Impact of smoking on diabetes complications: a secondary analysis of the Korean National Health Insurance Service-health screening cohort (2002- 2019).
Purpose: This study aimed to examine the effects of smoking on the incidence of macrovascular and microvascular complications in patients with type 2 diabetes. Methods: We analyzed 35,804 patients diagnosed with type 2 diabetes between 2004 and 2017 using the Korean National Health Insurance Service...
| Publicado en: | Journal of Korean Academy of Nursing Vol. 55; no. 2; pp. 222 - 236 |
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| Autores principales: | , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Korean Society of Nursing Science
May2025
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=185712889&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 185712889 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 20053673 ATS7 jtl: Journal of Korean Academy of Nursing issn: 20053673 maglogo: N pubinfo: dt: May2025 vid: 55 iid: 2 pid: 42744 pub: Korean Society of Nursing Science place: , <Blank> artinfo: ui: 185712889 185712889 185712889 10.4040/jkan.24109 185712889 ppf: 222 ppct: 14 formats: fmt: @attributes: type: P tig: atl: Impact of smoking on diabetes complications: a secondary analysis of the Korean National Health Insurance Service-health screening cohort (2002- 2019). aug: au: Seonmi Yeom Youngran Yang affil: Research Institute of Nursing Science, College of Nursing, Jeonbuk National University, Jeonju, Korea sug: subj: Vascular Diseases Epidemiology Vascular Diseases Complications Vascular Diseases Risk Factors Diabetes Mellitus, Type 2 Complications Smoking Complications Risk Assessment Insurance, Health South Korea Health Screening Smoking Cessation South Korea Funding Source Human Male Female Adult Middle Age Aged Aged, 80 and Over Secondary Analysis Survival Analysis Cox Proportional Hazards Model Diabetic Neuropathies Diabetic Nephropathies Diabetic Retinopathy Chi Square Test Sex Factors Age Factors Comorbidity Physical Activity Confidence Intervals Data Analysis Software Descriptive Statistics Adult: 19-44 years Middle Aged: 45-64 years Aged: 65+ years Aged, 80 & over Male Female ab: Purpose: This study aimed to examine the effects of smoking on the incidence of macrovascular and microvascular complications in patients with type 2 diabetes. Methods: We analyzed 35,804 patients diagnosed with type 2 diabetes between 2004 and 2017 using the Korean National Health Insurance Service-National Health Screening Cohort (2002-2019). Smoking status was categorized into never, former, and current smokers, with further classification based on duration of smoking and daily smoking amount. We conducted survival analysis using a Cox proportional hazards model. Results: Both former and current smokers had significantly elevated risks of macrovascular complications compared to non-smokers, with hazard ratios (HRs) of 1.60 (95% confidence interval [CI], 1.49- 1.66) and 1.10 (95% CI, 1.08-1.17), respectively. Long-term smokers (over 30 years) had significantly higher risks of both macrovascular (HR, 1.35; 95% CI, 1.29-1.42) and microvascular complications (HR, 1.36; 95% CI, 1.30-1.42). Heavy smokers (over 2 packs/day) had a higher risk of developing macrovascular (HR, 1.46; 95% CI, 1.30-1.64) and microvascular (HR, 1.78; 95% CI, 1.60-1.98) complications than never smokers. Notably, former smokers had increased risks of developing neuropathy (HR, 1.40; 95% CI, 1.31-1.49), nephropathy (HR, 1.27; 95% CI, 1.16-1.39), and retinopathy (HR, 1.49; 95% CI, 1.39-1.60). Conclusion: Patients with type 2 diabetes and a history of smoking are at higher risk of developing macrovascular and microvascular complications. Smoking cessation, along with reducing smoking duration and amount, is crucial for lowering these risks. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: Korean refInfo: holdings: @attributes: islocal: N |
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