{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,22]],"date-time":"2025-10-22T02:55:54Z","timestamp":1761101754909},"reference-count":33,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2005,12,16]],"date-time":"2005-12-16T00:00:00Z","timestamp":1134691200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["American J Industrial Med"],"published-print":{"date-parts":[[2006,1]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Policemen\/firefighters may have increased risk for mortality from ischemic heart disease and from all causes. We compare incidence of type\u20102 diabetes mellitus (DM), a well\u2010known predictor for mortality, in policemen\/firefighters with that in two other worker\u2010groups.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A follow\u2010up study of 5,130 healthy Japanese men aged 30\u201349 years at baseline consisted of three worker\u2010groups; 3,111 clerical workers, 1,122 manual\/production and transport\/communication workers, and 897 policemen\/firefighters. Incident DM was identified by \u201cfasting serum glucose \u22657.00 mmol\/L\u201d or\/and \u201cunder medical treatment for DM.\u201d Hazard ratio (HR) and 95% confidence interval (95% CI) for incident DM was estimated by Cox's proportional hazard models using clerical workers as a reference group (HR\u2009=\u20091.00). Baseline age, body mass index (BMI, kg\/m<jats:sup>2<\/jats:sup>), drinking, smoking, exercise, and education were computed as confounders.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>During mean follow\u2010up periods of 8.4 years, 155 clerical workers, 51 manual\/production and transport\/communication workers, and 74 policemen\/firefighters had incident DM (5.9, 5.7, and 9.6 per 1,000 person\u2010years, respectively; <jats:italic>P<\/jats:italic>\u2009=\u20090.001 by \u03c7<jats:sup>2<\/jats:sup>\u2010test). Policemen\/firefighters had significantly increased risk for incident DM against clerical workers (age\u2010adjusted HR (95% CI): 1.65 (1.25, 2.18)), but the significance disappeared after adjustments for BMI (age\u2010 and BMI\u2010adjusted HR (95% CI): 1.16 (0.87, 1.54)). Manual\/production and transport\/communication workers had no increased risk.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Policemen\/firefighters have increased risk for DM probably due to their large BMI. Body weight control may be more efficient for prevention of DM and DM\u2010related health problems in policemen\/firefighters than in other workers. Am. J. Ind. Med. 49:30\u201335, 2006. \u00a9 2005 Wiley\u2010Liss, Inc.<\/jats:p><\/jats:sec>","DOI":"10.1002\/ajim.20238","type":"journal-article","created":{"date-parts":[[2005,12,16]],"date-time":"2005-12-16T18:46:58Z","timestamp":1134758818000},"page":"30-35","source":"Crossref","is-referenced-by-count":20,"title":["Policemen and firefighters have increased risk for type\u20102 diabetes mellitus probably due to their large body mass index: A follow\u2010up study in Japanese 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