Cited by 46Alcohol Consumption and Health EffectsDiabetes, Cardiovascular Risks, and LipoproteinsSubstance Abuse Treatment and Outcomes

Role of alcohol drinking pattern in type 2 diabetes in Japanese men: the Toranomon Hospital Health Management Center Study 11 (TOPICS 11)

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Heianza, Yoriko, Arase, Yasuji, Saito, Kazumi, Tsuji, Hiroshi, Fujihara, Kazuya, Hsieh, Shiun Dong, Kodama, Satoru, Shimano, Hitoshi +3 more·2013·The American Journal of Clinical Nutrition

Abstract

Background Findings of past studies on the effect of drinking patterns on diabetes risk have been inconsistent.Objective We aimed to investigate the role of drinking frequency and usual quantity consumed in the development of type 2 diabetes.Design Enrolled were 1650 Japanese men without diabetes (diabetes: fasting plasma glucose ≥7.0 mmol/L, glycated hemoglobin ≥6.5%, or self-reported clinician-diagnosed diabetes). Average alcohol consumption and 12 combinations of frequency and usual quantity per drinking occasion were assessed at the baseline examination. The absolute risk and HR for the development of diabetes were calculated.Results During a mean follow-up period of 10.2 y, 216 individuals developed diabetes. Lifetime abstainers (n = 153) had a relatively low incidence of diabetes (9.1/1000 person-years), similar to moderate consumers (99-160 g ethanol/wk; 9.0/1000 person-years). Increasingly higher quantities of alcohol usually consumed per occasion increased the risk of diabetes regardless of drinking frequency. The lowest incidence rate of diabetes (8.5/1000 person-years) was associated with the consumption of <1 drink (<23 g ethanol) per occasion over ≥6 times/wk. Binge drinking (≥3 drinks per occasion) significantly increased the risk of future diabetes regardless of frequency (HR: 1.79; 95% CI: 1.17, 2.74) compared with <1 drink per occasion.Conclusions Among current drinkers, a drinking pattern of <1 drink per occasion regularly over 6 times within a week was associated with the lowest risk of developing diabetes. Usual quantity per drinking occasion was a more important determinant than was weekly drinking frequency in the association between alcohol consumption and risk of diabetes in Japanese men.

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Crossref · 10.3945/ajcn.112.043364

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  • Irregular heavy drinking occasions may play a role in explaining the differences between studies and reviews on alcohol and diabetes.

    “Irregular heavy drinking occasions may play a role in explaining the differences between studies and in the reviews (e.g. 196, 197), but there are not enough epidemiological studies on diabetes including this dimension of alcohol exposure to settle this question.”

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Authors
Heianza, Y., Arase, Y., Saito, K., Tsuji, H., Fujihara, K., Hsieh, S. D., Kodama, S., Shimano, H., Yamada, N., Hara, S., & Sone, H.
Affiliations
Niigata University (JP)
Venue
The American Journal of Clinical Nutrition
Publisher
Elsevier BV
Published
2013-03
Volume
97
Issue
3
Pages
561-568
ISSN
0002-9165 (ISSN-L)
OpenAlex
W2164481914
Cited by
46
References
42
Citations by year
2026: 1 · 2025: 3 · 2024: 1 · 2023: 4 · 2022: 1 · 2021: 5 · 2020: 2 · 2019: 1 · 2018: 1 · 2017: 10 · 2016: 4 · 2015: 1 · 2014: 12
FWCI
4.24
Type
journal article
Language
en
Open access
Locations
  • American Journal of Clinical Nutrition (publishedVersion)
  • PubMed (publishedVersion)
Funders
Japan Society for the Promotion of Science (24300233)
Topics
  • Health Sciences › Medicine › Pathology and Forensic Medicine › Alcohol Consumption and Health Effects
  • Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes, Cardiovascular Risks, and Lipoproteins
  • Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
Keywords
type 2 diabetes, alcohol drinking patterns, binge drinking, drinking frequency, alcohol consumption, diabetes risk, Japanese men
MeSH terms
Adult, Aged, Aged, 80 and over, Alcohol Drinking, Alcoholic Beverages, Diabetes Mellitus, Type 2, Feeding Behavior, Female, Follow-Up Studies, Humans, Male, Middle Aged, Surveys and Questionnaires, Risk Factors, Cohort Studies, Health Behavior, Incidence, Proportional Hazards Models, Asian People

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