PMID- 28341960 OWN - NLM STAT- MEDLINE DCOM- 20171226 LR - 20221207 IS - 1432-5233 (Electronic) IS - 0940-5429 (Linking) VI - 54 IP - 6 DP - 2017 Jun TI - Relationship between healthy lifestyle behaviors and cardiovascular risk factors in Chinese patients with type 2 diabetes mellitus: a subanalysis of the CCMR-3B STUDY. PG - 569-579 LID - 10.1007/s00592-017-0981-2 [doi] AB - AIMS: This subanalysis of a cross-sectional, nationwide study was undertaken to assess the relationship between healthy lifestyle behaviors and multiple cardiovascular risk factors among people with type 2 diabetes mellitus (T2DM). METHODS: Data collected from 25,454 participants, including demographics, lifestyle behaviors and cardiovascular risk profiles, were analyzed. Blood pressure control as well as blood glucose and blood lipid (3Bs) levels were measured as multi-risk factors for cardiovascular disease. Healthy lifestyle behaviors included regular exercise, nonsmoking status and no alcohol consumption. The relationship between the healthy lifestyle behavior(s) and control of 3B(s) was calculated. RESULTS: Of the 25,454 eligible participants, 4171 (16.4%) were current smokers, 2011 (7.9%) currently consumed alcohol, and 11,174 (43.9%) did not exercise. In total, 654 (2.6%) reported all three unhealthy lifestyle behaviors. Most participants (71.1%) had received at least a high school education and were more likely to smoke and drink as compared to those with lower education. Unhealthy lifestyle behaviors were commonly found in participants with low atherosclerosis risk, such as non-elderly people and those with an above-college education level. Unhealthy lifestyle is associated with poor 3B control and worse medication adherence. CONCLUSIONS: Unhealthy lifestyles are common in Chinese people with T2DM, especially in people who are non-elderly and above-college educated. Interventions aimed at changing risky lifestyle behaviors are required for improved outcomes for Chinese patients with T2DM. FAU - Huang, Yuxin AU - Huang Y AD - Department of Endocrinology, Huadong Hospital Affiliated to Fudan University, Shanghai, China. FAU - Li, Jihu AU - Li J AD - MSD China Holding Co.Ltd., #1582 Gumei Road, Shanghai, 200233, People's Republic of China. FAU - Zhu, Xiaolin AU - Zhu X AD - Takeda Pharmaceutical China, 1717 East Nanjing road, Shanghai, 200040, People's Republic of China. FAU - Sun, Jiao AU - Sun J AD - Department of Endocrinology, Huadong Hospital Affiliated to Fudan University, Shanghai, China. sunjiao6972@aliyun.com. FAU - Ji, Linong AU - Ji L AD - Department of Endocrinology and Metabolism, Peking University People's Hospital, Beijing, China. FAU - Hu, Dayi AU - Hu D AD - Department of Cardiology, Peking University People's Hospital, Beijing, China. FAU - Pan, Changyu AU - Pan C AD - Department of Endocrinology, Beijing 301 Military General Hospital, Beijing, China. FAU - Tan, Wen AU - Tan W AD - Department of Endocrinology, Huadong Hospital Affiliated to Fudan University, Shanghai, China. FAU - Jiang, Suyuan AU - Jiang S AD - Department of Endocrinology, Huadong Hospital Affiliated to Fudan University, Shanghai, China. FAU - Tao, Xiaoming AU - Tao X AD - Department of Endocrinology, Huadong Hospital Affiliated to Fudan University, Shanghai, China. CN - CCMR-3B STUDY Investigators LA - eng PT - Journal Article PT - Multicenter Study PT - Observational Study DEP - 20170325 PL - Germany TA - Acta Diabetol JT - Acta diabetologica JID - 9200299 RN - 0 (Blood Glucose) RN - 0 (Lipids) SB - IM MH - Aged MH - Alcohol Drinking/adverse effects/epidemiology MH - Asian People/statistics & numerical data MH - Blood Glucose/analysis MH - Blood Pressure MH - Cardiovascular Diseases/*epidemiology/etiology MH - China/epidemiology MH - Cross-Sectional Studies MH - Diabetes Mellitus, Type 2/blood/complications/*epidemiology/physiopathology MH - Exercise/physiology MH - Female MH - Healthy Lifestyle/*physiology MH - Humans MH - Lipids/blood MH - Male MH - Middle Aged MH - Risk Factors MH - Smoking/adverse effects/epidemiology OTO - NOTNLM OT - Blood glucose OT - Blood lipids OT - Blood pressure OT - Cardiovascular risk OT - Health behaviors EDAT- 2017/03/28 06:00 MHDA- 2017/12/27 06:00 CRDT- 2017/03/26 06:00 PHST- 2016/11/28 00:00 [received] PHST- 2017/03/06 00:00 [accepted] PHST- 2017/03/28 06:00 [pubmed] PHST- 2017/12/27 06:00 [medline] PHST- 2017/03/26 06:00 [entrez] AID - 10.1007/s00592-017-0981-2 [pii] AID - 10.1007/s00592-017-0981-2 [doi] PST - ppublish SO - Acta Diabetol. 2017 Jun;54(6):569-579. doi: 10.1007/s00592-017-0981-2. Epub 2017 Mar 25.