = 1.76; 95% CI, 1.28-2.42).

Conclusion: This study suggests that single and dual smoking both may increase the risk of insulin resistance in the general population. Education on the adverse effects of smoking behaviors may be an important strategy to improve the health of the population.
Full Text
https://academic.oup.com/jcem/article/106/11/e4531/6308315
DOI
10.1210/clinem/dgab399
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Preventive Medicine (예방의학교실) > 1. Journal Papers
Yonsei Authors
Park, Eun-Cheol(박은철) ORCID logo https://orcid.org/0000-0002-2306-5398
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/187019
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