Journal of Preventive Medicine and Public Health

Hai-Rim Shin

3 Articles

A Prospective Cohort Study on the Relationship of Sleep Duration With All-cause and Disease-specific Mortality in the Korean Multi-center Cancer Cohort Study: Yohwan Yeo, Seung Hyun Ma, Sue Kyung Park, Soung-Hoon Chang, Hai-Rim Shin, Daehee Kang, Keun-Young Yoo; J Prev Med Public Health. 2013;46(5):271-281. Published online September 30, 2013; DOI: https://doi.org/10.3961/jpmph.2013.46.5.271

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Objectives

Emerging evidence indicates that sleep duration is associated with health outcomes. However, the relationship of sleep duration with long-term health is unclear. This study was designed to determine the relationship of sleep duration with mortality as a parameter for long-term health in a large prospective cohort study in Korea.

Methods

The study population included 13 164 participants aged over 20 years from the Korean Multi-center Cancer Cohort study. Information on sleep duration was obtained through a structured questionnaire interview. The hazard ratios (HRs) and 95% confidence intervals (CIs) for mortality were estimated using a Cox regression model. The non-linear relationship between sleep duration and mortality was examined non-parametrically using restricted cubic splines.

Results

The HRs for all-cause mortality showed a U-shape, with the lowest point at sleep duration of 7 to 8 hours. There was an increased risk of death among persons with sleep duration of ≤5 hours (HR, 1.21; 95% CI, 1.03 to 1.41) and of ≥10 hours (HR, 1.36; 95% CI, 1.07 to 1.72). In stratified analysis, this relationship of HR was seen in women and in participants aged ≥60 years. Risk of cardiovascular disease-specific mortality was associated with a sleep duration of ≤5 hours (HR, 1.40; 95% CI, 1.02 to 1.93). Risk of death from respiratory disease was associated with sleep duration at both extremes (≤5 and ≥10 hours).

Conclusions

Sleep durations of 7 to 8 hours may be recommended to the public for a general healthy lifestyle in Korea.

