PMID- 25770760
OWN - NLM
STAT- MEDLINE
DCOM- 20160106
LR  - 20150420
IS  - 1590-3729 (Electronic)
IS  - 0939-4753 (Linking)
VI  - 25
IP  - 5
DP  - 2015 May
TI  - In adult patients with type 1 diabetes healthy lifestyle associates with a better 
      cardiometabolic profile.
PG  - 444-51
LID - S0939-4753(15)00020-4 [pii]
LID - 10.1016/j.numecd.2015.01.004 [doi]
AB  - BACKGROUND/AIMS: Little is known about lifestyle habits of adults with type 1 
      diabetes (T1D) and their association with cardiometabolic risk (CMR) factors. The 
      aims of the present study were to determine the prevalence of adults with T1D who 
      adopted a healthy lifestyle and to explore the association between a healthy 
      lifestyle and the cardiometabolic profile. METHODS AND RESULTS: This is a 
      cross-sectional analysis of 115 adults with T1D. Participants wore a motion 
      sensor and completed a 3-day food record. The following CMR factors were 
      assessed: body mass index, waist circumference, body composition (iDXA), glycated 
      hemoglobin, lipids and blood pressure. Insulin resistance was estimated 
      (estimated glucose disposal rate). Participants were classified according to the 
      number of healthy lifestyle habits adopted (ranging from 0 to 3): regular 
      physical activity (physical activity level >/=1.7), good diet quality (Canadian 
      Healthy Eating Index score >80) and none-smoking status. The proportion of 
      participants who adopted 3, 2, 1 or 0 lifestyle habits were 11%, 30%, 37%, and 
      23%, respectively. As the number of healthy lifestyle habits adopted increased, 
      participants had significantly lower body mass index, waist circumference, body 
      fat, total cholesterol, non-HDL-cholesterol, triglycerides and systolic blood 
      pressure (p < 0.05). In addition, a trend for lower estimated insulin resistance 
      was observed (p = 0.06). For each increase of one healthy lifestyle habit, body 
      mass index decreased by 1.9 kg/m(2), waist circumference by 4.0 cm for men and 
      4.8 cm for women and trunk fat by 3.6% for men and 4.1% for women. CONCLUSIONS: 
      These results suggest the importance of a healthy lifestyle among adults with T1D 
      in order to control CMR factors.
CI  - Copyright (c) 2015 Elsevier B.V. All rights reserved.
FAU - Leroux, C
AU  - Leroux C
AD  - Institut de Recherches Cliniques de Montreal (IRCM), Montreal, Quebec, Canada; 
      Department of Nutrition, Universite de Montreal, Montreal, Quebec, Canada.
FAU - Gingras, V
AU  - Gingras V
AD  - Institut de Recherches Cliniques de Montreal (IRCM), Montreal, Quebec, Canada; 
      Department of Nutrition, Universite de Montreal, Montreal, Quebec, Canada.
FAU - Desjardins, K
AU  - Desjardins K
AD  - Institut de Recherches Cliniques de Montreal (IRCM), Montreal, Quebec, Canada; 
      Department of Nutrition, Universite de Montreal, Montreal, Quebec, Canada.
FAU - Brazeau, A-S
AU  - Brazeau AS
AD  - Institut de Recherches Cliniques de Montreal (IRCM), Montreal, Quebec, Canada.
FAU - Ott-Braschi, S
AU  - Ott-Braschi S
AD  - Institut de Recherches Cliniques de Montreal (IRCM), Montreal, Quebec, Canada; 
      Division of Endocrinology, Department of Medicine of the Universite de Montreal 
      Hospital Center (CHUM), Montreal, Quebec, Canada.
FAU - Strychar, I
AU  - Strychar I
AD  - Institut de Recherches Cliniques de Montreal (IRCM), Montreal, Quebec, Canada; 
      Department of Nutrition, Universite de Montreal, Montreal, Quebec, Canada; 
      Montreal Diabetes Research Center (MDRC), Montreal, Quebec, Canada.
FAU - Rabasa-Lhoret, R
AU  - Rabasa-Lhoret R
AD  - Institut de Recherches Cliniques de Montreal (IRCM), Montreal, Quebec, Canada; 
      Department of Nutrition, Universite de Montreal, Montreal, Quebec, Canada; 
      Montreal Diabetes Research Center (MDRC), Montreal, Quebec, Canada; Division of 
      Endocrinology, Department of Medicine of the Universite de Montreal Hospital 
      Center (CHUM), Montreal, Quebec, Canada. Electronic address: 
      remi.rabasa-lhoret@ircm.qc.ca.
LA  - eng
PT  - Journal Article
PT  - Observational Study
PT  - Research Support, Non-U.S. Gov't
DEP - 20150128
PL  - Netherlands
TA  - Nutr Metab Cardiovasc Dis
JT  - Nutrition, metabolism, and cardiovascular diseases : NMCD
JID - 9111474
SB  - IM
MH  - Adult
MH  - Body Mass Index
MH  - Cardiovascular Diseases/complications/epidemiology/*prevention & control
MH  - Cohort Studies
MH  - Combined Modality Therapy
MH  - Cross-Sectional Studies
MH  - Diabetes Complications/epidemiology/*prevention & control
MH  - Diabetes Mellitus, Type 1/complications/diet therapy/metabolism/*therapy
MH  - Diet, Diabetic
MH  - Female
MH  - *Health Promotion
MH  - Hospitals, University
MH  - Humans
MH  - *Life Style
MH  - Male
MH  - Middle Aged
MH  - Motor Activity
MH  - Overweight/complications/epidemiology/*prevention & control
MH  - *Patient Compliance
MH  - Quebec/epidemiology
MH  - Risk Factors
MH  - Young Adult
OTO - NOTNLM
OT  - Cardiometabolic profile
OT  - Healthy lifestyle
OT  - Nutrition
OT  - Physical activity
OT  - Smoking
OT  - Type 1 diabetes
EDAT- 2015/03/17 06:00
MHDA- 2016/01/07 06:00
CRDT- 2015/03/16 06:00
PHST- 2014/05/03 00:00 [received]
PHST- 2015/01/15 00:00 [revised]
PHST- 2015/01/18 00:00 [accepted]
PHST- 2015/03/16 06:00 [entrez]
PHST- 2015/03/17 06:00 [pubmed]
PHST- 2016/01/07 06:00 [medline]
AID - S0939-4753(15)00020-4 [pii]
AID - 10.1016/j.numecd.2015.01.004 [doi]
PST - ppublish
SO  - Nutr Metab Cardiovasc Dis. 2015 May;25(5):444-51. doi: 
      10.1016/j.numecd.2015.01.004. Epub 2015 Jan 28.