Lifestyle is associated with atrial fibrillation development in patients with type 2 diabetes mellitus

Abstract We evaluated the impacts of lifestyle behaviors, namely smoking, alcohol consumption, and physical activity, on the development of new-onset AF in patients with DM. Using the Korean Nationwide database, we identified subjects diagnosed with type 2 DM and without previous history of AF betwe...

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Autores principales:	Chan Soon Park, Kyung-Do Han, Eue-Keun Choi, Da Hye Kim, Hyun-Jung Lee, So-Ryoung Lee, Seil Oh
Formato:	article
Lenguaje:	EN
Publicado:	Nature Portfolio 2021
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/0cfda161f8b94628857a235b64c6215c
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spelling	oai:doaj.org-article:0cfda161f8b94628857a235b64c6215c2021-12-02T13:33:45ZLifestyle is associated with atrial fibrillation development in patients with type 2 diabetes mellitus10.1038/s41598-021-84307-52045-2322https://doaj.org/article/0cfda161f8b94628857a235b64c6215c2021-02-01T00:00:00Zhttps://doi.org/10.1038/s41598-021-84307-5https://doaj.org/toc/2045-2322Abstract We evaluated the impacts of lifestyle behaviors, namely smoking, alcohol consumption, and physical activity, on the development of new-onset AF in patients with DM. Using the Korean Nationwide database, we identified subjects diagnosed with type 2 DM and without previous history of AF between 2009 and 2012. Self-reported lifestyle behaviors were analyzed. Among 2,551,036 included subjects, AF was newly diagnosed in 73,988 patients (median follow-up 7.1 years). Both ex-smokers (hazard ratio [HR] 1.05, 95% confidence interval [CI] 1.02–1.07) and current smokers (HR 1.06, 95% CI 1.03–1.08) demonstrated a higher risk of AF than never smokers. Patients with moderate (15–29 g/day) (HR 1.12, 95% CI 1.09–1.15) and heavy (≥ 30 g/day) (HR 1.24, 95% CI 1.21–1.28) alcohol consumption exhibited an increased risk of AF, while subjects with mild alcohol consumption (< 15 g/day) (HR 1.01, 95% CI 0.99–1.03) had an AF risk similar to that of non-drinkers. Patients who engaged in moderate-to-vigorous physical activity showed a lower risk of AF (HR 0.93, 95% CI 0.91–0.94) than those who did not. This study suggests that smoking, alcohol consumption, and physical activity are associated with new-onset AF in patients with DM, and lifestyle management might reduce the risk of AF in this population.Chan Soon ParkKyung-Do HanEue-Keun ChoiDa Hye KimHyun-Jung LeeSo-Ryoung LeeSeil OhNature PortfolioarticleMedicineRScienceQENScientific Reports, Vol 11, Iss 1, Pp 1-10 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Chan Soon Park Kyung-Do Han Eue-Keun Choi Da Hye Kim Hyun-Jung Lee So-Ryoung Lee Seil Oh Lifestyle is associated with atrial fibrillation development in patients with type 2 diabetes mellitus
description	Abstract We evaluated the impacts of lifestyle behaviors, namely smoking, alcohol consumption, and physical activity, on the development of new-onset AF in patients with DM. Using the Korean Nationwide database, we identified subjects diagnosed with type 2 DM and without previous history of AF between 2009 and 2012. Self-reported lifestyle behaviors were analyzed. Among 2,551,036 included subjects, AF was newly diagnosed in 73,988 patients (median follow-up 7.1 years). Both ex-smokers (hazard ratio [HR] 1.05, 95% confidence interval [CI] 1.02–1.07) and current smokers (HR 1.06, 95% CI 1.03–1.08) demonstrated a higher risk of AF than never smokers. Patients with moderate (15–29 g/day) (HR 1.12, 95% CI 1.09–1.15) and heavy (≥ 30 g/day) (HR 1.24, 95% CI 1.21–1.28) alcohol consumption exhibited an increased risk of AF, while subjects with mild alcohol consumption (< 15 g/day) (HR 1.01, 95% CI 0.99–1.03) had an AF risk similar to that of non-drinkers. Patients who engaged in moderate-to-vigorous physical activity showed a lower risk of AF (HR 0.93, 95% CI 0.91–0.94) than those who did not. This study suggests that smoking, alcohol consumption, and physical activity are associated with new-onset AF in patients with DM, and lifestyle management might reduce the risk of AF in this population.
format	article
author	Chan Soon Park Kyung-Do Han Eue-Keun Choi Da Hye Kim Hyun-Jung Lee So-Ryoung Lee Seil Oh
author_facet	Chan Soon Park Kyung-Do Han Eue-Keun Choi Da Hye Kim Hyun-Jung Lee So-Ryoung Lee Seil Oh
author_sort	Chan Soon Park
title	Lifestyle is associated with atrial fibrillation development in patients with type 2 diabetes mellitus
title_short	Lifestyle is associated with atrial fibrillation development in patients with type 2 diabetes mellitus
title_full	Lifestyle is associated with atrial fibrillation development in patients with type 2 diabetes mellitus
title_fullStr	Lifestyle is associated with atrial fibrillation development in patients with type 2 diabetes mellitus
title_full_unstemmed	Lifestyle is associated with atrial fibrillation development in patients with type 2 diabetes mellitus
title_sort	lifestyle is associated with atrial fibrillation development in patients with type 2 diabetes mellitus
publisher	Nature Portfolio
publishDate	2021
url	https://doaj.org/article/0cfda161f8b94628857a235b64c6215c
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Lifestyle is associated with atrial fibrillation development in patients with type 2 diabetes mellitus

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