Summary

Citations

Citations to this article as recorded by

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Journal of Clinical Medicine.2023; 12(15): 4961. CrossRef
Trends in sleep duration in Korea: The Korean time use survey
Yoonhyuk Jang, Jin Sun Jun, Ki-Young Jung
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Night-time smartphone use, sleep duration, sleep quality, and menstrual disturbances in young adult women: A population-based study with high-resolution tracking data
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Sleep and daytime sleepiness in elite athletes and sedentary individuals
M. Jemal, K. Trabelsi, O. Boukhris, A. Ammar, C.C.T. Clark, H. Chtourou
Science & Sports.2022; 37(1): 31. CrossRef
Sleep duration and mortality, influence of age, retirement, and occupational group
Torbjörn Åkerstedt, Ylva Trolle‐Lagerros, Linnea Widman, Weimin Ye, Hans‐Olov Adami, Rino Bellocco
Journal of Sleep Research.2022;[Epub] CrossRef
Sleep Duration/Quality With Health Outcomes: An Umbrella Review of Meta-Analyses of Prospective Studies
Chang Gao, Jiao Guo, Ting-Ting Gong, Jia-Le Lv, Xin-Yu Li, Fang-Hua Liu, Meng Zhang, Yi-Tong Shan, Yu-Hong Zhao, Qi-Jun Wu
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Analysis of multiple chronic disease characteristics in South Koreans by age groups using association rules analysis
Eul Hee Roh
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Behavioral Lifestyles and Survival: A Meta-Analysis
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Sleep characteristics associated with nocturnal blood pressure nondipping in healthy individuals: a systematic review
Philippa Eileen Forshaw, Arron Taylor Lund Correia, Laura Catherine Roden, Estelle Victoria Lambert, Dale Elizabeth Rae
Blood Pressure Monitoring.2022; 27(6): 357. CrossRef
Sleep duration and risk of cardio-cerebrovascular disease: A dose-response meta-analysis of cohort studies comprising 3.8 million participants
Yi-Ming Huang, Wei Xia, Yi-Jun Ge, Jia-Hui Hou, Lan Tan, Wei Xu, Chen-Chen Tan
Frontiers in Cardiovascular Medicine.2022;[Epub] CrossRef
Association between Sleep Duration and Symptoms of Depression Aged between 18 and 49: The Korea National Health and Nutrition Examination Survey (KNHANES Ⅶ) from 2016 to 2018
Sung-Yong Choi, Ji-Eun Han, Jiae Choi, Minjung Park, Soo-Hyun Sung, Angela Dong-Min Sung
Healthcare.2022; 10(11): 2324. CrossRef
The relationship between physical activity and sleep status among older adults requiring nursing care in the community
Toshiki Mizuno, Masaaki Isaka, Takao Kuramoto, Tomomi Inoue, Kei Kamide
Nippon Ronen Igakkai Zasshi. Japanese Journal of Geriatrics.2022; 59(4): 528. CrossRef
The Association Between Habitual Sleep Duration and Mortality According to Sex and Age: The Japan Public Health Center-based Prospective Study
Thomas Svensson, Manami Inoue, Eiko Saito, Norie Sawada, Hiroyasu Iso, Tetsuya Mizoue, Atsushi Goto, Taiki Yamaji, Taichi Shimazu, Motoki Iwasaki, Shoichiro Tsugane
Journal of Epidemiology.2021; 31(2): 109. CrossRef
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Lili Yang, Bo Xi, Min Zhao, Costan G Magnussen
Journal of Epidemiology and Community Health.2021; 75(6): 556. CrossRef
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Khaled Trabelsi, Achraf Ammar, Liwa Masmoudi, Omar Boukhris, Hamdi Chtourou, Bassem Bouaziz, Michael Brach, Ellen Bentlage, Daniella How, Mona Ahmed, Patrick Mueller, Notger Mueller, Hsen Hsouna, Yousri Elghoul, Mohamed Romdhani, Omar Hammouda, Laisa Pain
International Journal of Environmental Research and Public Health.2021; 18(8): 4329. CrossRef
Sleep duration and risk of all‐cause and disease‐specific mortality in adult cancer survivors
