title: Alcohol intake and 19-year mortality in diabetic men: NIPPON DATA80.
abstract: Although moderate alcohol intake in diabetic Caucasians is associated with a reduction in coronary heart disease mortality, no study in Japanese with diabetes has examined the association between alcohol intake and mortality outcomes. We analyzed the relationship between alcohol intake and all-cause and cause-specific mortality using the database from NIPPON DATA80. At the baseline in 1980, data on history, lifestyle, and physical examinations were collected on study participants aged 30 years and older from randomly selected areas in Japan. After excluding participants with comorbidities, we followed 4,018 male participants (3,614 nondiabetics, 195 with impaired glucose tolerance and 209 diabetic) for 19 years. During the 19 years of follow-up, there were 990 deaths; 328 were from cardiovascular disease and 157 from all-heart diseases. With the never-drinking category serving as a reference, the Cox multivariate-adjusted hazard ratios for non-daily and daily drinkers for cardiovascular mortality were 0.43 (95% confidence intervals: 0.19-0.95) and 0.45 (0.25-0.80), respectively, and 0.33 (0.12-0.91) and 0.31 (0.15-0.67) for all-heart disease mortality in the combined impaired glucose tolerance and diabetic Japanese men. Alcohol drinking in men with glucose intolerance was associated with a significant reduction in cardiovascular and all-heart disease mortality as seen in the general population in Japan.
authors.affiliation: Cardiovascular Epidemiology, Kyoto Women's University, 35 Imakumano Kitahiyoshi-cho, Higashiyama-ku, Kyoto, Japan. nakamury@kyoto-wu.ac.jp
authors.forename: Yasuyuki
authors.initials: Y
authors.lastname: Nakamura
authors.forename: Hirotsugu
authors.initials: H
authors.lastname: Ueshima
authors.forename: Aya
authors.initials: A
authors.lastname: Kadota
authors.forename: Atsushi
authors.initials: A
authors.lastname: Hozawa
authors.forename: Tomonori
authors.initials: T
authors.lastname: Okamura
authors.forename: Sayaka
authors.initials: S
authors.lastname: Kadowaki
authors.forename: Takashi
authors.initials: T
authors.lastname: Kadowaki
authors.forename: Takehito
authors.initials: T
authors.lastname: Hayakawa
authors.forename: Yoshikuni
authors.initials: Y
authors.lastname: Kita
authors.forename: Robert D
authors.initials: RD
authors.lastname: Abbott
authors.forename: Akira
authors.initials: A
authors.lastname: Okayama
mesh_terms: D000328:Adult; D000368:Aged; D000428:Alcohol Drinking / Q000401:mortality*; D015331:Cohort Studies; D003920:Diabetes Mellitus / Q000401:mortality*; D018149:Glucose Intolerance / Q000401:mortality; D006801:Humans; D008297:Male; D008875:Middle Aged