Linking lifestyle factors and insulin resistance, based on fasting plasma insulin and HOMA-IR in middle-aged Japanese men: a cross-sectional study.
OBJECTIVE
Insulin resistance (IR) is regarded as one of the earliest features of many metabolic diseases, and major efforts are aimed at improving insulin function to confront this issue. The aim of this study was to investigate the relationship of body mass index (BMI), cigarette smoking, alcohol intake, physical activity, green tea and coffee consumption to IR.


METHODS
We performed a cross-sectional study of 1542 male self defense officials. IR was defined as the highest quartile of the fasting plasma insulin (≥ 50 pmol/L) or the homeostasis model assessment-estimated IR (HOMA-IR ≥ 1.81). An unconditional logistic model was used to estimate the odds ratio (OR) and 95% confidence interval (CI) for the association between IR and influential factors. Stratified analysis by obesity status (BMI < 25 kg/m(2), non-obese; ≥ 25 kg/m(2), obese) was performed.


RESULTS
IR was significantly positively related to BMI and glucose tolerance, negatively related to alcohol use. Independent of obesity status, significant trends were observed between IR and alcohol use. Drinking 30 mL or more of ethanol per day reduced IR by less than 40%. Strong physical activity was associated with decreased risk of IR based on fasting plasma insulin only in the obese. Coffee consumption was inversely associated with the risk of IR based on HOMA-IR in the non-obese group.


CONCLUSIONS
Higher coffee consumption may be protective against IR among only the non-obese. Further studies are warranted to examine the effect modification of the obesity status on the coffee-IR association.
Self Defense Forces Fukuoka Hospital , Kasuga, Fukuoka , Japan.
Toshie
T
Otake
Jin
J
Fukumoto
Masao
M
Abe
Shigeki
S
Takemura
Pham Ngoc
PN
Mihn
Tetsuya
T
Mizoue
Chikako
C
Kiyohara
D003430:Cross-Sectional Studies; D005215:Fasting; D006801:Humans; D007328:Insulin / Q000097:blood*; D007333:Insulin Resistance; D007564:Japan; D008019:Life Style; D008297:Male; D008875:Middle Aged
D007328:Insulin
Insulin resistance (IR); alcohol; coffee; fasting plasma insulin; green tea; homeostasis model assessment-estimated insulin resistance (HOMA-IR); lifestyle; obesity; physical activity