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Association between Smoking Behavior Patterns and Glycated Hemoglobin Levels in a General Population

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Listed:
  • Dong-Woo Choi

    (Department of Public Health, Graduate School, Yonsei University, Seoul 03722, Korea
    Institute of Health Services Research, Yonsei University, Seoul 03722, Korea)

  • Jooeun Jeon

    (Department of Public Health, Graduate School, Yonsei University, Seoul 03722, Korea)

  • Sang Ah Lee

    (Department of Public Health, Graduate School, Yonsei University, Seoul 03722, Korea
    Institute of Health Services Research, Yonsei University, Seoul 03722, Korea)

  • Kyu-Tae Han

    (Department of Preventive Medicine, Yonsei University College of Medicine, Seoul 03722, Korea)

  • Eun-Cheol Park

    (Institute of Health Services Research, Yonsei University, Seoul 03722, Korea
    Department of Policy Research Affairs, National Health Insurance Service Ilsan Hospital, Koyang 10444, Korea)

  • Sung-In Jang

    (Institute of Health Services Research, Yonsei University, Seoul 03722, Korea
    Department of Policy Research Affairs, National Health Insurance Service Ilsan Hospital, Koyang 10444, Korea)

Abstract

This study investigated the association of smoking behaviors, including dual smoking (smoking both cigarettes and e-cigarettes), cigarettes smoking, and previous smoking, with glycated hemoglobin (HbA1c) levels. National Health and Nutrition Examination Survey (KNHANES) data from 2014–2016 was used. Associations between smoking behavior patterns and HbA1c levels were analyzed via multiple regression. Among 8809 participants, individuals who were dual smokers and cigarettes smokers had significantly higher HbA1c levels than non-smokers (dual: β = 0.1116, p = 0.0012, single: β = 0.0752, p = 0.0022). This relationship strengthened in subgroups of men (dual: β = 0.1290, p = 0.0013, single: β = 0.1020, p = 0.0014, ex: β = 0.0654, p = 0.0308), physically inactive subjects (dual: β = 0.1527, p = 0.0053, single: β = 0.0876, p = 0.0197), and overweight (dual: β = 0.1425, p = 0.0133) and obese individuals (dual: β = 0.1694, p = 0.0061, single: β = 0.1035, p = 0.0217). This study suggests that smoking behaviors are likely to increase the risk of HbA1c level in a general population. The health effects of dual smoking remain uncertain and should be addressed in the future.

Suggested Citation

  • Dong-Woo Choi & Jooeun Jeon & Sang Ah Lee & Kyu-Tae Han & Eun-Cheol Park & Sung-In Jang, 2018. "Association between Smoking Behavior Patterns and Glycated Hemoglobin Levels in a General Population," IJERPH, MDPI, vol. 15(10), pages 1-10, October.
    • Handle: RePEc:gam:jijerp:v:15:y:2018:i:10:p:2260-:d:175866
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    References listed on IDEAS

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    1. Kim, Jaehoon & Kim, Sangsin, 2015. "2012년 국회법 개정의 효과 연구 [A Study on the Effect of the 2012 National Assembly Act Amendment]," KDI Research Monographs, Korea Development Institute (KDI), volume 127, number v:2015-03(k):y:2015:p:1-1.
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    1. Sung Hoon Jeong & Bich Na Jang & Seung Hoon Kim & Sung-In Jang & Eun-Cheol Park, 2021. "Investigation of the Association between Smoking Behavior and Metabolic Syndrome Using Lipid Accumulation Product Index among South Korean Adults," IJERPH, MDPI, vol. 18(8), pages 1-10, April.
    2. Il Yun & Hye Jin Joo & Yu Shin Park & Eun-Cheol Park, 2022. "Association between Physical Exercise and Glycated Hemoglobin Levels in Korean Patients Diagnosed with Diabetes," IJERPH, MDPI, vol. 19(6), pages 1-11, March.
    3. Charlotta Pisinger & Sofie K. Bergman Rasmussen, 2022. "The Health Effects of Real-World Dual Use of Electronic and Conventional Cigarettes versus the Health Effects of Exclusive Smoking of Conventional Cigarettes: A Systematic Review," IJERPH, MDPI, vol. 19(20), pages 1-23, October.

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    Keywords

    HbA1c; dual smoking; type 2 diabetes mellitus; KNHANES;
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