Frequency of alcohol consumption and risk of type 2 diabetes mellitus: A nationwide cohort study

Yun Ju Lai, Hsiao Yun Hu, Ya Ling Lee, Ming Chung Ko, Po-Wen Ku, Yung Feng Yen, Dachen Chu

Research output: Contribution to journalArticle

Abstract

Background & aims: Alcohol consumption correlates with type 2 diabetes through its effects on insulin resistance, changes in alcohol metabolite levels, and anti-inflammatory effects. We aim to clarify association between frequency of alcohol consumption and risk of diabetes in Taiwanese population. Methods: The National Health Interview Survey (NHIS) in 2001, 2005, and 2009 selected a representative sample of Taiwan population using a multistage sampling design. Information was collected by standardized face to face interview. Study subjects were connected to the Taiwan National Health Insurance claims dataset and National Register of Deaths Dataset from 2000 to 2013. Kaplan–Meier curve with log rank test was employed to assess the influence of alcohol drinking on incidence of diabetes. Univariate and multivariate Cox proportional regression were used to recognize risk factors of diabetes. Results: A total of 43,000 participants were included (49.65% male; mean age, 41.79 ± 16.31 years). During the 9-year follow-up period, 3650 incident diabetes cases were recognized. Kaplan–Meier curves comparing the four groups of alcohol consumption frequency showed significant differences (p < 0.01). After adjustment for potentially confounding variables, compared to social drinkers, the risks of diabetes were significantly higher for non-drinkers (adjusted hazard ratio [AHR] = 1.21; 95% confidence interval [CI], 1.09–1.34; p < 0.01), regular drinkers (AHR = 1.19; 95% CI, 1.06–1.35; p < 0.01), and heavy drinkers (AHR = 2.21, 95% CI, 1.56–3.13, p < 0.01). Conclusions: Social drinkers have a significantly decreased risk of new-onset diabetes compared with non-, regular, and heavy drinkers.

Original languageEnglish
Pages (from-to)1368-1372
Number of pages5
JournalClinical Nutrition
Volume38
Issue number3
DOIs
Publication statusPublished - 2019 Jun 1

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Alcohol Drinking
Type 2 Diabetes Mellitus
Cohort Studies
Confidence Intervals
Taiwan
Interviews
Confounding Factors (Epidemiology)
National Health Programs
Health Surveys
Population
Insulin Resistance
Anti-Inflammatory Agents
Alcohols
Incidence
Datasets

All Science Journal Classification (ASJC) codes

  • Nutrition and Dietetics
  • Critical Care and Intensive Care Medicine

Cite this

Lai, Yun Ju ; Hu, Hsiao Yun ; Lee, Ya Ling ; Ko, Ming Chung ; Ku, Po-Wen ; Yen, Yung Feng ; Chu, Dachen. / Frequency of alcohol consumption and risk of type 2 diabetes mellitus : A nationwide cohort study. In: Clinical Nutrition. 2019 ; Vol. 38, No. 3. pp. 1368-1372.
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abstract = "Background & aims: Alcohol consumption correlates with type 2 diabetes through its effects on insulin resistance, changes in alcohol metabolite levels, and anti-inflammatory effects. We aim to clarify association between frequency of alcohol consumption and risk of diabetes in Taiwanese population. Methods: The National Health Interview Survey (NHIS) in 2001, 2005, and 2009 selected a representative sample of Taiwan population using a multistage sampling design. Information was collected by standardized face to face interview. Study subjects were connected to the Taiwan National Health Insurance claims dataset and National Register of Deaths Dataset from 2000 to 2013. Kaplan–Meier curve with log rank test was employed to assess the influence of alcohol drinking on incidence of diabetes. Univariate and multivariate Cox proportional regression were used to recognize risk factors of diabetes. Results: A total of 43,000 participants were included (49.65{\%} male; mean age, 41.79 ± 16.31 years). During the 9-year follow-up period, 3650 incident diabetes cases were recognized. Kaplan–Meier curves comparing the four groups of alcohol consumption frequency showed significant differences (p < 0.01). After adjustment for potentially confounding variables, compared to social drinkers, the risks of diabetes were significantly higher for non-drinkers (adjusted hazard ratio [AHR] = 1.21; 95{\%} confidence interval [CI], 1.09–1.34; p < 0.01), regular drinkers (AHR = 1.19; 95{\%} CI, 1.06–1.35; p < 0.01), and heavy drinkers (AHR = 2.21, 95{\%} CI, 1.56–3.13, p < 0.01). Conclusions: Social drinkers have a significantly decreased risk of new-onset diabetes compared with non-, regular, and heavy drinkers.",
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Frequency of alcohol consumption and risk of type 2 diabetes mellitus : A nationwide cohort study. / Lai, Yun Ju; Hu, Hsiao Yun; Lee, Ya Ling; Ko, Ming Chung; Ku, Po-Wen; Yen, Yung Feng; Chu, Dachen.

In: Clinical Nutrition, Vol. 38, No. 3, 01.06.2019, p. 1368-1372.

Research output: Contribution to journalArticle

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