Huan Tao, Adrienne O'Neil, Raheem J Paxton, Wei Wang, Xiang Deng, Junfeng Wang, Yafeng Wang, Yongqian Jia, Jing Nie
Journal of Evidence-Based Medicine.2021; 14(4): 272. CrossRef
Possible association between oral health and sleep duration
Sungjun Han, Donghyun Jee, Yun-Jin Kang, Yong-Jin Park, Jung-Hae Cho
Medicine.2021; 100(48): e28035. CrossRef
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Dale Elizabeth Rae, Lara Ruth Dugas, Laura Catherine Roden, Estelle Vicki Lambert, Pascal Bovet, Jacob Plange-Rhule, Terrence Forrester, Walter Riesen, Wolfgang Korte, Stephanie J. Crowley, Sirimon Reutrakul, Amy Luke
Sleep Health.2020; 6(4): 469. CrossRef
Fatigue and sleep patterns among Canadian wildland firefighters during a 17-day fire line deployment
Andrew T. Jeklin, Hugh W. Davies, Shannon S. D. Bredin, Ben A. Hives, Leah E. Meanwell, Andrew S. Perrotta, Darren E. R. Warburton
Journal of Occupational and Environmental Hygiene.2020; 17(7-8): 364. CrossRef
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Tasnim Ara, Md. Mahabubur Rahman, Md. Abir Hossain, Amir Ahmed
Frontiers in Psychiatry.2020;[Epub] CrossRef
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Sohyeon Kwon, Hyeyoung Lee, Jong-Tae Lee, Min-Jeong Shin, Sangbum Choi, Hannah Oh
BMC Public Health.2020;[Epub] CrossRef
Sleep duration and all-cause mortality in the elderly in China: a population-based cohort study
Yanfeng Ren, Maohua Miao, Wei Yuan, Jiangwei Sun
BMC Geriatrics.2020;[Epub] CrossRef
Sleep duration and risk of all-cause mortality: a systematic review and meta-analysis
H. A. García-Perdomo, J. Zapata-Copete, C. A. Rojas-Cerón
Epidemiology and Psychiatric Sciences.2019; 28(5): 578. CrossRef
Sleep Duration and Mortality in Patients With Coronary Artery Disease
Jeong Hwan Kim, Salim S. Hayek, Yi-An Ko, Chang Liu, Ayman Samman Tahhan, Syed Ali, Ayman Alkhoder, Mohamad Mazen Gafeer, Fahad Choudhary, Ravila Bhimani, Shahla Delawalla, Muaaz Choudhary, Dorinda Joy Hartsfield, Donald L. Bliwise, Arshed A. Quyyumi
The American Journal of Cardiology.2019; 123(6): 874. CrossRef
The Relationship Between Sleep Duration, Falls, and Muscle Mass: A Cohort Study in an Elderly Chinese Population
Liyuan Fu, Xing Yu, Wen Zhang, Peipei Han, Li Kang, Yixuan Ma, Liye Jia, Hairui Yu, Xiaoyu Chen, Lin Hou, Lu Wang, Qi Guo
Rejuvenation Research.2019; 22(5): 390. CrossRef
Sleep and cancer incidence in Alberta’s Tomorrow Project cohort
Jessica McNeil, Amanda M Barberio, Christine M Friedenreich, Darren R Brenner
Sleep.2019;[Epub] CrossRef
The association between sleep duration and cancer-specific mortality: a systematic review and meta-analysis
Chelsea R. Stone, Tiffany R. Haig, Kirsten M. Fiest, Jessica McNeil, Darren R. Brenner, Christine M. Friedenreich
Cancer Causes & Control.2019; 30(5): 501. CrossRef
Association between total sleep time and all cancer mortality: non-linear dose-response meta-analysis of cohort studies
Yingjun Li, Shaofang Cai, Yuxiao Ling, Shuai Mi, Chunhong Fan, Yaohong Zhong, Qing Shen
Sleep Medicine.2019; 60: 211. CrossRef
Long sleep duration and health outcomes: A systematic review, meta-analysis and meta-regression
Maki Jike, Osamu Itani, Norio Watanabe, Daniel J. Buysse, Yoshitaka Kaneita
Sleep Medicine Reviews.2018; 39: 25. CrossRef
The association between osteoarthritis and sleep duration in Koreans: a nationwide cross-sectional observational study
Jae Hyun Jung, Hongdeok Seok, Sung Jae Choi, Junwoo Bae, Sang Hoon Lee, Moo Hwa Lee, Jae-Hoon Kim, Gwan Gyu Song
Clinical Rheumatology.2018; 37(6): 1653. CrossRef
Evolutionaire geneeskunde
Frits A. J. Muskiet
Bijblijven.2018; 34(5): 391. CrossRef
Longer Sleep Duration and Later Sleep Timing are Associated with Increased Cold-Pain Perception During the Day
