Poor Eating Behaviors Related to the Progression of Prediabetes in a Japanese Population: An Open Cohort Study
Abstract
:1. Introduction
2. Materials and Methods
2.1. Survey Procedure, Design, and Participants
2.2. Glucose Tolerance Status
2.3. Lifestyle Behaviors
2.4. Covariates
2.5. Statistical Analysis
3. Results
3.1. Comparison of Baseline Characteristics in Individuals with Normoglycemia and Prediabetes
3.2. Change Rate of Glucose Tolerance and Mean Change in BMI during Follow-Up
3.3. Association between Lifestyle Behaviors and the Change in Glucose Status during Follow-Up
3.4. Sensitivity Analysis of Poor Eating and Exercise Behaviors Associated with Progression to Prediabetes from Normoglycemia
4. Discussion
5. Conclusions
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Acknowledgments
Conflicts of Interest
References
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Normoglycemia | Prediabetes | p-Value | |||
---|---|---|---|---|---|
Number | 57,018 | 9926 | |||
Age (years) | 36.0 † | (30–45) ‡ | 49.0 † | (39–57) ‡ | <0.001 |
Male | 30,427 | (53.4) | 6830 | (68.8) | <0.001 |
BMI (kg/m2) | 21.6 † | (19.7–23.9) ‡ | 23.9 † | (21.6–26.4) ‡ | <0.001 |
Family history of diabetes | 1329 | (2.3) | 249 | (2.5) | 0.281 |
Hypertension | 17,048 | (29.9) | 5727 | (57.7) | <0.001 |
Dyslipidemia | 5195 | (9.1) | 3148 | (31.7) | <0.001 |
Lifestyle behaviors | |||||
Physical activities | |||||
Less physically activity | 34,132 | (60.5) | 6220 | (63.6) | <0.001 |
Non-regular exercise | 47,896 | (84.5) | 7884 | (80.2) | <0.001 |
Not walking fast | 29,706 | (52.8) | 5041 | (52.0) | 0.176 |
Eating speed | <0.001 | ||||
Normal | 33,188 | (58.2) | 5936 | (59.8) | |
Fast | 17,853 | (31.3) | 3266 | (32.9) | |
Late dinner/snacking | 26,691 | (46.8) | 4590 | (46.2) | 0.378 |
Skipping breakfast | 17,249 | (30.5) | 2423 | (24.7) | <0.001 |
Insufficient sleep | 25,264 | (44.8) | 4179 | (42.8) | <0.001 |
Smoking | 18,328 | (32.1) | 3329 | (33.5) | 0.006 |
Heavy alcohol consumption | 5348 | (9.5) | 1456 | (14.9) | <0.001 |
Progress to Prediabetes from Normoglycemia during Follow-Up | Return to Normoglycemia from Prediabetes during Follow-Up | |||||||
---|---|---|---|---|---|---|---|---|
HR | 95% CI | p-Value | Z-Value | HR | 95% CI | p-Value | Z-Value | |
Baseline BMI (kg/m2) | 1.08 | 1.07–1.09 | <0.001 | 21.39 | 0.94 | 0.93–0.95 | <0.001 | −13.90 |
Change in BMI | 1.05 | 1.03–1.07 | <0.001 | 4.83 | 0.95 | 0.93–0.97 | <0.001 | −4.24 |
Less physical activity | 0.98 | 0.93–1.03 | 0.396 | −0.85 | 1.01 | 0.95–1.08 | 0.724 | 0.35 |
Non-regular exercise | 1.05 | 0.98–1.12 | 0.171 | 1.37 | 0.99 | 0.91–1.07 | 0.724 | −0.35 |
Not walking fast | 1.01 | 0.96–1.06 | 0.716 | 0.36 | 0.97 | 0.91–1.03 | 0.270 | −1.10 |
Eating speed (ref: “slow”) | ||||||||
Normal | 1.13 | 1.03–1.24 | 0.013 | 2.49 | 1.07 | 0.96–1.20 | 0.235 | 1.19 |
Fast | 1.06 | 0.96–1.17 | 0.268 | 1.11 | 1.05 | 0.93–1.18 | 0.441 | 0.77 |
Late dinner/snacking | 1.16 | 1.10–1.22 | <0.001 | 5.80 | 0.98 | 0.92–1.04 | 0.430 | −0.79 |
Skipping breakfast | 1.12 | 1.06–1.18 | <0.001 | 3.85 | 1.02 | 0.95–1.09 | 0.648 | 0.46 |
Insufficient sleep | 1.01 | 0.96–1.06 | 0.721 | 0.36 | 0.99 | 0.93–1.06 | 0.820 | −0.23 |
Smoking | 0.98 | 0.93–1.04 | 0.564 | -0.58 | 1.03 | 0.96–1.10 | 0.436 | 0.78 |
Heavy alcohol consumption | 1.33 | 1.24–1.42 | <0.001 | 8.19 | 1.05 | 0.96–1.14 | 0.265 | 1.11 |
HR | 95% CI | p-Value | Z-Value | p-Trend | |
---|---|---|---|---|---|
Baseline BMI (kg/m2) | 1.08 | 1.07–1.08 | <0.001 | 21.33 | |
Change in BMI | 1.05 | 1.03–1.07 | <0.001 | 5.16 | |
Poor eating behaviors (ref: “no”) | <0.001 | ||||
Single | 1.06 | 1.00–1.13 | 0.040 | 2.05 | |
Double | 1.14 | 1.07–1.22 | <0.001 | 3.88 | |
Triple | 1.21 | 1.10–1.34 | <0.001 | 3.80 | |
Poor exercise behaviors (ref: “no”) | 0.308 | ||||
Single | 1.05 | 0.95–1.16 | 0.318 | 1.00 | |
Double | 1.02 | 0.93–1.12 | 0.624 | 0.49 | |
Triple | 1.06 | 0.97–1.16 | 0.218 | 1.23 |
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Otsuka, Y.; Nakagami, T. Poor Eating Behaviors Related to the Progression of Prediabetes in a Japanese Population: An Open Cohort Study. Int. J. Environ. Res. Public Health 2022, 19, 11864. https://doi.org/10.3390/ijerph191911864
Otsuka Y, Nakagami T. Poor Eating Behaviors Related to the Progression of Prediabetes in a Japanese Population: An Open Cohort Study. International Journal of Environmental Research and Public Health. 2022; 19(19):11864. https://doi.org/10.3390/ijerph191911864
Chicago/Turabian StyleOtsuka, Yuichiro, and Tomoko Nakagami. 2022. "Poor Eating Behaviors Related to the Progression of Prediabetes in a Japanese Population: An Open Cohort Study" International Journal of Environmental Research and Public Health 19, no. 19: 11864. https://doi.org/10.3390/ijerph191911864