Healthy behaviours and 10-year incidence of diabetes: A population cohort study

• Published in: Preventive medicine 2015-02, Vol.71, p.121-127
• Main Authors: Long, G.H, Johansson, I, Rolandsson, O, Wennberg, P, Fhärm, E, Weinehall, L, Griffin, S.J, Simmons, R.K, Norberg, M
• Format: Article
• Language: English
• Subjects: Adult; Body Mass Index; Cohort Studies; Diabetes Mellitus, Type 2 - epidemiology; Diabetes Mellitus, Type 2 - prevention & control; Female; Health Behavior; Health behaviour change; Healthy lifestyle; Humans; Incidence; Internal Medicine; Male; Middle Aged; Motor Activity; Population health determinants; Population health promotion; Population impact; Regression Analysis; Risk Factors; Smoking - epidemiology; Surveys and Questionnaires; Sweden - epidemiology; Type 2 diabetes
• ISSN: 0091-7435; 1096-0260; 1096-0260
• DOI: 10.1016/j.ypmed.2014.12.013

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, and completed 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 9.9 (0.3) years; 2211 individuals (7%) developed diabetes. Only 4.4% of participants met all 6 goals (n = 1245) and compared to these individuals, participants meeting 0/1 goals had a 3.74 times higher diabetes incidence (95% confidence interval (CI) = 2.50 to 5.59), 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, 14.1% (95% CI: 11.7 to 16.5%) of incident diabetes cases might be avoided. Conclusion Interventions promoting the achievement of behavioural goals in the general population could significantly reduce diabetes incidence.