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Published online January 30, 2008
Diabetes Care 31:732-734, 2008
DOI: 10.2337/dc07-1905
© 2008 by the American Diabetes Association
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Epidemiology/Health Services Research
Original Research

A Prospective Study of Passive Smoking and Risk of Diabetes in a Cohort of Workers

The High-Risk and Population Strategy for Occupational Health Promotion (HIPOP-OHP) study

Yasuaki Hayashino, MD1, Shunichi Fukuhara, MD1, Tomonori Okamura, MD2, Hiroshi Yamato, MD3, Hideo Tanaka, MD4, Taichiro Tanaka, MD5, Takashi Kadowaki, MD2, Hirotsugu Ueshima, MD2 for the HIPOP-OHP Research Group*

1 Kyoto University Graduate School of Medicine, Kyoto, Japan
2 Shiga University of Medical Science, Shiga, Japan
3 University of Occupational and Environmental Health, Fukuoka, Japan
4 Osaka Medical Center for Cancer and Cardiovascular Diseases, Osaka, Japan
5 University of Yamanashi, Yamanashi, Japan

Address correspondence and reprint requests to Yasuaki Hayashino, MD, MPH, Department of Epidemiology and Healthcare Research, Kyoto University Graduate School of Medicine, Konoe-cho, Yoshida, Sakyo-ku, Kyoto 606-8501, Japan. E-mail: hayasino-y{at}umin.net

OBJECTIVE—We investigated the impact of active smoking and exposure to passive smoke on the risk of developing diabetes.

RESEARCH DESIGN AND METHODS—Data were analyzed from a cohort of participants in the High-Risk and Population Strategy for Occupational Health Promotion Study (HIPOP-OHP) conducted in Japan from 1999 to 2004. Active and passive smoking status in the workplace was evaluated at baseline.

RESULTS—Of 6,498 participants (20.9% women), a total of 229 diabetes cases were reported over a median 3.4 years of follow-up. In the workplace, compared with zero-exposure subjects, the multivariable-adjusted hazard ratios of developing diabetes were 1.81 (95% CI 1.06–3.08, P = 0.028) for present passive subjects and 1.99 (1.29–3.04, P = 0.002) for present active smokers.

CONCLUSIONS—In this cohort, exposure to passive smoke in the workplace was associated with an increased risk of diabetes after adjustment for a large number of possible confounders.


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