Adherence to healthy lifestyle behaviors as a preventable risk factor for severe hypoglycemia in people with type 2 diabetes: A longitudinal nationwide cohort study

Yun, Jae‐Seung; Han, Kyungdo; Park, Young Jun; Han, Eugene; Lee, Yong-Ho; Ko, Seung‐Hyun

doi:10.1111/jdi.13818

Cited by 4 publications

(3 citation statements)

References 45 publications

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“…Meanwhile, smoking, drinking, sleep patterns, and sedentary behavior were also significantly associated with various dimensions of a health-promoting lifestyle. Numerous studies have demonstrated that adopting healthy behaviors can prolong lifespan ( 5 ) and maintain overall health ( 50 ). In contrast, unhealthy behaviors, such as smoking, drinking, insufficient exercise, and inadequate sleep are significantly correlated with metabolic syndrome and can therefore impact health ( 50 ).…”

Section: Discussionmentioning

confidence: 99%

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Socioecological influencers of health-promoting lifestyles in Chinese: a preliminary survey using convenient samples

Huang,

Li,

Liu

et al. 2024

Front. Public Health

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BackgroundHealthy lifestyles are considered important means to reduce the burden of diseases. This cross-sectional study was conducted based on the Ecological Model of Health Behavior (EMHB) to analyze the factors associated with the health-promoting lifestyles of Chinese residents.MethodsWe carried out a cross-sectional investigation in July 2023. Our investigated factors included social-demographic characteristics (including sex, age, education level, employment status, marital status, personal monthly income, and daily behavioral habits [which were measured by a questionnaire)], health literacy [which was measured by the Chinese version of the Health Literacy Scale Short-Form scale (HLS-SF12)], and family health [which was measured by the Chinese version of the Short-Form of the Family Health Scale (FHS-SF)]. Our outcome was health promoting lifestyle, which was measured by a revised version of Health Promoting Lifestyle Profile-II (HPLP-IIR). Data were analyzed using stepwise regression.ResultsA total of 1,402 participants were enrolled. Higher scores of HLS-SF12 (β = 0.467), having regular exercise (β = 0.212), and regular physical examination (β = 0.088) were associated with better health-prompting lifestyles. However, older age (≥60 years) (β = −0.046), drinking (β = −0.066), and sleeping time (5–6 h/day) (β = −0.048) were associated lower levels of health-prompting lifestyles. Living with family (β = 0.077), FHS-SF (β = 0.104), and married (β = −0.077) were significant influencers. Unemployed (β = −0.048), receiving retirement pay (β = −0.053), and economic support provided by parents (β = 0.094) were associated with better health-prompting lifestyles. There were multiple influencing factors of the six dimensions of the HPLP-IIR. Our findings indicate that community residents with higher health literacy, better family health, and health-related behaviors tend to have better health-promoting lifestyles.ConclusionOur findings have confirmed the complex impacts of social-ecological factors on health-promoting lifestyles, which may help policy makers with health-promotion strategies making and also help researchers to control for confounding in study design.

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Section: Discussionmentioning

confidence: 99%

“…Numerous studies have demonstrated that adopting healthy behaviors can prolong lifespan ( 5 ) and maintain overall health ( 50 ). In contrast, unhealthy behaviors, such as smoking, drinking, insufficient exercise, and inadequate sleep are significantly correlated with metabolic syndrome and can therefore impact health ( 50 ).…”

Section: Discussionmentioning

confidence: 99%

Socioecological influencers of health-promoting lifestyles in Chinese: a preliminary survey using convenient samples

Huang,

Li,

Liu

et al. 2024

Front. Public Health

View full text Add to dashboard Cite

show abstract

“…Current smokers and those with high-risk alcohol intake were approximately half of the older DM population. However, 20% of older men are still current smokers and heavy alcohol drinkers; therefore, reinforcement education and intensive lifestyle modification should be emphasized, especially in older men with DM [ 29 ].…”

