umu.sePublikationer
Ändra sökning
RefereraExporteraLänk till posten
Permanent länk

Direktlänk
Referera
Referensformat
  • apa
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Annat format
Fler format
Språk
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Annat språk
Fler språk
Utmatningsformat
  • html
  • text
  • asciidoc
  • rtf
Change in lifestyle behaviors and diabetes risk: evidence from a population-based cohort study with 10 year follow-up
MRC Epidemiology Unit, Institute of Metabolic Science, University of Cambridge.
MRC Epidemiology Unit, Institute of Metabolic Science, University of Cambridge.
Umeå universitet, Medicinska fakulteten, Institutionen för odontologi.
Umeå universitet, Medicinska fakulteten, Institutionen för folkhälsa och klinisk medicin, Epidemiologi och global hälsa. (Arcum)ORCID-id: 0000-0003-3025-2690
Visa övriga samt affilieringar
2017 (Engelska)Ingår i: International Journal of Behavioral Nutrition and Physical Activity, ISSN 1479-5868, E-ISSN 1479-5868, Vol. 14, artikel-id 39Artikel i tidskrift (Refereegranskat) Published
Abstract [en]

BACKGROUND: Promoting positive changes in lifestyle behavior in the whole population may be a feasible and effective approach to reducing type 2 diabetes burden, but the impact of population shifts of modifiable risk factors remains unclear. Currently most of the evidence on modifiable lifestyle behavior and type 2 diabetes risk on a population level comes from studies of between-individual differences. The objective of the study was to investigate the association and potential impact on disease burden for within-individual change in lifestyle behavior and diabetes risk.

METHODS: Population-based prospective cohort study of 35,680 participants aged 30-50 at baseline in 1990-2003 in Västerbotten County, Sweden (follow-up until 2013). Five self-reported modifiable lifestyle behaviors (tobacco use, physical activity, alcohol intake, dietary fiber intake and dietary fat intake) were measured at baseline and 10 year follow-up. Lifestyle behaviors were studied separately, and combined in a score. Incident diabetes was detected by oral glucose tolerance tests. Multivariate logistic regression models and population attributable fractions (PAF) were used to analyze the association between change in lifestyle behavior between baseline and 10 year follow-up, and risk of incident diabetes.

RESULTS: Incident diabetes was detected in 1,184 (3.3%) participants at 10 year follow-up. There was a reduced diabetes risk associated with increase in dietary fiber intake, odds ratio (OR) 0.79 (95% confidence interval (CI) 0.66, 0.96) for increase of at least one unit standard deviation (3.0 g/1,000 kcal) of the baseline distribution, PAF 16.0% (95% CI 4.2, 26.4%). Increase in the lifestyle behavior score was associated with reduced diabetes risk, OR 0.92 (95% CI 0.85, 0.99) per unit increase of the score.

CONCLUSIONS: These results support a causal link between lifestyle behavior and type 2 diabetes incidence. A small shift in lifestyle behaviors, in particular intake of dietary fiber, has the potential to reduce diabetes burden in the population and might be a suitable target for public health intervention.

Ort, förlag, år, upplaga, sidor
2017. Vol. 14, artikel-id 39
Nyckelord [en]
Diabetes Mellitus, Epidemiology, Health Behaviour, Life Style, Public Health
Nationell ämneskategori
Folkhälsovetenskap, global hälsa, socialmedicin och epidemiologi Endokrinologi och diabetes
Identifikatorer
URN: urn:nbn:se:umu:diva-133493DOI: 10.1186/s12966-017-0489-8ISI: 000397679700001PubMedID: 28351358OAI: oai:DiVA.org:umu-133493DiVA, id: diva2:1088025
Tillgänglig från: 2017-04-11 Skapad: 2017-04-11 Senast uppdaterad: 2018-06-09Bibliografiskt granskad

Open Access i DiVA

fulltext(916 kB)127 nedladdningar
Filinformation
Filnamn FULLTEXT01.pdfFilstorlek 916 kBChecksumma SHA-512
50a4b8effd1d129365d337cbe329ccc1a78c249a4b4dee740fa3ea0a2e54e4ccffa0e2e282189f351550622b64ffb2fd4a79c9908df07ee48983e3ef9dad9c82
Typ fulltextMimetyp application/pdf

Övriga länkar

Förlagets fulltextPubMed

Personposter BETA

Johansson, IngegerdWeinehall, LarsFhärm, EvaWennberg, PatrikNorberg, MargaretaRolandsson, Olov

Sök vidare i DiVA

Av författaren/redaktören
Johansson, IngegerdWeinehall, LarsFhärm, EvaWennberg, PatrikNorberg, MargaretaRolandsson, Olov
Av organisationen
Institutionen för odontologiEpidemiologi och global hälsaAllmänmedicin
I samma tidskrift
International Journal of Behavioral Nutrition and Physical Activity
Folkhälsovetenskap, global hälsa, socialmedicin och epidemiologiEndokrinologi och diabetes

Sök vidare utanför DiVA

GoogleGoogle Scholar
Totalt: 127 nedladdningar
Antalet nedladdningar är summan av nedladdningar för alla fulltexter. Det kan inkludera t.ex tidigare versioner som nu inte längre är tillgängliga.

doi
pubmed
urn-nbn

Altmetricpoäng

doi
pubmed
urn-nbn
Totalt: 579 träffar
RefereraExporteraLänk till posten
Permanent länk

Direktlänk
Referera
Referensformat
  • apa
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Annat format
Fler format
Språk
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Annat språk
Fler språk
Utmatningsformat
  • html
  • text
  • asciidoc
  • rtf