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

Dong-Woo Choi, Jooeun Jeon, Sang Ah Lee, Kyu-Tae Han, Eun-Cheol Park and Sung-In Jang
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Dong-Woo Choi: Department of Public Health, Graduate School, 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
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
Sung-In Jang: Institute of Health Services Research, Yonsei University, Seoul 03722, Korea

IJERPH, 2018, vol. 15, issue 10, 1-10

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.

Keywords: HbA1c; dual smoking; type 2 diabetes mellitus; KNHANES (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2018
References: View references in EconPapers View complete reference list from CitEc
Citations: View citations in EconPapers (3)

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