학술논문
The association of a healthy lifestyle index and imaging-based body fat distribution with glycemic status and Type 2 diabetes in the Multi Ethnic Cohort: a cross-sectional analysis.
Document Type
Article
Author
Source
Subject
*Lifestyles
*Risk assessment
*Cross-sectional method
*Packaged foods
*Self-evaluation
*Fruit
*Adipose tissues
*Research funding
*Food consumption
*Glycemic control
*Questionnaires
*Logistic regression analysis
*Hispanic Americans
*Magnetic resonance imaging
*Meat
*Fishes
*Disease prevalence
*Descriptive statistics
*Longitudinal method
*Odds ratio
*Japanese Americans
*Health behavior
*Type 2 diabetes
*Vegetables
*Alcohol drinking
*Confidence intervals
*Physical activity
*Fasting
*Diet
*Disease risk factors
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Language
ISSN
0954-3007
Abstract
Introduction: As several behaviors captured by the Lifestyle Risk Factor Index (LSRI) are protective against Type 2 diabetes (T2D) and may affect body fat distribution, we examined its relation with both outcomes. Methods: In a subset of the Multiethnic Cohort, participants from five ethnic groups (60–77 years) were assigned LSRI scores (one point each for consuming <1 (women)/<2 (men) alcoholic drinks/day, ≥1.5 physical activity hours/week, not smoking, and adhering to ≥3/7 dietary recommendations). All participants completed an extensive Quantitative Food Frequency Questionnaire to allow estimation of adherence to intake recommendations for fruits, vegetables, refined and whole grains, fish, processed and non-processed meat. Glycemic/T2D status was classified according to self-reports and fasting glucose. We estimated prevalence odds ratios (POR) of LSRI with glycemic/T2D status and DXA- and MRI-based body fat distribution using logistic regression. Results: Of 1713 participants, 43% had normoglycemia, 30% Pre-T2D, 9% Undiagnosed T2D, and 18% T2D. Overall, 39% scored 0–2, 49% 3, and 12% 4 LSRI points. T2D prevalence was 55% (POR 0.45; 95% confidence intervals 0.27, 0.76) lower for 4 vs. 0–2 LSRI points with weaker associations for abnormal glycemic status. Despite the low adherence to dietary recommendations (22%), this was the only component related to lower T2D prevalence. The inverse LSRI-T2D association was only observed among Latinos and Japanese Americans in ethnic-specific models. Visceral fat measures were higher in T2D patients and attenuated the LSRI-T2D association. Conclusion: These findings support the role of a healthy lifestyle, especially diet, in T2D prevention with differences across ethnicity. [ABSTRACT FROM AUTHOR]