Joshua Aviram, Tamar Shochat
Sleep and Vigilance.2018; 2(1): 71. CrossRef
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Xiaoyu Li, Orfeu M Buxton, Hiroyuki Hikichi, Sebastien Haneuse, Jun Aida, Katsunori Kondo, Ichiro Kawachi
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The association of sleep duration and quality with all-cause and cause-specific mortality in the Women’s Health Initiative
Geoffrey C. Kabat, Xiaonan Xue, Victor Kamensky, Oleg Zaslavsky, Katie L. Stone, Karen C. Johnson, Sylvia Wassertheil-Smoller, Aladdin H. Shadyab, Juhua Luo, Lauren Hale, Lihong Qi, Jane A. Cauley, Robert L. Brunner, JoAnn E. Manson, Thomas E. Rohan
Sleep Medicine.2018; 50: 48. CrossRef
Sex Differences in Sleep Duration among Older Adults with Self-Reported Diagnosis of Arthritis: National Health and Nutrition Examination Survey, 2009-2012
R. Constance Wiener, Alcinda K. Trickett Shockey, Christopher Waters
Sleep Disorders.2018; 2018: 1. CrossRef
Self‐Reported Sleep Duration and Quality and Cardiovascular Disease and Mortality: A Dose‐Response Meta‐Analysis
Chun Shing Kwok, Evangelos Kontopantelis, George Kuligowski, Matthew Gray, Alan Muhyaldeen, Christopher P. Gale, George M. Peat, Jacqueline Cleator, Carolyn Chew‐Graham, Yoon Kong Loke, Mamas Andreas Mamas
Journal of the American Heart Association.2018;[Epub] CrossRef
Associations between long self-reported sleep, obesity and insulin resistance in a cohort of premenopausal Black and White South African women
Dale E. Rae, Paula R. Pienaar, Rob H.P. Henst, Laura C. Roden, Julia H. Goedecke
Sleep Health.2018; 4(6): 558. CrossRef
Associations between sleep parameters, non-communicable diseases, HIV status and medications in older, rural South Africans
F. Xavier Gómez-Olivé, Julia K. Rohr, Laura C. Roden, Dale E. Rae, Malcolm von Schantz
Scientific Reports.2018;[Epub] CrossRef
Sleep duration and risk of all-cause mortality: A flexible, non-linear, meta-regression of 40 prospective cohort studies
Tong-Zu Liu, Chang Xu, Matteo Rota, Hui Cai, Chao Zhang, Ming-Jun Shi, Rui-Xia Yuan, Hong Weng, Xiang-Yu Meng, Joey S.W. Kwong, Xin Sun
Sleep Medicine Reviews.2017; 32: 28. CrossRef
Short sleep duration and health outcomes: a systematic review, meta-analysis, and meta-regression
Osamu Itani, Maki Jike, Norio Watanabe, Yoshitaka Kaneita
Sleep Medicine.2017; 32: 246. CrossRef
The association between sleep duration and physical performance in Chinese community-dwelling elderly
Liyuan Fu, Liye Jia, Wen Zhang, Peipei Han, Li Kang, Yixuan Ma, Hairui Yu, Tianqi Zhai, Xiaoyu Chen, Qi Guo, Yiqing Song
PLOS ONE.2017; 12(3): e0174832. CrossRef
Sex and age differences in the associations between sleep behaviors and all-cause mortality in older adults: results from the National Health and Nutrition Examination Surveys
Hind A. Beydoun, May A. Beydoun, Xiaoli Chen, Jen Jen Chang, Alyssa A. Gamaldo, Shaker M. Eid, Alan B. Zonderman
Sleep Medicine.2017; 36: 141. CrossRef
A possible association between dysphonia and sleep duration: A cross-sectional study based on the Korean National Health and nutrition examination surveys from 2010 to 2012
Jung-Hae Cho, Christian Guilminault, Young-Hoon Joo, Sang-Kyun Jin, Kyung-Do Han, Chan-Soon Park, Thomas Penzel
PLOS ONE.2017; 12(8): e0182286. CrossRef
Sleep duration, mortality and the influence of age
Torbjörn Åkerstedt, Francesca Ghilotti, Alessandra Grotta, Andrea Bellavia, Ylva Trolle Lagerros, Rino Bellocco
European Journal of Epidemiology.2017; 32(10): 881. CrossRef
Relationship of Sleep Duration With All‐Cause Mortality and Cardiovascular Events: A Systematic Review and Dose‐Response Meta‐Analysis of Prospective Cohort Studies
