Alcohol consumption and the risk of diabetes by body mass index levels in a cohort of 5,636 Japanese

Watanabe, Makoto; Barzi, Federica; Neal, Bruce; Ueshima, Hirotsugu; Miyoshi, Yuji; Okayama, Akira; Choudhury, Sohel Reza

doi:10.1016/s0168-8227(02)00083-9

Cited by 35 publications

(31 citation statements)

References 29 publications

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“…Amongst both men and women, the interaction between BMI and alcohol consumption was also statistically significant (P < 0.01). Stratifying our cohort based on BMI showed that the association between alcohol consumption and risk of diabetes was more pronounced )* 31 (35) 30 (37) 34 (39) 38 (40) 46 (46) Processed meat (g day )1…”

Section: Resultsmentioning

confidence: 99%

Alcohol consumption and risk of type 2 diabetes in European men and women: influence of beverage type and body sizeThe EPIC–InterAct study

Beulens

Schouw

Bergmann

et al. 2012

Journal of Internal Medicine

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Abstract. Beulens JWJ, van der Schouw YT, Bergmann MM, Rohrmann S, B Schulze M, Buijsse B, Grobbee DE, Arriola L, Cauchi S, Tormo M-J, Allen NE, van der A DL, Balkau B, Boeing H, Clavel-Chapelon F, de Lauzon-Guillan B, Franks P, Froguel P, Gonzales C, Halkjaer J, Huerta JM, Kaaks R, Key TJ, Khaw Main outcome measures: Occurrence of type 2 diabetes based on multiple sources (mainly self-reports), verified against medical information.Results: Amongst men, moderate alcohol consumption was nonsignificantly associated with a lower incidence of diabetes with a hazard ratio (HR) of 0.90 (95% CI: 0.78-1.05) for 6.1-12.0 versus 0.1-6.0 g day )1 , adjusted for dietary and diabetes risk factors. However, the lowest risk was observed at higher intakes of 24.1-96.0 g day )1 with an HR of 0.86 (95% CI: 0.75-0.98). Amongst women, moderate alcohol consumption was associated with a lower incidence of diabetes with a hazard ratio of 0.82 (95% CI: 0.72-0.92) for 6.1-12.0 g day )1 (P interaction gender <0.01). The inverse association between alcohol consumption and diabetes was more pronounced amongst overweight (BMI ‡ 25 kg m )2 ) than normal-weight men and women (P interaction < 0.05). Adjusting for waist and hip circumference did not alter the results for men, but attenuated the association for women (HR=0.90, 95% CI: 0.79-1.03 for 6.1-12.0 g day )1 ). Wine consumption for men and fortified wine consumption for women were most strongly associated with a reduced risk of diabetes. Conclusions:The results of this study show that moderate alcohol consumption is associated with a lower risk of type 2 diabetes amongst women only. However, this risk reduction is in part explained by fat distribution. The relation between alcohol consumption and type 2 diabetes was stronger for overweight than normal-weight women and men.

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Section: Resultsmentioning

confidence: 99%

Alcohol consumption and risk of type 2 diabetes in European men and women: influence of beverage type and body sizeThe EPIC–InterAct study

Beulens

Schouw

Bergmann

et al. 2012

Journal of Internal Medicine

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“…Furthermore, they compared only two sets of data (at baseline and after several years) and did not take into account changes in working conditions and lifestyle. In this study, we performed a pooled logistic regression analysis, which is a recently adopted and validated method (D'Agostino et al 1990;Watanabe et al 2002;Solomon et al 2003;Schett et al 2004). The advantage of this method is that it can be applied to repeated measures of working conditions and lifestyle, which may change over time in multivariate models.…”

Section: Discussionmentioning

confidence: 99%

Smoking as an Independent Risk Factor for Hypertension: A 14-Year Longitudinal Study in Male Japanese Workers

Dochi

Sakata

Oishi

et al. 2009

Tohoku J. Exp. Med.

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“…All studies except three [5,6,14] were prospective cohort studies with a follow-up time of up to 20 years [24]. The majority of studies concern men, but some included women [2,4,5,7,8,11,16,17,19,20,22,[24][25][26]. Nine studies were not included in the meta-analyses since the authors analysed alcohol consumption continuously [5,8] or dichotomised [3,11,19], did not provide confidence intervals [4] or analysed men and women together [7,20,22] (complete information on the strategies behind the pooling is available from the authors).…”

Section: Methodsmentioning

confidence: 99%

“…The majority of studies concern men, but some included women [2,4,5,7,8,11,16,17,19,20,22,[24][25][26]. Nine studies were not included in the meta-analyses since the authors analysed alcohol consumption continuously [5,8] or dichotomised [3,11,19], did not provide confidence intervals [4] or analysed men and women together [7,20,22] (complete information on the strategies behind the pooling is available from the authors). Furthermore, the British Regional Heart study [9,21], the US Health Professionals Follow-up Study [10,18] and the Nurses Health Study [2,17] were reported twice.…”

Section: Methodsmentioning

confidence: 99%

Alcohol consumption and type 2 diabetes

2005

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To clarify the relationship between alcohol consumption and type 2 diabetes we conducted a meta-analysis of published epidemiological studies. Data from 13 cohorts were included in the analysis. The results of these studies are consistent with regard to moderate alcohol consumption, indicating a protective effect in the order of 30% (relative risk [RR] meta =0.72, 95% CI=0.67-0.77). The reduced risk is seen in men as well as in women, although few studies investigated women. No protective effect of high alcohol consumption was seen and one cannot rule out that large intakes of alcohol may increase the risk of type 2 diabetes. Results from published studies suggest a U-shaped relationship between alcohol and type 2 diabetes, but this is based on rather few studies with heterogeneous design and definitions. It seems important to further investigate if, and to what extent, high alcohol consumption increases the risk of type 2 diabetes. Aspects of moderate alcohol consumption also need further investigation; these include type of drink, frequency of drinking, sex and ethnic differences.

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Alcohol consumption and the risk of diabetes by body mass index levels in a cohort of 5,636 Japanese

Cited by 35 publications

References 29 publications

Alcohol consumption and risk of type 2 diabetes in European men and women: influence of beverage type and body sizeThe EPIC–InterAct study

Alcohol consumption and risk of type 2 diabetes in European men and women: influence of beverage type and body sizeThe EPIC–InterAct study

Smoking as an Independent Risk Factor for Hypertension: A 14-Year Longitudinal Study in Male Japanese Workers

Alcohol consumption and type 2 diabetes

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