Association between alcohol consumption and risk of type 2 diabetes in Japan: a population-base longitudinal cohort study

Abstract Heavy alcohol consumption is a known risk factor for type 2 diabetes (T2D), However, the moderating effect of fasting plasma glucose (FPG) levels remains unclear. This study explores the relationship between alcohol intake and T2D risk across FPG strata in a Japanese cohort. Data from 15,45...

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Main Authors: Yuan-Zhe Huang, Fang Luo, Xiong Ran, Jian Yang, Min Gu, Shao-Quan Zhou
Format: Article
Language:English
Published: Nature Portfolio 2025-01-01
Series:Scientific Reports
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Online Access:https://doi.org/10.1038/s41598-024-84597-5
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author Yuan-Zhe Huang
Fang Luo
Xiong Ran
Jian Yang
Min Gu
Shao-Quan Zhou
author_facet Yuan-Zhe Huang
Fang Luo
Xiong Ran
Jian Yang
Min Gu
Shao-Quan Zhou
author_sort Yuan-Zhe Huang
collection DOAJ
description Abstract Heavy alcohol consumption is a known risk factor for type 2 diabetes (T2D), However, the moderating effect of fasting plasma glucose (FPG) levels remains unclear. This study explores the relationship between alcohol intake and T2D risk across FPG strata in a Japanese cohort. Data from 15,453 participants in the NAGALA cohort were analyzed over 5.4 years. Baseline assessments included alcohol consumption and FPG, categorizing individuals into elevated FPG (EFPG, 100–125 mg/dL) and normal FPG (NFPG, < 100 mg/dL). Cox proportional hazards regression assessed alcohol intake levels and T2D risk, stratified by FPG. Among EFPG individuals, heavy drinkers (Men > 280 g/week, Women > 140 g/week) had an 88% increased T2D risk (HR 1.88, 95% CI 1.24–2.84). Conversely, in NFPG, heavy alcohol intake did not significantly affect T2D risk (HR 1.10, 95% CI 0.48–2.53). Men with EFPG and heavy alcohol intake had an HR of 1.83 (95% CI 1.08–3.08), supported by propensity score matching (HR 1.94, 95% CI 1.13–3.34). No significant relationships were found in NFPG. Heavy alcohol consumption significantly raises T2D risk in Japanese men with EFPG but not in women or those with NFPG. Further studies are warranted for validation and gender-specific insights.
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spelling doaj-art-7663f01e45894a6c99683abe280392922025-01-05T12:22:25ZengNature PortfolioScientific Reports2045-23222025-01-0115111010.1038/s41598-024-84597-5Association between alcohol consumption and risk of type 2 diabetes in Japan: a population-base longitudinal cohort studyYuan-Zhe Huang0Fang Luo1Xiong Ran2Jian Yang3Min Gu4Shao-Quan Zhou5Department of Radiology, Chongqing General Hospital, Chongqing UniversityDepartment of Gastroenterology, Chongqing Traditional Chinese Medicine Hospital, Chongqing Academy of Traditional Chinese MedicineDepartment of Radiology, Chongqing General Hospital, Chongqing UniversityDepartment of Radiology, Chongqing General Hospital, Chongqing UniversityDepartment of Radiology, Chongqing General Hospital, Chongqing UniversityDepartment of Radiology, Chongqing General Hospital, Chongqing UniversityAbstract Heavy alcohol consumption is a known risk factor for type 2 diabetes (T2D), However, the moderating effect of fasting plasma glucose (FPG) levels remains unclear. This study explores the relationship between alcohol intake and T2D risk across FPG strata in a Japanese cohort. Data from 15,453 participants in the NAGALA cohort were analyzed over 5.4 years. Baseline assessments included alcohol consumption and FPG, categorizing individuals into elevated FPG (EFPG, 100–125 mg/dL) and normal FPG (NFPG, < 100 mg/dL). Cox proportional hazards regression assessed alcohol intake levels and T2D risk, stratified by FPG. Among EFPG individuals, heavy drinkers (Men > 280 g/week, Women > 140 g/week) had an 88% increased T2D risk (HR 1.88, 95% CI 1.24–2.84). Conversely, in NFPG, heavy alcohol intake did not significantly affect T2D risk (HR 1.10, 95% CI 0.48–2.53). Men with EFPG and heavy alcohol intake had an HR of 1.83 (95% CI 1.08–3.08), supported by propensity score matching (HR 1.94, 95% CI 1.13–3.34). No significant relationships were found in NFPG. Heavy alcohol consumption significantly raises T2D risk in Japanese men with EFPG but not in women or those with NFPG. Further studies are warranted for validation and gender-specific insights.https://doi.org/10.1038/s41598-024-84597-5DiabetesAlcoholRisk factorsEpidemiology
spellingShingle Yuan-Zhe Huang
Fang Luo
Xiong Ran
Jian Yang
Min Gu
Shao-Quan Zhou
Association between alcohol consumption and risk of type 2 diabetes in Japan: a population-base longitudinal cohort study
Scientific Reports
Diabetes
Alcohol
Risk factors
Epidemiology
title Association between alcohol consumption and risk of type 2 diabetes in Japan: a population-base longitudinal cohort study
title_full Association between alcohol consumption and risk of type 2 diabetes in Japan: a population-base longitudinal cohort study
title_fullStr Association between alcohol consumption and risk of type 2 diabetes in Japan: a population-base longitudinal cohort study
title_full_unstemmed Association between alcohol consumption and risk of type 2 diabetes in Japan: a population-base longitudinal cohort study
title_short Association between alcohol consumption and risk of type 2 diabetes in Japan: a population-base longitudinal cohort study
title_sort association between alcohol consumption and risk of type 2 diabetes in japan a population base longitudinal cohort study
topic Diabetes
Alcohol
Risk factors
Epidemiology
url https://doi.org/10.1038/s41598-024-84597-5
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