Strong adherence to dietary and lifestyle recommendations is associated with decreased type 2 diabetes risk in the AusDiab cohort study

Dow, C.; Balkau, Beverley; Bonnet, Fabrice; Mancini, Francesca Romana; Rajaobelina, Kalina; Shaw, Jonathan E.; Magliano, Dianna J.; Fagherazzi, Guy

doi:10.1016/j.ypmed.2019.03.006

Cited by 17 publications

(32 citation statements)

References 30 publications

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“…Through manual inspections of the full text, 13 studies were excluded (see ESM Table 4). Finally, 16 studies [11,12,[17][18][19][20][21][22][23][24][25][26][27][28][29][30] (among which, two studies [18,29] were only used for stratified analyses) with 1,116,248 participants were included for meta-analyses of incident type 2 diabetes and ten studies [31][32][33][34][35][36][37][38][39][40] with 34,385 diabetic individuals were included for meta-analyses of mortality and incident CVD. No study investigated the association between combined lifestyle factors and incident cancer among diabetic individuals.…”

Section: Resultsmentioning

confidence: 99%

“…In addition, it is well-known that lifestyle behaviours, such as physical activity, diet quality and sleep pattern, are associated with body weight [50]. Besides, several studies reported that each additional healthy lifestyle factor was associated with 11-61% lower risk of incident type 2 diabetes [11,17,18,21,23,24,27]. Hence, encouraging the population to adopt an overall healthy lifestyle is necessary for the prevention of type 2 diabetes.…”

Section: Discussionmentioning

confidence: 99%

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Combined lifestyle factors and risk of incident type 2 diabetes and prognosis among individuals with type 2 diabetes: a systematic review and meta-analysis of prospective cohort studies

Zhang¹,

Pan²,

Chen³

et al. 2019

Diabetologia

214

152

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Aims/hypothesis A healthy lifestyle has been widely recommended for the prevention and management of type 2 diabetes. However, no systematic review has summarised the relationship between combined lifestyle factors (including, but not limited to, smoking, alcohol drinking, physical activity, diet and being overweight or obese) and incident type 2 diabetes and risk of health outcomes among diabetic individuals. Methods EMBASE and PubMed were searched up to April 2019 without language restrictions. References included in articles in relevant publications were also screened. Cohort studies investigating the combined associations of at least three lifestyle factors with incident type 2 diabetes and health outcomes among diabetic individuals were included. Reviewers were paired and independently screened studies, extracted data and evaluated study quality. Random-effects models were used to calculate summary HRs. Heterogeneity and publication bias tests were also conducted. Results Compared with participants considered to have the least-healthy lifestyle, those with the healthiest lifestyle had a 75% lower risk of incident diabetes (HR 0.25 [95% CI 0.18, 0.35]; 14 studies with approximately 1 million participants). The associations were largely consistent and significant among individuals from different socioeconomic backgrounds and baseline characteristics. Among individuals with type 2 diabetes (10 studies with 34,385 participants), the HRs (95% CIs) were 0.44 (0.33, 0.60) for all-cause death, 0.51 (0.30, 0.86) for cardiovascular death, 0.69 (0.47, 1.00) for cancer death and 0.48 (0.37, 0.63) for incident cardiovascular disease when comparing the healthiest lifestyle with the least-healthy lifestyle. Conclusions/interpretation Adoption of a healthy lifestyle is associated with substantial risk reduction in type 2 diabetes and long-term adverse outcomes among diabetic individuals. Tackling multiple risk factors, instead of concentrating on one certain lifestyle factor, should be the cornerstone for reducing the global burden of type 2 diabetes.

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Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Combined lifestyle factors and risk of incident type 2 diabetes and prognosis among individuals with type 2 diabetes: a systematic review and meta-analysis of prospective cohort studies

Zhang¹,

Pan²,

Chen³

et al. 2019

Diabetologia

214

152

View full text Add to dashboard Cite

show abstract

“…Out of 6888 articles, 126 full-text articles were screened and a total of 18 studies met the inclusion criteria (figure 1). 7–9 13–15 17 18 20 21 24 34–40 One additional study 41 was identified through the screening of reference lists. The characteristics of all included 19 studies are presented in the online supplementary tables A4 and A5.…”

Section: Resultsmentioning

confidence: 99%

“…The characteristics of all included 19 studies are presented in the online supplementary tables A4 and A5. Fourteen studies 7–9 17 18 20 21 24 34–38 41 investigated the association of lifestyle indices and incident T2D and five studies investigated all-cause mortality in individuals with T2D. 13–15 39 40…”

Section: Resultsmentioning

confidence: 99%

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Adherence to healthy lifestyles and incidence of diabetes and mortality among individuals with diabetes: a systematic review and meta-analysis of prospective studies

Schlesinger

Neuenschwander

Ballon

et al. 2020

J Epidemiol Community Health

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IntroductionLifestyle factors in combination have been hypothesised to be associated with the prevention of type 2 diabetes (T2D) and mortality among individuals with T2D. The aim was to conduct a systematic review and meta-analysis to quantify the association between lifestyle indices and incident T2D as well as mortality in individuals with T2D.MethodsPubMed and Web of Science were searched up to September 2019. We included prospective cohort studies investigating at least three lifestyle factors in association with T2D, or all-cause mortality in individuals with diabetes. We conducted pairwise and dose-response meta-analyses to calculate summary relative risks (SRR) by using random effects model.ResultsIn total, 19 studies were included. Adhering to a healthy lifestyle (mostly favourable diet, physical activity, non-smoking, moderate alcohol intake and normal weight) was associated with a reduced SRR of 78% for T2D (SRR: 0.22; 95% CI: 0.16 to 0.32; n=14) and 57% for mortality (SRR: 0.43; 95% CI: 0.31 to 0.58; n=5) compared with low adherence to a healthy lifestyle. In dose-response analyses, the adherence to every additional healthy lifestyle factor was associated with a reduced relative risk of 32% (95% CI: 28% to 36%) for T2D and 21% (95% CI: 15% to 26%) for mortality.ConclusionsOur findings underline the importance of the joint adherence to healthy lifestyle factors to prevent T2D and improve survival among individuals with diabetes. Adherence to every additional health lifestyle factor play a role in the T2D prevention and progression.PROSPERO registration numberCRD42018091409.

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Epidemiology of Diabetes

Schulze

2022

Handbook of Epidemiology

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Strong adherence to dietary and lifestyle recommendations is associated with decreased type 2 diabetes risk in the AusDiab cohort study

Cited by 17 publications

References 30 publications

Combined lifestyle factors and risk of incident type 2 diabetes and prognosis among individuals with type 2 diabetes: a systematic review and meta-analysis of prospective cohort studies

Combined lifestyle factors and risk of incident type 2 diabetes and prognosis among individuals with type 2 diabetes: a systematic review and meta-analysis of prospective cohort studies

Adherence to healthy lifestyles and incidence of diabetes and mortality among individuals with diabetes: a systematic review and meta-analysis of prospective studies

Epidemiology of Diabetes

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