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Epidemiology/Health Services/Psychosocial Research

Alcohol Consumption and Risk for Development of Impaired Fasting Glucose or Type 2 Diabetes in Middle-Aged Japanese Men

  1. Noriyuki Nakanishi, MD, DRPH1,
  2. Kenji Suzuki, SCD2 and
  3. Kozo Tatara, MD1
  1. 1Department of Social and Environmental Medicine, Course of Social Medicine, Osaka University Graduate School of Medicine F2, Osaka, Japan
  2. 2Japan Labor and Welfare Association, Tokyo, Japan
    Diabetes Care 2003 Jan; 26(1): 48-54. https://doi.org/10.2337/diacare.26.1.48
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      Figure 1—

      Incidence rates per 1,000 person-years for IFG and type 2 diabetes according to alcohol intake among 2,953 Japanese male office workers during 7 years of follow-up.

    Tables

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    • Table 1—

      Baseline characteristics of 2,953 Japanese male office workers, according to alcohol intake

      CharacteristicsAlcohol intake (g ethanol/day)
      00.1–22.923.0–45.946.0–68.9≥69.0
      n421534698881419
      Age (years)47.4 ± 6.345.7 ± 6.246.0 ± 6.346.6 ± 5.947.1 ± 5.3
      Family history of diabetes (%)6.79.27.77.49.8
      BMI (kg/m2)23.3 ± 2.823.2 ± 2.723.1 ± 2.423.3 ± 2.623.7 ± 2.6
      Current smoker (%)45.442.546.454.663.5
      Regular physical activity at least once a week (%)42.052.451.656.854.7
      Systolic blood pressure (mmHg)124.9 ± 14.9124.4 ± 14.5124.5 ± 13.5128.5 ± 13.8130.6 ± 14.3
      Diastolic blood pressure (mmHg)75.0 ± 11.376.2 ± 10.576.2 ± 10.478.5 ± 10.580.1 ± 10.5
      Fasting plasma glucose (mmol/l)4.99 ± 0.374.98 ± 0.354.97 ± 0.345.00 ± 0.354.99 ± 0.36
      Total cholesterol (mmol/l)5.03 ± 0.825.01 ± 0.824.92 ± 0.794.99 ± 0.835.05 ± 0.81
      HDL cholesterol (mmol/l)1.29 ± 0.301.35 ± 0.301.40 ± 0.291.45 ± 0.351.48 ± 0.36
      γ-Glutamyltransferase (units/l)25.6 ± 30.127.4 ± 27.130.5 ± 28.941.4 ± 33.461.3 ± 56.3
      Aspartate aminotransferase (units/l)22.1 ± 9.621.2 ± 8.321.6 ± 7.422.5 ± 7.527.2 ± 15.5
      Alanine aminotransferase (units/l)23.8 ± 16.924.0 ± 16.123.6 ± 14.123.3 ± 12.927.1 ± 15.8
      • Data are means ± SD unless indicated otherwise.

    • Table 2—

      The risk for incidence of impaired fasting glucose or type 2 diabetes by alcohol intake

      Alcohol intake (g ethanol/day)
      P value*
      00.1–22.923.0–45.946.0–68.9≥69.0
      Participants (n)421534698881419
      Cases (n)63676610767
      Total person-years24913251428253862461
      Rate per 1,000 person-years25.320.615.419.927.2
      Age-adjusted relative risk (95% CI)1.58 (1.12–2.23)1.34 (0.95–1.88)1.00 (Referent)1.27 (0.93–1.72)1.71 (1.22–2.41)0.001
      Multivariate-adjusted relative risk (95% CI)†1.51 (1.07–2.13)1.31 (0.93–1.84)1.00 (Referent)1.18 (0.87–1.61)1.43 (1.01–2.02)0.016
      • *

        ↵* For quadratic trend.

      • †

        ↵† Adjusted for age, family history of diabetes, BMI, cigarette smoking, and regular physical activity at study entry.

    • Table 3—

      The risk for incidence of impaired fasting glucose or type 2 diabetes by alcohol intake within subgroups

      Risk factorsRate per 1,000 person-yearsAlcohol intake (g ethanol/day)
      P value*
      00.1–22.923.0–45.946.0–68.9≥69.0
      Age (median, 46.4 years)
       Below median17.41.54 (0.93–2.54)1.11 (0.69–1.79)1.00 (Referent)0.99 (0.64–1.55)1.12 (0.67–1.87)0.153
       At or above median24.41.56 (0.96–2.53)1.52 (0.94–2.47)1.00 (Referent)1.39 (0.90–2.14)1.78 (1.11–2.88)0.038
      Family history of diabetes
       No19.81.53 (1.06–2.21)1.32 (0.91–1.90)1.00 (Referent)1.23 (0.89–1.71)1.50 (1.04–2.17)0.015
       Yes30.91.64 (0.58–4.65)1.29 (0.53–3.14)1.00 (Referent)0.85 (0.34–2.12)1.05 (0.39–2.82)0.457
      BMI (median, 23.2 kg/m2)
       Below median16.71.90 (1.12–3.24)1.51 (0.89–2.56)1.00 (Referent)1.27 (0.78–2.03)1.44 (0.82–2.53)0.056
       At or above median24.91.35 (0.85–2.13)1.21 (0.78–1.89)1.00 (Referent)1.14 (0.76–1.70)1.48 (0.95–2.29)0.069
      Current smoking
       No16.72.20 (1.26–3.86)1.86 (1.07–3.22)1.00 (Referent)1.74 (1.03–2.94)2.64 (1.48–4.74)0.002
       Yes24.81.20 (0.77–1.89)1.05 (0.68–1.64)1.00 (Referent)0.95 (0.65–1.40)1.06 (0.70–1.62)0.405
      Physical exercise (times/week)
       Hardly any21.11.53 (0.96–2.45)1.31 (0.81–2.12)1.00 (Referent)1.09 (0.69–1.72)1.44 (0.88–2.37)0.055
       Once or more20.31.52 (0.90–2.55)1.31 (0.81–2.13)1.00 (Referent)1.29 (0.84–1.96)1.39 (0.86–2.26)0.153
      • Data are relative risk (95% CI) unless indicated otherwise. Relative risks were adjusted for age, family history of diabetes, BMI, cigarette smoking, and regular physical activity at study entry.

      • *

        ↵* For quadratic trend.

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    Alcohol Consumption and Risk for Development of Impaired Fasting Glucose or Type 2 Diabetes in Middle-Aged Japanese Men
    Noriyuki Nakanishi, Kenji Suzuki, Kozo Tatara
    Diabetes Care Jan 2003, 26 (1) 48-54; DOI: 10.2337/diacare.26.1.48

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    Alcohol Consumption and Risk for Development of Impaired Fasting Glucose or Type 2 Diabetes in Middle-Aged Japanese Men
    Noriyuki Nakanishi, Kenji Suzuki, Kozo Tatara
    Diabetes Care Jan 2003, 26 (1) 48-54; DOI: 10.2337/diacare.26.1.48
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