Section: Discussionmentioning

confidence: 99%

Diabetes Mellitus in the Elderly Adults in Korea: Based on Data from the Korea National Health and Nutrition Examination Survey 2019 to 2020

Ko¹,

Han²,

Park³

et al. 2023

Diabetes Metab J

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Background: We evaluated the prevalence and management of diabetes mellitus (DM) in elderly Korean patients based on data from the Korea National Health and Nutrition Examination Survey (KNHANES).Methods: A total of 3,068 adults aged 65 years and older (19.8% of total population) were analyzed using KNHANES from 2019 to 2020. Prevalence, awareness, treatment, and control rates, and comorbidities were analyzed. Lifestyle behaviors and energy intake were also measured.Results: The prevalence of DM and prediabetes was 29.6% and 50.5%, respectively. The awareness, treatment and control rates were 76.4%, 73.3%, and 28.3%, respectively. The control rate was 77.0% if A1C <7.5% criteria was used. The mean A1C value of individuals with known DM was 7.1%, and 14.5% of the known DM patients had A1C ≥8.0%. Abdominal obesity, hypertension, and hypercholesterolemia were combined with DM in 63.9%, 71.7%, and 70.7%, respectively, and the rate of integrated management was 36.0% (A1C <7.5% criteria). A total of 40.1% of those with DM walked regularly. The percentage of energy intake from carbohydrates was higher in those with DM than in those without DM (P=0.044), while those of fat (P=0.003) and protein (P=0.025) were lower in those with DM than in those without DM in women.Conclusion: In 2019 to 2020, three of 10 adults aged 65 years and older in Korea had DM, and approximately 70% of them had comorbidities. A strategy for more individualized comprehensive care for the elderly patients with DM is urgently needed.

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Severe hypoglycemia as a risk factor for cardiovascular outcomes in patients with type 2 diabetes: is it preventable?

Ko¹

2022

CPP

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Hypoglycemia in people with type 2 diabetes mellitus (T2DM) is troublesome and an important barrier to diabetes management. Although more intensive glycemic control is emphasized to prevent diabetes-related long-term complications, it raises the risk of hypoglycemia in people with T2DM. Severe hypoglycemia (SH), defined as critical events characterized by altered mental and/or physical status requiring assistance for recovery, is considered an advanced and life-threatening form of hypoglycemia. The detection of SH is an important issue because it is associated with further adverse clinical outcomes such as cardiovascular events, mortality, cognitive impairment, and decreased quality of life. By identifying the potential risk factors for SH and introducing measures to minimize SH, SH itself and subsequent harmful clinical outcomes could be prevented in people with T2DM. The traditional risk factors for SH in T2DM, such as older age, long-standing diabetes with decreased insulin secretion, advanced vascular complications, serious comorbidities, and insulin use, are usually unmodifiable. However, unhealthy lifestyle factors, defined as current smoking, heavy alcohol consumption, and lack of regular exercise, can be improved through active patient education. In recent research, greater adherence to healthy lifestyle factors and any improvement in unhealthy lifestyle habits were found to be associated with a substantially lower risk of SH in individuals with T2DM. As well as being an essential component of diabetes self-care and optimal glycemic control, lifestyle modification probably contributes to the prevention of SH in individuals with T2DM.

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Adherence to healthy lifestyle behaviors as a preventable risk factor for severe hypoglycemia in people with type 2 diabetes: A longitudinal nationwide cohort study

Cited by 4 publications

References 45 publications

Socioecological influencers of health-promoting lifestyles in Chinese: a preliminary survey using convenient samples

Socioecological influencers of health-promoting lifestyles in Chinese: a preliminary survey using convenient samples

Diabetes Mellitus in the Elderly Adults in Korea: Based on Data from the Korea National Health and Nutrition Examination Survey 2019 to 2020

Severe hypoglycemia as a risk factor for cardiovascular outcomes in patients with type 2 diabetes: is it preventable?

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