Healthy Lifestyle Score and Glycemic Control in Type 2 Diabetes Mellitus Patients: A City-Wide Survey in China
Background: Few studies have investigated the combined impact of healthy lifestyle factors on glycemic control. Our study aimed to examine the associations of a healthy lifestyle score (HLS) with glycemic control and to explore the interactive effects of lifestyle factors among patients with type 2...
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| Format: | Article |
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MDPI AG
2023-07-01
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| Series: | Healthcare |
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| Online Access: | https://www.mdpi.com/2227-9032/11/14/2037 |
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| author | Mengmeng Che Qin Zhou Weiquan Lin Yunou Yang Minying Sun Xiangyi Liu Hui Liu Caixia Zhang |
| author_facet | Mengmeng Che Qin Zhou Weiquan Lin Yunou Yang Minying Sun Xiangyi Liu Hui Liu Caixia Zhang |
| author_sort | Mengmeng Che |
| collection | DOAJ |
| description | Background: Few studies have investigated the combined impact of healthy lifestyle factors on glycemic control. Our study aimed to examine the associations of a healthy lifestyle score (HLS) with glycemic control and to explore the interactive effects of lifestyle factors among patients with type 2 diabetes mellitus (T2DM) in China. Methods: This cross-sectional study was conducted among T2DM patients based on the health management of residents from Guangzhou, China. Good glycemic control was defined as fasting plasma glucose < 7.0 mmol/L. HbA1c < 7.0% was also defined as good glycemic control in sensitivity analysis. The HLS was defined as including physical activity, waist circumference, body mass index, dietary habit, smoking, and alcohol consumption. Logistic regression models were used to examine the associations and interactions between the lifestyle factors and glycemic control. Results: Compared with participants with an HLS ≤ 2, the odds ratios (95% confidence intervals) for an HLS of 3, 4, 5, and 6 were 0.82 (0.77–0.87), 0.74 (0.70–0.79), 0.61 (0.57–0.65), and 0.56 (0.53–0.60), respectively. Significant interactions of healthy lifestyle factors in relation to glycemic control were shown (<i>P<sub>interaction</sub></i> < 0.05). Conclusions: A healthier lifestyle was significantly associated with good glycemic control in patients with T2DM, and combined healthy lifestyle factors had a better effect than considering them individually. |
| first_indexed | 2024-03-11T01:01:42Z |
| format | Article |
| id | doaj.art-7bafe287dfc64c84b0a0dab4411bbb68 |
| institution | Directory Open Access Journal |
| issn | 2227-9032 |
| language | English |
| last_indexed | 2024-03-11T01:01:42Z |
| publishDate | 2023-07-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Healthcare |
| spelling | doaj.art-7bafe287dfc64c84b0a0dab4411bbb682023-11-18T19:33:02ZengMDPI AGHealthcare2227-90322023-07-011114203710.3390/healthcare11142037Healthy Lifestyle Score and Glycemic Control in Type 2 Diabetes Mellitus Patients: A City-Wide Survey in ChinaMengmeng Che0Qin Zhou1Weiquan Lin2Yunou Yang3Minying Sun4Xiangyi Liu5Hui Liu6Caixia Zhang7Department of Epidemiology, School of Public Health, Sun Yat-sen University, Guangzhou 510080, ChinaDepartment of Basic Public Health, Guangzhou Center for Disease Control and Prevention, Guangzhou 510440, ChinaDepartment of Basic Public Health, Guangzhou Center for Disease Control and Prevention, Guangzhou 510440, ChinaDepartment of Basic Public Health, Guangzhou Center for Disease Control and Prevention, Guangzhou 510440, ChinaDepartment of Basic Public Health, Guangzhou Center for Disease Control and Prevention, Guangzhou 510440, ChinaDepartment of Basic Public Health, Guangzhou Center for Disease Control and Prevention, Guangzhou 510440, ChinaDepartment of Basic Public Health, Guangzhou Center for Disease Control and Prevention, Guangzhou 510440, ChinaDepartment of Epidemiology, School of Public Health, Sun Yat-sen University, Guangzhou 510080, ChinaBackground: Few studies have investigated the combined impact of healthy lifestyle factors on glycemic control. Our study aimed to examine the associations of a healthy lifestyle score (HLS) with glycemic control and to explore the interactive effects of lifestyle factors among patients with type 2 diabetes mellitus (T2DM) in China. Methods: This cross-sectional study was conducted among T2DM patients based on the health management of residents from Guangzhou, China. Good glycemic control was defined as fasting plasma glucose < 7.0 mmol/L. HbA1c < 7.0% was also defined as good glycemic control in sensitivity analysis. The HLS was defined as including physical activity, waist circumference, body mass index, dietary habit, smoking, and alcohol consumption. Logistic regression models were used to examine the associations and interactions between the lifestyle factors and glycemic control. Results: Compared with participants with an HLS ≤ 2, the odds ratios (95% confidence intervals) for an HLS of 3, 4, 5, and 6 were 0.82 (0.77–0.87), 0.74 (0.70–0.79), 0.61 (0.57–0.65), and 0.56 (0.53–0.60), respectively. Significant interactions of healthy lifestyle factors in relation to glycemic control were shown (<i>P<sub>interaction</sub></i> < 0.05). Conclusions: A healthier lifestyle was significantly associated with good glycemic control in patients with T2DM, and combined healthy lifestyle factors had a better effect than considering them individually.https://www.mdpi.com/2227-9032/11/14/2037type 2 diabeteshealthy lifestylesglycemic controlinteractive effect |
| spellingShingle | Mengmeng Che Qin Zhou Weiquan Lin Yunou Yang Minying Sun Xiangyi Liu Hui Liu Caixia Zhang Healthy Lifestyle Score and Glycemic Control in Type 2 Diabetes Mellitus Patients: A City-Wide Survey in China Healthcare type 2 diabetes healthy lifestyles glycemic control interactive effect |
| title | Healthy Lifestyle Score and Glycemic Control in Type 2 Diabetes Mellitus Patients: A City-Wide Survey in China |
| title_full | Healthy Lifestyle Score and Glycemic Control in Type 2 Diabetes Mellitus Patients: A City-Wide Survey in China |
| title_fullStr | Healthy Lifestyle Score and Glycemic Control in Type 2 Diabetes Mellitus Patients: A City-Wide Survey in China |
| title_full_unstemmed | Healthy Lifestyle Score and Glycemic Control in Type 2 Diabetes Mellitus Patients: A City-Wide Survey in China |
| title_short | Healthy Lifestyle Score and Glycemic Control in Type 2 Diabetes Mellitus Patients: A City-Wide Survey in China |
| title_sort | healthy lifestyle score and glycemic control in type 2 diabetes mellitus patients a city wide survey in china |
| topic | type 2 diabetes healthy lifestyles glycemic control interactive effect |
| url | https://www.mdpi.com/2227-9032/11/14/2037 |
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