ArticleJournal of diabetes investigation2022
Improving and maintaining healthy lifestyles are associated with a lower risk of diabetes: A large cohort study.
Article in Journal of diabetes investigation, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.
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Who cites it
7 citing papers in PubMed.
- Lifestyle Change After Initial Colonoscopy Screening and Incidence of Colorectal Cancer and Major Chronic Diseases.The American journal of gastroenterology · 2025Article
- Trajectories of healthy lifestyle index and prediabetes risk of adult workers in Japan.Communications medicine · 2025Article
- Article
- Application of non-contact sensors for health monitoring in hospitals: a narrative review.Frontiers in medicine · 2024Review
- Commuter Cycling and Risk of Type 2 Diabetes: A Cohort Study in Japan.Diabetes care · 2022Article
- Improving and maintaining healthy lifestyles are associated with a lower risk of diabetes: A large cohort study.Journal of diabetes investigation · 2022Article
- Thirty-Year Urbanization Trajectories and Obesity in Modernizing China.International journal of environmental research and public health · 2022Article
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Authors and funding
7 authors.
Funding
Abstract
aimsIt is well known that healthy lifestyles measured at one time-point are inversely associated with diabetes risk. The impact of transitions in combined lifestyles in real settings remains unknown. MATERIALS AND
methodsThe trajectory patterns of combined lifestyles over three years were identified using group-based trajectory modeling in 26,647 adults in Japan. Two types of indices (not having the unhealthy lifestyle [easy goal] and having healthiest lifestyles [challenging goal]) were developed using five lifestyle factors: smoking, alcohol consumption, exercise, sleep duration, and body weight control. This index was calculated using the yearly total score (0-5; higher score indicated healthier lifestyles). Diabetes was defined by high plasma glucose level, high hemoglobin A1c level, and self-report.
resultsFive trajectory patterns were identified for each index and it was shown that healthier patterns are associated with a lower risk of type 2 diabetes during 6.6 years of average follow-up. For example, with a challenging-goal, compared with a persistently very unhealthy pattern, the adjusted hazard ratios (95% confidence intervals) were 0.65 (0.59, 0.73), 0.50 (0.39, 0.64), 0.43 (0.38, 0.48), and 0.33 (0.27, 0.41) for 'persistently unhealthy', 'improved from unhealthy to moderately healthy', 'persistently moderately healthy', and 'persistently mostly healthy' patterns, respectively.
conclusionsOur data reinforce the importance of improving and maintaining health-related lifestyles to prevent diabetes.
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