How much might achievement of diabetes prevention behaviour goals reduce the incidence of diabetes if implemented at the population level?

Diabetologia
R K SimmonsS J Griffin

Abstract

Randomised trials targeting high-risk people with impaired glucose tolerance have halved progression to diabetes using behavioural interventions aimed at achieving five goals related to weight, diet and physical activity. The number of people currently meeting these goals in the general population is unknown. The potential impact on the incidence of diabetes of increasing the proportion of people who meet these goals is also unclear. We quantified the association between the achievement of behavioural goals for the prevention of diabetes and the incidence of diabetes in a population-based cohort study. European Prospective Investigation into Cancer (EPIC)-Norfolk is a prospective cohort of 24,155 participants aged 40-79 years who attended a baseline health check and completed validated diet and activity questionnaires. We assessed the association between achievement of five diabetes healthy behaviour prevention goals (BMI <25 kg/m(2), fat intake <30% of energy intake, saturated fat intake <10% of energy intake, fibre intake > or =15 g/4,184 kJ, physical activity >4 h/week) and risk of developing diabetes at follow-up (mean 4.6 years). Only 20% of EPIC participants met three or more diabetes prevention goals. Diabetes incidence ...Continue Reading

References

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Citations

Oct 6, 2010·Diabetes, Obesity & Metabolism·R K SimmonsS J Griffin
Dec 6, 2008·The International Journal of Behavioral Nutrition and Physical Activity·Ronald C PlotnikoffRonald J Sigal
Jun 7, 2008·Australia and New Zealand Health Policy·Roger S Magnusson
Feb 7, 2009·Bulletin of the World Health Organization·Nizal SarrafzadeganHossein Malekafzali
Dec 26, 2012·The British Journal of General Practice : the Journal of the Royal College of General Practitioners·Rohini MathurJohn Robson
Aug 20, 2010·International Journal of Circumpolar Health·Sven O E EbbessonAnthony G Comuzzie
May 25, 2012·Medicina clínica·Federico SoriguerGemma Rojo-Martínez
May 25, 2010·American Journal of Preventive Medicine·Hadi HaratiFereidoun Azizi
Nov 17, 2009·Diabetes Research and Clinical Practice·R K SimmonsS J Griffin
Sep 25, 2007·Diabetic Medicine : a Journal of the British Diabetic Association·R K SimmonsN J Wareham
May 2, 2007·Diabetic Medicine : a Journal of the British Diabetic Association·K G M M AlbertiJ Shaw
Sep 20, 2008·Physical Therapy·Anjali D DeshpandeRoss C Brownson
Nov 20, 2010·Brazilian Journal of Medical and Biological Research = Revista Brasileira De Pesquisas Médicas E Biológicas·B Almeida-PittitoUNKNOWN Japanese-Brazilian Diabetes Study Group
Feb 27, 2013·Nature Reviews. Endocrinology·Adrian Bauman, Alexis St George
May 19, 2011·European Journal of Clinical Nutrition·C RoumenE E Blaak
Mar 30, 2017·The International Journal of Behavioral Nutrition and Physical Activity·Adina L FeldmanOlov Rolandsson
May 26, 2017·Diabetes & Metabolism Journal·James A Dunbar
Feb 13, 2021·Diabetic Medicine : a Journal of the British Diabetic Association·Tom PierseCiaran O'Neill

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