The Association Between Smoking Tobacco After a Diagnosis of Diabetes and the Prevalence of Diabetic Nephropathy in the Korean Male Population
Objectives: Smoking is known to be associated with nephropathy in patients with diabetes. The distinct effects of smoking before and after diabetes has been diagnosed, however, are not well characterized. We evaluated the association of cigarette smoking before and after a diagnosis of diabetes with...
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| Format: | Article |
| Language: | English |
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Korean Society for Preventive Medicine
2016-03-01
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| Series: | Journal of Preventive Medicine and Public Health |
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| Online Access: | http://www.jpmph.org/upload/pdf/jpmph-49-2-108.pdf |
| _version_ | 1818276897033814016 |
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| author | Hyungseon Yeom Jung Hyun Lee Hyeon Chang Kim Il Suh |
| author_facet | Hyungseon Yeom Jung Hyun Lee Hyeon Chang Kim Il Suh |
| author_sort | Hyungseon Yeom |
| collection | DOAJ |
| description | Objectives: Smoking is known to be associated with nephropathy in patients with diabetes. The distinct effects of smoking before and after diabetes has been diagnosed, however, are not well characterized. We evaluated the association of cigarette smoking before and after a diagnosis of diabetes with the presence of diabetic nephropathy. Methods: We analyzed data from the 2011-2013 editions of the Korea National Health and Nutrition Examination Survey. A total of 629 male patients diagnosed with diabetes were classified as non-smokers (90 patients), former smokers (225 patients), or continuing smokers (314 patients). A “former smoker” was a patient who smoked only before receiving his diagnosis of diabetes. A “continuing smoker” was a patient who smoked at any time after his diabetes had been diagnosed. Diabetic nephropathy was defined as the presence of albuminuria (spot urine albumin/creatinine ratio ≥30 mg/g) or low estimated glomerular filtration rate (<60 mL/min/1.73 m2). Multiple logistic regression models were used to assess the independent association after adjusting for age, duration of diabetes, hemoglobin A1c, body mass index, systolic blood pressure, medication for hypertension, and medication for dyslipidemia. Female patients were excluded from the study due to the small proportion of females in the survey who smoked. Results: Compared to non-smokers, continuing smokers had significantly higher odds ratio ([OR], 2.17; 95% confidence interval [CI], 1.23 to 3.83) of suffering from diabetic nephropathy. The corresponding OR (95% CI) for former smokers was 1.26 (0.70 to 2.29). Conclusions: Smoking after diagnosis of diabetes is significantly associated with the presence of diabetic nephropathy in the Korean male population. |
| first_indexed | 2024-12-12T22:52:56Z |
| format | Article |
| id | doaj.art-ec7f30f336d343b4a1e251250954546c |
| institution | Directory Open Access Journal |
| issn | 1975-8375 2233-4521 |
| language | English |
| last_indexed | 2024-12-12T22:52:56Z |
| publishDate | 2016-03-01 |
| publisher | Korean Society for Preventive Medicine |
| record_format | Article |
| series | Journal of Preventive Medicine and Public Health |
| spelling | doaj.art-ec7f30f336d343b4a1e251250954546c2022-12-22T00:09:02ZengKorean Society for Preventive MedicineJournal of Preventive Medicine and Public Health1975-83752233-45212016-03-0149210811710.3961/jpmph.15.0621864The Association Between Smoking Tobacco After a Diagnosis of Diabetes and the Prevalence of Diabetic Nephropathy in the Korean Male PopulationHyungseon Yeom0Jung Hyun Lee1Hyeon Chang Kim2Il Suh3 Department of Preventive Medicine, Yonsei University College of Medicine, Seoul, Korea Department of Preventive Medicine, Graduate School of Public Health, Yonsei University, Seoul, Korea Department of Preventive Medicine, Yonsei University College of Medicine, Seoul, Korea Department of Preventive Medicine, Yonsei University College of Medicine, Seoul, KoreaObjectives: Smoking is known to be associated with nephropathy in patients with diabetes. The distinct effects of smoking before and after diabetes has been diagnosed, however, are not well characterized. We evaluated the association of cigarette smoking before and after a diagnosis of diabetes with the presence of diabetic nephropathy. Methods: We analyzed data from the 2011-2013 editions of the Korea National Health and Nutrition Examination Survey. A total of 629 male patients diagnosed with diabetes were classified as non-smokers (90 patients), former smokers (225 patients), or continuing smokers (314 patients). A “former smoker” was a patient who smoked only before receiving his diagnosis of diabetes. A “continuing smoker” was a patient who smoked at any time after his diabetes had been diagnosed. Diabetic nephropathy was defined as the presence of albuminuria (spot urine albumin/creatinine ratio ≥30 mg/g) or low estimated glomerular filtration rate (<60 mL/min/1.73 m2). Multiple logistic regression models were used to assess the independent association after adjusting for age, duration of diabetes, hemoglobin A1c, body mass index, systolic blood pressure, medication for hypertension, and medication for dyslipidemia. Female patients were excluded from the study due to the small proportion of females in the survey who smoked. Results: Compared to non-smokers, continuing smokers had significantly higher odds ratio ([OR], 2.17; 95% confidence interval [CI], 1.23 to 3.83) of suffering from diabetic nephropathy. The corresponding OR (95% CI) for former smokers was 1.26 (0.70 to 2.29). Conclusions: Smoking after diagnosis of diabetes is significantly associated with the presence of diabetic nephropathy in the Korean male population.http://www.jpmph.org/upload/pdf/jpmph-49-2-108.pdfDiabetes mellitusDiabetic nephropathiesSmokingDiagnosis |
| spellingShingle | Hyungseon Yeom Jung Hyun Lee Hyeon Chang Kim Il Suh The Association Between Smoking Tobacco After a Diagnosis of Diabetes and the Prevalence of Diabetic Nephropathy in the Korean Male Population Journal of Preventive Medicine and Public Health Diabetes mellitus Diabetic nephropathies Smoking Diagnosis |
| title | The Association Between Smoking Tobacco After a Diagnosis of Diabetes and the Prevalence of Diabetic Nephropathy in the Korean Male Population |
| title_full | The Association Between Smoking Tobacco After a Diagnosis of Diabetes and the Prevalence of Diabetic Nephropathy in the Korean Male Population |
| title_fullStr | The Association Between Smoking Tobacco After a Diagnosis of Diabetes and the Prevalence of Diabetic Nephropathy in the Korean Male Population |
| title_full_unstemmed | The Association Between Smoking Tobacco After a Diagnosis of Diabetes and the Prevalence of Diabetic Nephropathy in the Korean Male Population |
| title_short | The Association Between Smoking Tobacco After a Diagnosis of Diabetes and the Prevalence of Diabetic Nephropathy in the Korean Male Population |
| title_sort | association between smoking tobacco after a diagnosis of diabetes and the prevalence of diabetic nephropathy in the korean male population |
| topic | Diabetes mellitus Diabetic nephropathies Smoking Diagnosis |
| url | http://www.jpmph.org/upload/pdf/jpmph-49-2-108.pdf |
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