Jiawei Yin, Xiaoling Jin, Zhilei Shan, Shuzhen Li, Hao Huang, Peiyun Li, Xiaobo Peng, Zhao Peng, Kaifeng Yu, Wei Bao, Wei Yang, Xiaoyi Chen, Liegang Liu
Journal of the American Heart Association.2017;[Epub] CrossRef
Sleep Duration across the Adult Lifecourse and Risk of Lung Cancer Mortality: A Cohort Study in Xuanwei, China
Jason Y. Wong, Bryan A. Bassig, Roel Vermeulen, Wei Hu, Bofu Ning, Wei Jie Seow, Bu-Tian Ji, George S. Downward, Hormuzd A. Katki, Francesco Barone-Adesi, Nathaniel Rothman, Robert S. Chapman, Qing Lan
Cancer Prevention Research.2017; 10(6): 327. CrossRef
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Linn B. Strand, Min Kuang Tsai, David Gunnell, Imre Janszky, Chi Pang Wen, Shu-Sen Chang
International Journal of Cardiology.2016; 207: 246. CrossRef
Influence of sleep disturbances on age at onset and long-term incidence of major cardiovascular events: the MONICA-Brianza and PAMELA cohort studies
Francesco Gianfagna, Giovanni Veronesi, Lorenza Bertù, Giancarlo Cesana, Guido Grassi, Saverio Stranges, Camilla Callegari, Marco M. Ferrario
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Nighttime sleep duration, 24-hour sleep duration and risk of all-cause mortality among adults: a meta-analysis of prospective cohort studies
Xiaoli Shen, Yili Wu, Dongfeng Zhang
Scientific Reports.2016;[Epub] CrossRef
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Sun-Hee Lee, GyeongAe Seomun
Journal of Digital Convergence.2016; 14(1): 327. CrossRef
Sleep duration and mortality in the elderly: a systematic review with meta-analysis
Andressa Alves da Silva, Renato Gorga Bandeira de Mello, Camila Wohlgemuth Schaan, Flávio D Fuchs, Susan Redline, Sandra C Fuchs
BMJ Open.2016; 6(2): e008119. CrossRef
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Journal of Korean Public Health Nursing.2016; 30(2): 195. CrossRef
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Qian-Qian Ma, Qi Yao, Lv Lin, Guo-Chong Chen, Jing-Bo Yu
Sleep Medicine.2016; 27-28: 39. CrossRef
Sleep Disturbances among Older Adults in the United States, 2002–2012: Nationwide Inpatient Rates, Predictors, and Outcomes
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Frontiers in Aging Neuroscience.2016;[Epub] CrossRef
Sleep duration and associated factors in a community sample of elderly individuals in Korea
Won‐Hyoung Kim, Byung‐Soo Kim, Shin‐Kyum Kim, Sung‐Man Chang, Dong‐Woo Lee, Maeng‐Je Cho, Jae‐Nam Bae
Psychogeriatrics.2015; 15(2): 87. CrossRef
Sleep disordered breathing and the risk of psoriasis among US women
Jeffrey M. Cohen, Chandra L. Jackson, Tricia Y. Li, Shaowei Wu, Abrar A. Qureshi
Archives of Dermatological Research.2015; 307(5): 433. CrossRef
Daytime napping and mortality from all causes, cardiovascular disease, and cancer: a meta-analysis of prospective cohort studies
Guochao Zhong, Yi Wang, TieHong Tao, Jun Ying, Yong Zhao
Sleep Medicine.2015; 16(7): 811. CrossRef
Sleep duration and sleep‐disordered breathing and the risk of melanoma among US women and men
Jeffrey M. Cohen, Yunhui T. Li, Shaowei Wu, Jiali Han, Abrar A. Qureshi, Eunyoung Cho
International Journal of Dermatology.2015;[Epub] CrossRef
Correlates of Self-Reported Sleep Duration in Middle-Aged and Elderly Koreans: from the Health Examinees Study
Hyung-Suk Yoon, Jae Jeong Yang, Minkyo Song, Hwi-Won Lee, Sohee Han, Sang-Ah Lee, Ji-Yeob Choi, Jong-koo Lee, Daehee Kang, Ignacio Correa-Velez
PLOS ONE.2015; 10(5): e0123510. CrossRef
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Timon Cheng-Yi Liu, Long Liu, Jing-Gang Chen, Peng Zeng, Xiang-Bo Yang
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Korean Journal of Health Education and Promotion.2014; 31(5): 45. CrossRef

