Journal of Preventive Medicine and Public Health

The Korean Society for Preventive Medicine (대한예방의학회)
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Smoking Is Associated With Abdominal Obesity, Not Overall Obesity, in Men With Type 2 Diabetes

  • Yun, Ji-Eun (Institute for Health Promotion, Graduate School of Public Health, Yonsei University) ;
  • Kimm, Hee-Jin (Institute for Health Promotion, Graduate School of Public Health, Yonsei University) ;
  • Choi, Young-Ju (Huh's Diabetes Center and The 21st Century Diabetes and Vascular Research Institute) ;
  • Jee, Sun-Ha (Institute for Health Promotion, Graduate School of Public Health, Yonsei University) ;
  • Huh, Kap-Bum (Huh's Diabetes Center and The 21st Century Diabetes and Vascular Research Institute)
  • Received : 2012.02.15
  • Accepted : 2012.08.18
  • Published : 2012.09.29
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Abstract

Objectives: Abdominal obesity increases mortality and morbidity from cardiovascular disease and there is a possibility that smoking effects obesity. However, previous studies concerning the effects of smoking on obesity are inconsistent. The objective of this study was to examine whether smoking is positively related to abdominal obesity in men with type 2 diabetes. Methods: Subjects consisted of 2197 type 2 diabetic patients who visited Huh's Diabetes Center from 2003 to 2009. Indices of abdominal obesity were defined as visceral fat thickness (VFT) measured by ultrasonography and waist circumference (WC). Overall obesity was defined as body mass index (BMI). Results: Statistically significant differences in WC and VFT by smoking status were identified. However, there was no statistical difference in BMI according to smoking status. Means of WC and VFT were not significantly higher in heavy smokers and lower in mild smokers. Compared to nonsmokers, the BMI confounder adjusted odds ratio and 95% confidence interval for VFT in ex-smokers and current-smokers were 1.70 (1.21 to 2.39) and 1.86 (1.27 to 2.73), respectively. Conclusions: Smoking status was positively associated with abdominal obesity in type 2 diabetic patients.

Keywords

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