PMID- 36225875 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20221014 IS - 2296-861X (Print) IS - 2296-861X (Electronic) IS - 2296-861X (Linking) VI - 9 DP - 2022 TI - Association of healthy lifestyles on the risk of hypertension, type 2 diabetes mellitus, and their comorbidity among subjects with dyslipidemia. PG - 1006379 LID - 10.3389/fnut.2022.1006379 [doi] LID - 1006379 AB - BACKGROUND: Adherence to a healthy lifestyle could reduce the risk of hypertension and diabetes in general populations; however, whether the associations exist in subjects with dyslipidemia remains unclear. This study aimed to investigate the integrated effect of lifestyle factors on the risk of hypertension, type 2 diabetes mellitus (T2DM), and their comorbidity among subjects with dyslipidemia. METHODS: In total of 9,339 subjects with dyslipidemia were recruited from the baseline survey of the Guangzhou Heart Study. A questionnaire survey and medical examination were performed. The healthy lifestyle score (HLS) was derived from five factors: smoking, alcohol drinking, diet, body mass index, and leisure-time physical activity. Odds ratios (ORs) with 95% confidence interval (95% CI) were calculated by using the logistic regression model and the multinomial logistic regression after adjusting for confounders. RESULTS: The prevalence of hypertension, T2DM, and their comorbidity was 47.65, 16.02, and 10.10%, respectively. Subjects with a higher HLS were associated with a lower risk of hypertension, T2DM, and their comorbidity. In comparison to the subjects with 0-2 HLS, the adjusted ORs for subjects with five HLS was 0.48 (95% CI: 0.40-0.57) and 0.67 (95% CI: 0.54-0.84) for hypertension and T2DM. Compared with subjects with 0-2 HLS and neither hypertension nor T2DM, those with five HLS had a lower risk of suffering from only one disease (OR: 0.48, 95% CI: 0.40-0.57) and their comorbidity (OR: 0.35, 95% CI: 0.26-0.47). CONCLUSIONS: The results suggest that the more kinds of healthy lifestyle, the lower the risk of hypertension, T2DM, and their comorbidity among subjects with dyslipidemia. Preventive strategies incorporating lifestyle factors may provide a more feasible approach for the prevention of main chronic diseases. CI - Copyright (c) 2022 Hu, Zheng, Duan, Zhou, Huang, Lao, Zhao, Li, Xue, Zhao, Deng and Liu. FAU - Hu, Peng AU - Hu P AD - School of Public Health, Guangdong Pharmaceutical University, Guangzhou, China. AD - Department of Epidemiology, School of Public Health, Sun Yat-sen University, Guangzhou, China. FAU - Zheng, Murui AU - Zheng M AD - Department of Community Health, Guangzhou Center for Disease Control and Prevention, Guangzhou, China. FAU - Duan, Xueru AU - Duan X AD - Department of Epidemiology, School of Public Health, Sun Yat-sen University, Guangzhou, China. FAU - Zhou, Huanning AU - Zhou H AD - Department of Chronic Disease, Guangzhou Yuexiu District Center for Disease Control and Prevention, Guangzhou, China. FAU - Huang, Jun AU - Huang J AD - Department of Geriatrics, Institute of Geriatrics, Guangdong Provincial People's Hospital, Guangdong Academy of Medical Science, Guangzhou, China. FAU - Lao, Lixian AU - Lao L AD - Department of Cardiology, Guangdong Cardiovascular Institute, Guangdong Provincial People's Hospital, Guangdong Academy of Medical Science, Guangzhou, China. FAU - Zhao, Yue AU - Zhao Y AD - Department of Epidemiology, School of Public Health, Sun Yat-sen University, Guangzhou, China. FAU - Li, Yi AU - Li Y AD - Department of Epidemiology, School of Public Health, Sun Yat-sen University, Guangzhou, China. FAU - Xue, Meng AU - Xue M AD - Department of Epidemiology, School of Public Health, Sun Yat-sen University, Guangzhou, China. FAU - Zhao, Wenjing AU - Zhao W AD - School of Public Health and Emergency Management, Southern University of Science and Technology, Shenzhen, China. FAU - Deng, Hai AU - Deng H AD - Department of Cardiology, Guangdong Cardiovascular Institute, Guangdong Provincial People's Hospital, Guangdong Academy of Medical Science, Guangzhou, China. FAU - Liu, Xudong AU - Liu X AD - School of Public Health, Guangdong Pharmaceutical University, Guangzhou, China. LA - eng PT - Journal Article DEP - 20220926 PL - Switzerland TA - Front Nutr JT - Frontiers in nutrition JID - 101642264 PMC - PMC9550234 OTO - NOTNLM OT - comorbidity OT - diabetes OT - hypertension OT - lifestyle OT - subjects with dyslipidemia COIS- The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest. EDAT- 2022/10/14 06:00 MHDA- 2022/10/14 06:01 PMCR- 2022/01/01 CRDT- 2022/10/13 02:40 PHST- 2022/07/29 00:00 [received] PHST- 2022/09/09 00:00 [accepted] PHST- 2022/10/13 02:40 [entrez] PHST- 2022/10/14 06:00 [pubmed] PHST- 2022/10/14 06:01 [medline] PHST- 2022/01/01 00:00 [pmc-release] AID - 10.3389/fnut.2022.1006379 [doi] PST - epublish SO - Front Nutr. 2022 Sep 26;9:1006379. doi: 10.3389/fnut.2022.1006379. eCollection 2022.