Interaction of Body Mass Index and Diabetes as Modifiers of Cardiovascular Mortality in a Cohort Study: Seung Hyun Ma, Bo-Young Park, Jae Jeong Yang, En-Joo Jung, Yohwan Yeo, Yungi Whang, Soung-Hoon Chang, Hai-Rim Shin, Daehee Kang, Keun-Young Yoo, Sue Kyung Park; J Prev Med Public Health. 2012;45(6):394-401. Published online November 29, 2012; DOI: https://doi.org/10.3961/jpmph.2012.45.6.394

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Abstract PDF

Objectives

Diabetes and obesity each increases mortality, but recent papers have shown that lean Asian persons were at greater risk for mortality than were obese persons. The objective of this study is to determine whether an interaction exists between body mass index (BMI) and diabetes, which can modify the risk of death by cardiovascular disease (CVD).

Methods

Subjects who were over 20 years of age, and who had information regarding BMI, past history of diabetes, and fasting blood glucose levels (n=16 048), were selected from the Korea Multi-center Cancer Cohort study participants. By 2008, a total of 1290 participants had died; 251 and 155 had died of CVD and stroke, respectively. The hazard for deaths was calculated with hazard ratio (HR) and 95% confidence interval (95% CI) by Cox proportional hazard model.

Results

Compared with the normal population, patients with diabetes were at higher risk for CVD and stroke deaths (HR, 1.84; 95% CI, 1.33 to 2.56; HR, 1.82; 95% CI, 1.20 to 2.76; respectively). Relative to subjects with no diabetes and normal BMI (21 to 22.9 kg/m²), lean subjects with diabetes (BMI <21 kg/m²) had a greater risk for CVD and stroke deaths (HR, 2.83; 95% CI, 1.57 to 5.09; HR, 3.27; 95% CI, 1.58 to 6.76; respectively), while obese subjects with diabetes (BMI ≥25 kg/m²) had no increased death risk (p-interaction <0.05). This pattern was consistent in sub-populations with no incidence of hypertension.

Conclusions

This study suggests that diabetes in lean people is more critical to CVD deaths than it is in obese people.

Summary

Citations

Citations to this article as recorded by

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Shiv Kumar Jalepalli, Prashant Gupta, Andre L A J Dekker, Inigo Bermejo, Sujoy Kar
Family Medicine and Community Health.2024; 12(Suppl 1): e002340. CrossRef
The expanding roles of neuronal nitric oxide synthase (NOS1)
Kundan Solanki, Sajjan Rajpoot, Evgeny E. Bezsonov, Alexander N. Orekhov, Rohit Saluja, Anita Wary, Cassondra Axen, Kishore Wary, Mirza S. Baig
PeerJ.2022; 10: e13651. CrossRef
Obesity and metabolic outcomes in a safety-net health system
Michael P. Huynh, Patrick T. Bradshaw, Michele M. Tana, Carly Rachocki, Ma Somsouk
Biodemography and Social Biology.2020; 65(3): 257. CrossRef
Lifestyle Factors and Gender-Specific Risk of Stroke in Adults with Diabetes Mellitus: A Case-Control Study
Jian Guo, Tianjia Guan, Ying Shen, Baohua Chao, Mei Li, Longde Wang, Yuanli Liu
Journal of Stroke and Cerebrovascular Diseases.2018; 27(7): 1852. CrossRef
Nonlinear association of BMI with all-cause and cardiovascular mortality in type 2 diabetes mellitus: a systematic review and meta-analysis of 414,587 participants in prospective studies
Francesco Zaccardi, Nafeesa N. Dhalwani, Dimitris Papamargaritis, David R. Webb, Gavin J. Murphy, Melanie J. Davies, Kamlesh Khunti
Diabetologia.2017; 60(2): 240. CrossRef
Determinants of mortality in patients with type 2 diabetes: a review
Jana Engelmann, Ulf Manuwald, Constanze Rubach, Joachim Kugler, Andreas L. Birkenfeld, Markolf Hanefeld, Ulrike Rothe
Reviews in Endocrine and Metabolic Disorders.2016; 17(1): 129. CrossRef
Analysis between nitric oxide synthase 1 (NOS1) and risk of obesity
Hyun Kyung Park, Su Kang Kim, Oh Young Kwon, Joo-Ho Chung, Seong-Kyu Lee
Molecular & Cellular Toxicology.2016; 12(2): 217. CrossRef
Association between different obesity measures and the risk of stroke in the EPIC Spanish cohort
Itziar Abete, Larraitz Arriola, Nerea Etxezarreta, Imanol Mozo, Conchi Moreno-Iribas, Pilar Amiano, Nerea Egüés, Estibaliz Goyenechea, Adolfo Lopez de Munain, Maite Martinez, Noemi Travier, Carmen Navarro, Maria-Dolores Chirlaque, Maria-Jose Tormo, Diana
European Journal of Nutrition.2015; 54(3): 365. CrossRef
Relationship of body mass index and abdominal obesity in rural population of Krasnodarsky kray taken
Elena V. Bolotova, Irina V. Samorodskaya, Irina M. Komissarova
Obesity and metabolism.2015; 13(1): 25. CrossRef
Associations of prediabetes with all-cause and cardiovascular mortality: A meta-analysis
Yi Huang, Xiaoyan Cai, Peisong Chen, Weiyi Mai, Hongfeng Tang, Yuli Huang, Yunzhao Hu
Annals of Medicine.2014; 46(8): 684. CrossRef
High Peritoneal Transport Status Was Not Associated with Mortality in Peritoneal Dialysis Patients with Diabetes
Naya Huang, Jiehui Chen, Li Fan, Qian Zhou, Qingdong Xu, Ricong Xu, Liping Xiong, Xueqing Yu, Haiping Mao, Zhanjun Jia
PLoS ONE.2014; 9(10): e110445. CrossRef
Body Mass Index and Mortality Among Japanese Patients With Type 2 Diabetes: Pooled Analysis of the Japan Diabetes Complications Study and the Japanese Elderly Diabetes Intervention Trial
Shiro Tanaka, Sachiko Tanaka, Satoshi Iimuro, Yasuo Akanuma, Yasuo Ohashi, Nobuhiro Yamada, Atsushi Araki, Hideki Ito, Hirohito Sone
The Journal of Clinical Endocrinology & Metabolism.2014; 99(12): E2692. CrossRef
Validação cruzada entre o percentual de gordura mensurado pela absortometria radiológica de dupla energia e a equação de Deurenberg em idosas
Piettra Moura Galvão-Pereira, Giselma Alcantara-Silva, Adriano Eduardo Lima-Silva, Dante Wanderley Lima, Amandio Aristides Rihan Geraldes
Revista Brasileira de Geriatria e Gerontologia.2013; 16(4): 681. CrossRef

