Type 2 & other diabetes

Alcohol Intake, Drinking Pattern, and Risk of Type 2 Diabetes in Three Prospective Cohorts of U.S. Women and Men

Diabetes CarePublished Prospective cohort study

Authors' conclusion

Light to moderate alcohol consumption, especially regular light drinking, was associated with a lower risk of T2D in both men and women.

Study context

Population
US women and men in the Nurses' Health Study, Nurses' Health Study II and Health Professionals Follow-up Study; former regular drinkers excluded from baseline nondrinkers20,551 T2D cases
Participants
200,969 women
Exposure
Alcohol intake and drinking frequency vs nondrinkers or lower intake/frequency
Outcome
Incident T2D
Follow-up
Over 3 decades
Methodological detailsthree cohorts (Nurses' Health Study (NHS), NHSII, HPFS), Cox models
  • Three cohorts (NHS, NHSII, HPFS)
  • Cox models

Main finding

As reported in the abstract

T2D risk by drinking frequency
5-6 days vs 1-2 days per weekHazard ratio (95% CI)
NHS
0.73(0.65–0.83)
NHSII
0.73(0.62–0.86)
HPFS
0.76(0.67–0.86)

Observational data: associations, not effects.

Further findings

Joint modelling of frequency and amount

Lower T2D risk among drinkers primarily driven by drinking frequency
Inverse association began at 1-2 days/week in women and 3-4 days/week in men; strongest for ≥5 days/week, regardless of <10 g or ≥30 g per drinking day

Sensitivity analyses

Association robust to extended latency periods and alternative modelling of exposure

Original publication

Alcohol Intake, Drinking Pattern, and Risk of Type 2 Diabetes in Three Prospective Cohorts of U.S. Women and Men. Diabetes Care. Published 18 February 2025. doi:10.2337/dc24-1902

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