预防2型糖尿病的生活方式行为模式:福岛健康数据库2015-2020年
E Ma1, M Fukasawa2, T Ohira3
1Health Promotion Center, Fukushima Medical University, Fukushima 960-1295, Japan; Department of Epidemiology, Fukushima Medical University School of Medicine, Fukushima 960-1295, Japan.
Public health
|September 24, 2023
概括
健康的生活方式选择,包括饮食和避免吸烟,在中年日本成年人中显著降低了2型糖尿病风险. 这项研究分析了超过19万个人的生活方式模式和T2DM发病率.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 生活方式 医学 医疗
背景情况:
- 2型糖尿病 (T2DM) 发病率受到生活方式行为的影响,需要使用医疗保险数据进行进一步的研究.
- 了解这些关联对于制定有针对性的公共卫生干预措施至关重要.
研究的目的:
- 澄清生活方式行为模式与日本人口2型糖尿病 (T2DM) 发病率之间的关联.
- 确定导致T2DM风险的特定生活方式因素.
主要方法:
- 一项包括193,246名年龄在40-74岁之间的参与者在日本福岛的队列研究,从2015年到2020年观察到.
- 主要组件分析确定了两种生活方式模式:"饮食-吸烟"和"身体活动-睡眠".
- 在调整了人口和心脏代谢因素后,计算了个体模式得分,以评估与T2DM发病率的关系.
主要成果:
- "饮食吸烟"模式显示,男性 (HR 0.82) 和女性 (HR 0.87) 的T2DM风险存在显著的反向关联.
- "身体活动-睡眠"模式显示,在非超重男性中,与T2DM风险有显著的反向关联.
- 在男性中,T2DM的累积发病率为每10万人年630.5,在女性中为391.9.
结论:
- 以健康饮食和避免吸烟为特征的生活方式与T2DM风险明显降低有关.
- 这些发现强调了生活方式改变对于中年成人T2DM预防的重要性.
- 公共卫生战略应强调改善饮食和戒烟.
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