Impact of healthy lifestyle on the risk of type 2 diabetes mellitus in southwest China: A prospective cohort study

Abstract

Aims To explore the influence of nine healthy lifestyle factors on the risk of type 2 diabetes mellitus in adults in Guizhou, China. Methods Data were obtained from a large population‐based prospective cohort study in Guizhou Province, China. A total of 7,319 participants aged ≥18 years without diabetes at baseline were included in this study and were followed up from 2016 to 2020. A healthy lifestyle score was calculated based on the number of healthy lifestyle factors. Results During an average of 7.1 person‐years of follow‐up, 764 participants were diagnosed with type 2 diabetes mellitus. Compared with those of participants who scored 0–3 for a healthy lifestyle, the hazard ratios (95% confidence intervals) of those who scored 4, 5, 6, and ≥7 were 0.676 (0.523–0.874), 0.599 (0.464–0.773), 0.512 (0.390–0.673), and 0.393 (0.282–0.550), respectively, showing a gradual downward trend (P for trend <0.01). More importantly, they had lower fasting and 2 h post‐load plasma glucose levels and fewer changes in plasma glucose levels during follow‐up. If ≥7 healthy lifestyle factors were maintained, 33.8% of incident diabetes cases could have been prevented. Never smoking was the strongest protective factor against type 2 diabetes mellitus. Conclusions A healthy lifestyle can effectively decrease plasma glucose levels and reduce the incidence of type 2 diabetes mellitus in adults in Guizhou, China. In addition, not smoking may be an effective way to prevent type 2 diabetes mellitus.

Association between depression and risk of type 2 diabetes and its sociodemographic factors modifications: A prospective cohort study in southwest China

“…27,28 These unhealthy lifestyle habits often increased the risk of diabetes. 29,30 Additionally, the usage F I G U R E 3 Compared with participants without depression, the incident risk of type 2 diabetes associated with baseline depression status by sex, age, region, and ethnicity. Data are expressed as HR (95% CI).…”

“…Third, patients with depression often had unhealthy lifestyles, such as smoking, little physical activity, and excessive calorie and alcohol intake 27,28 . These unhealthy lifestyle habits often increased the risk of diabetes 29,30 . Additionally, the usage of antidepressants by people with elevated depressive symptoms might affect the incidence of type 2 diabetes.…”

Maguerez Arc Problematization in Cooking Workshops: A Low-Cost Method for Improving the Health of Diabetics

“…It is estimated that the annual cost in Brazil could reach R$27 billion by 2030 (Campos et al, 2020). Changes in people's lifestyle habits and increasing urbanisation, tiring work routines, unhealthy eating habits, increased consumption of ultra-processed products, sedentary lifestyles, the ageing population and obesity contribute to raising the prevalence of diabetes (Wu et al, 2022).…”

“…The treatment of diabetes involves metabolic control, use of medication and lifestyle changes, such as adequate and balanced diet and regular physical activity (Marques et al, 2019). Multiprofessional interventions are important for people with diabetes to adopt daily self-care actions to prevent possible acute and chronic complications of this disease (Marques et al, 2019;Wu et al, 2022). The patient's acceptance to change their lifestyle and willingness to seek help to solve the problems related to the disease and the support of their family are important factors (Marques et al, 2019).…”

Healthy lifestyle as a way to manage health risks: Components and factors. Analytical review

“…Подобные решения подтверждают значимость вклада здоровьесохранного поведения, здорового стиля жизни в сокращение заболеваемости и смертности населения, увеличение продолжительности жизни во всем мире. Научные исследования показывают, что здоровый образ жизни (healthy lifestyle) снижает риски обострения хронических заболеваний [2], выступает эффективным способом профилактики онкологической [3,4] и сердечно-сосудистой патологии [5], диабета [6], ожирения [7] и ментальных нарушений (например, болезни Альцгеймера [8]).…”