文档介绍：Preventive Medicine
February 2015, :121–127, doi:.
Open Access, mons license
Healthy behaviours and 10-year incidence of diabetes: A population cohort study
. LongI. JohanssonO. RolandssonP. WennbergE. FhärmL. . . SimmonsM. Norberg
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Highlights
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The proportion meeting key behavioural goals in a large representative population was examined.
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Long-term diabetes incidence was inversely associated with meeting key behavioural goals.
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Having a normal BMI, not using o, and being active were associated with reduced diabetes risk.
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Promoting behavioural goal achievement in the general population could reduce diabetes incidence.
Abstract
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 Västerbotten County, Sweden (1990 to 2013). Participants underwent an oral glucose tolerance test, clinical measures, pleted diet and activity questionnaires. Poisson regression quantified the association between achieving six behavioural goals at baseline – body mass index (BMI) < 25 kg/m2, 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 () years; 2211 individuals (7%) developed diabetes. Only % of participants met all 6 goals (n = 1245) pared to these individuals, participants meeting 0/1 goals had a times higher diabetes incidence (95% confidence interval (CI) = to ), 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,