PMID- 25532678
OWN - NLM
STAT- MEDLINE
DCOM- 20160204
LR  - 20220129
IS  - 1096-0260 (Electronic)
IS  - 0091-7435 (Linking)
VI  - 71
DP  - 2015 Feb
TI  - Healthy behaviours and 10-year incidence of diabetes: a population cohort study.
PG  - 121-7
LID - S0091-7435(14)00495-2 [pii]
LID - 10.1016/j.ypmed.2014.12.013 [doi]
AB  - OBJECTIVE: To examine the association between meeting behavioural goals and 
      diabetes incidence over 10 years in a large, representative Swedish population. 
      METHODS: Population-based prospective cohort study of 32,120 individuals aged 35 
      to 55 years participating in a health promotion intervention in Vasterbotten 
      County, Sweden (1990 to 2013). Participants underwent an oral glucose tolerance 
      test, clinical measures, and completed diet and activity questionnaires. Poisson 
      regression quantified the association between achieving six behavioural goals at 
      baseline - body mass index (BMI) <25 kg/m(2), moderate physical activity, 
      non-smoker, fat intake <30% of energy, fibre intake >/=15 g/4184 kJ and alcohol 
      intake </=20 g/day - and diabetes incidence over 10 years. RESULTS: Median 
      interquartile range (IQR) follow-up time was 9.9 (0.3) years; 2211 individuals 
      (7%) developed diabetes. Only 4.4% of participants met all 6 goals (n=1245) and 
      compared to these individuals, participants meeting 0/1 goals had a 3.74 times 
      higher diabetes incidence (95% confidence interval (CI)=2.50 to 5.59), adjusting 
      for sex, age, calendar period, education, family history of diabetes, history of 
      myocardial infarction and long-term illness. If everyone achieved at least four 
      behavioural goals, 14.1% (95% CI: 11.7 to 16.5%) of incident diabetes cases might 
      be avoided. CONCLUSION: Interventions promoting the achievement of behavioural 
      goals in the general population could significantly reduce diabetes incidence.
CI  - Copyright (c) 2014. Published by Elsevier Inc.
FAU - Long, G H
AU  - Long GH
AD  - University of Cambridge School of Clinical Medicine, MRC Epidemiology Unit, 
      University of Cambridge, CB2 0QQ, United Kingdom.
FAU - Johansson, I
AU  - Johansson I
AD  - Department of Odontology, Umea University, 901 87 Umea, Sweden.
FAU - Rolandsson, O
AU  - Rolandsson O
AD  - Department of Public Health and Clinical Medicine, Family Medicine, Umea 
      University, 901 87 Umea, Sweden.
FAU - Wennberg, P
AU  - Wennberg P
AD  - Department of Public Health and Clinical Medicine, Family Medicine, Umea 
      University, 901 87 Umea, Sweden.
FAU - Fharm, E
AU  - Fharm E
AD  - Department of Public Health and Clinical Medicine, Family Medicine, Umea 
      University, 901 87 Umea, Sweden.
FAU - Weinehall, L
AU  - Weinehall L
AD  - Department of Public Health and Clinical Medicine, Epidemiology and Global 
      Health, Umea University, 901 87 Umea, Sweden.
FAU - Griffin, S J
AU  - Griffin SJ
AD  - University of Cambridge School of Clinical Medicine, MRC Epidemiology Unit, 
      University of Cambridge, CB2 0QQ, United Kingdom; The Primary Care Unit, 
      Institute of Public Health, Cambridge CB2 0SR, United Kingdom.
FAU - Simmons, R K
AU  - Simmons RK
AD  - University of Cambridge School of Clinical Medicine, MRC Epidemiology Unit, 
      University of Cambridge, CB2 0QQ, United Kingdom.
FAU - Norberg, M
AU  - Norberg M
AD  - Department of Public Health and Clinical Medicine, Epidemiology and Global 
      Health, Umea University, 901 87 Umea, Sweden; Centre for Population Studies, 
      Ageing and Living Conditions Programme, Umea University, 901 87 Umea, Sweden. 
      Electronic address: margareta.norberg@epiph.umu.se.
LA  - eng
GR  - MC_UU_12015/4/MRC_/Medical Research Council/United Kingdom
GR  - MC_U106179474/Medical Research Council/United Kingdom
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
DEP - 20141219
PL  - United States
TA  - Prev Med
JT  - Preventive medicine
JID - 0322116
SB  - IM
MH  - Adult
MH  - Body Mass Index
MH  - Cohort Studies
MH  - Diabetes Mellitus, Type 2/*epidemiology/*prevention & control
MH  - Female
MH  - *Health Behavior
MH  - Humans
MH  - Incidence
MH  - Male
MH  - Middle Aged
MH  - Motor Activity
MH  - Regression Analysis
MH  - Risk Factors
MH  - Smoking/epidemiology
MH  - Surveys and Questionnaires
MH  - Sweden/epidemiology
OTO - NOTNLM
OT  - Health behaviour change
OT  - Healthy lifestyle
OT  - Population health determinants
OT  - Population health promotion
OT  - Population impact
OT  - Type 2 diabetes
EDAT- 2014/12/24 06:00
MHDA- 2016/02/05 06:00
CRDT- 2014/12/24 06:00
PHST- 2014/06/07 00:00 [received]
PHST- 2014/12/10 00:00 [revised]
PHST- 2014/12/12 00:00 [accepted]
PHST- 2014/12/24 06:00 [entrez]
PHST- 2014/12/24 06:00 [pubmed]
PHST- 2016/02/05 06:00 [medline]
AID - S0091-7435(14)00495-2 [pii]
AID - 10.1016/j.ypmed.2014.12.013 [doi]
PST - ppublish
SO  - Prev Med. 2015 Feb;71:121-7. doi: 10.1016/j.ypmed.2014.12.013. Epub 2014 Dec 19.