학술논문
A lifestyle pattern characterised by high consumption of sweet and salty snacks, sugar sweetened beverages and sedentary time is associated with blood pressure in families at risk for type 2 diabetes mellitus in Europe. The Feel4Diabetes Study.
Document Type
Article
Author
Basdeki, Eirini D.; Karatzi, Kalliopi; Arnaoutis, Giannis; Makrilakis, Konstantinos; Liatis, Stavros; Cardon, Greet; De Craemer, Marieke; Iotova, Violeta; Tsochev, Kaloyan; Tankova, Tsvetalina; Kivelä, Jemina; Wikström, Katja; Rurik, Imre; Radó, Sándorné; Miguel‐Berges, María L.; Gimenez‐Legarre, Natalia; Moreno‐Aznar, Luis; Manios, Yannis
Source
Subject
*FAMILIES & psychology
*HYPERTENSION risk factors
*LIFESTYLES
*SNACK foods
*SEDENTARY lifestyles
*FOOD habits
*BEVERAGES
*FRUIT juices
*CONFIDENCE intervals
*FOOD consumption
*DRINKING (Physiology)
*CROSS-sectional method
*DIET
*DIETARY sucrose
*TYPE 2 diabetes
*RISK assessment
*PHYSICAL activity
*SCREEN time
*SURVEYS
*DIASTOLIC blood pressure
*FACTOR analysis
*CARBONATED beverages
*DESCRIPTIVE statistics
*BLOOD pressure measurement
*SMOKING
*ODDS ratio
*DIETARY sodium
*DISEASE risk factors
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Language
ISSN
0952-3871
Abstract
Background: Individuals from families at high‐risk for type 2 diabetes mellitus (T2DM) are also at high risk for hypertension (HTN) and cardiovascular disease. Studies identifying lifestyle patterns (LPs) combining dietary, physical activity or sedentary variables and examining their possible role with respect to developing blood pressure (BP) are limited. The present study aimed to examine the association of different LPs with BP levels in families at high risk for T2DM in Europe. Methods: In total, 1844 adults (31.6% males) at high‐risk for T2DM across six European countries were included in this cross‐sectional study using data from the baseline assessment of the Feel4Diabetes Study. BP measurements and dietary and physical activity assessments were conducted, and screen times were surveyed. LPs were revealed with principal component analysis of various data regarding diet, physical activity, screen time and smoking. Results: Three LPs were identified. LP3 (high consumption of sweet and salty snacks, sugar sweetened soft drinks and juices, and high amount of screen time) was positively associated with diastolic BP (B, 0.52; 95% confidence interval = 0.05–0.99) and the existence of HTN (odds ratio = 1.12; 95% confidence interval = 1.00–1.25). Participants in the highest tertile of LP3 spent mean 3 h of screen time, consumed 1.5 portions of sweet and/or salty snacks and 1 L of soft drinks on a daily basis, were associated with 12% higher risk of HTN. Conclusions: Focusing on the combination of eating and lifestyle behaviours may more accurately identify, and therefore guide preventive measures tailored to the specific needs of high‐risk populations. Key points: Three lifestyle patterns (LPs) were identified.LP1: breakfast skipping, smoking, low consumption of vegetable oil and high consumption of alcohol and coffee;LP2: high consumption of nuts, seeds, fruits, vegetables and legumes;LP3: high consumption of sweet and salty snacks, sugar sweetened soft drinks and juices and increased screen time.LP1 was positively associated with systolic and diastolic blood pressure (BP) and LP3 with diastolic BP and the existence of hypertension (HTN).Highest adherence of LP3 (3 h of screen time, 1.5 portions of sweet and/or salty snacks and 1 L of soft drinks daily) is associated with high risk of developing HTN. [ABSTRACT FROM AUTHOR]