Group 1 compared to group 5 also exhibited higher rates of chronic pulmonary disease requiring long-term medication (15.92% vs 9.03%), current smoking prevalence (20.93% vs 6.62%), diabetes management on insulin therapy (10.05% vs 6.10%) and median BMI higher (28.40 vs 27.94, P < 0.001). Here, INS is linked to diabetes mellitus.