Alcohol Consumption and Mortality in the Korean Multi-center Cancer Cohort Study: En-Joo Jung, Aesun Shin, Sue K. Park, Seung-Hyun Ma, In-Seong Cho, Boyoung Park, Eun-Ha Lee, Soung-Hoon Chang, Hai-Rim Shin, Daehee Kang, Keun-Young Yoo; J Prev Med Public Health. 2012;45(5):301-308. Published online September 28, 2012; DOI: https://doi.org/10.3961/jpmph.2012.45.5.301

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Abstract PDF

Objectives

To examine the association between alcohol consumption habit, types of beverages, alcohol consumption quantity, and overall and cancer-specific mortality among Korean adults.

Methods

The alcohol consumption information of a total of 16 320 participants who were 20 years or older from the Korean Multi-center Cancer Cohort were analyzed to examine the association between alcohol consumption habit and mortality (median follow-up of 9.3 years). The Cox proportional hazard model was used to estimate the hazard ratio (HR) of alcohol consumption to mortality adjusting for age, sex, geographic areas, education, smoking status, and body mass index.

Results

Alcohol drinkers showed an increased risk for total mortality compared with never drinkers (HR, 1.72; 95% confidence interval [CI], 1.38 to 2.14 for past drinkers; HR, 1.21; 95% CI, 1.06 to 1.39 for current drinkers), while past drinkers only were associated with higher risk for cancer deaths (HR, 1.84; 95% CI, 1.34 to 2.53). The quantity of alcohol consumed per week showed a J-shaped association with risk of mortality. Relative to light drinkers (0.01 to 90 g/wk), never drinkers and heavy drinkers (>504 g/wk) had an increased risk for all-cause and cancer deaths: (HR, 1.18; 95% CI, 0.96 to 1.45) and (HR, 1.39; 95% CI, 1.05 to 1.83) for all-cause mortality; and (HR, 1.55; 95% CI, 1.15 to 2.11) and (HR, 2.07; 95% CI, 1.39 to 3.09) for all cancer mortality, respectively. Heavy drinkers (>504 g/wk) showed an elevated risk for death from stomach and liver cancers.

Conclusions

The present study supports the existence of a J-shaped association between alcohol consumption quantity and the risk of all-cause and cancer deaths. Heavy drinkers had an increased risk of death from cancer overall and liver and stomach cancer.

Summary

Citations

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Global Health Promotion.2022; 29(3): 57. CrossRef
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In-Ae Song, Hye Yoon Park, Tak Kyu Oh
Journal of Psychosomatic Research.2022; 161: 111002. CrossRef
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J. Masip, J.R. Germà Lluch
Revista Clínica Española.2021; 221(6): 359. CrossRef
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Revista Clínica Española (English Edition).2021; 221(6): 359. CrossRef
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Hana Park, Seung Kak Shin, Ijin Joo, Do Seon Song, Jeong Won Jang, Joong-Won Park
Gut and Liver.2020; 14(6): 792. CrossRef
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Mi Hui Kim, Shin Ah Kim, Chan Hyuk Park, Chang Soo Eun, Dong Soo Han, Yong Sung Kim, Kyu Sang Song, Bo Youl Choi, Hyun Ja Kim
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Tae Hoon Ha, Byeong Gwan Kim, Donghyong Jeong, Sohee Oh, Won Kim, Yong Jin Jung, Dong Won Ahn, Ji Bong Jeong, Ji Won Kim, Kook Lae Lee, Seong-Joon Koh
Digestive Diseases and Sciences.2017; 62(1): 273. CrossRef
Alcohol Abuse Decreases Pelvic Control and Survival in Cervical Cancer
Jyoti Mayadev, Chin-Shang Li, Jihoon Lim, Richard Valicenti, Edwin A. Alvarez
American Journal of Clinical Oncology.2017; 40(5): 451. CrossRef
Alcohol consumption and gastric cancer risk: a meta-analysis of prospective cohort studies
Xue Han, Li Xiao, Yao Yu, Yu Chen, Hai-Hua Shu
Oncotarget.2017; 8(47): 83237. CrossRef
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Zheng He, Ting-Ting Zhao, Hui-Mian Xu, Zhen-Ning Wang, Ying-Ying Xu, Yong-Xi Song, Zhong-Ran Ni, Hao Xu, Song-Cheng Yin, Xing-Yu Liu, Zhi-Feng Miao
Oncotarget.2017; 8(48): 84459. CrossRef
Alcohol consumption and liver cancer risk: a meta-analysis
Shu-Chun Chuang, Yuan-Chin Amy Lee, Guo-Jie Wu, Kurt Straif, Mia Hashibe
Cancer Causes & Control.2015; 26(9): 1205. CrossRef
The relationship between mild alcohol consumption and mortality in Koreans: a systematic review and meta-analysis
Ji-Eun Park, Tae-young Choi, Yeonhee Ryu, Sung-Il Cho
BMC Public Health.2015;[Epub] CrossRef
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Chao Huang, Jian Zhan, Yu-Jian Liu, De-Jia Li, Su-Qing Wang, Qi-Qiang He
Mayo Clinic Proceedings.2014; 89(9): 1201. CrossRef
Attributable fraction of alcohol consumption on cancer using population-based nationwide cancer incidence and mortality data in the Republic of Korea
Sohee Park, Hai-Rim Shin, Boram Lee, Aesun Shin, Kyu-Won Jung, Duk-Hee Lee, Sun Ha Jee, Sung-Il Cho, Sue Kyung Park, Mathieu Boniol, Paolo Boffetta, Elisabete Weiderpass
BMC Cancer.2014;[Epub] CrossRef
Alcohol and liver cancer: a systematic review and meta-analysis of prospective studies
F. Turati, C. Galeone, M. Rota, C. Pelucchi, E. Negri, V. Bagnardi, G. Corrao, P. Boffetta, C. La Vecchia
Annals of Oncology.2014; 25(8): 1526. CrossRef
Alcohol Consumption and Viral Load Are Synergistically Associated with CIN1
Kyung-Jin Min, Jae-Kwan Lee, Sanghoon Lee, Mi Kyung Kim, Rui Medeiros
PLoS ONE.2013; 8(8): e72142. CrossRef

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