Physical activity, smoking, and alcohol consumption in association with incidence of type 2 diabetes among middle-aged and elderly Chinese men

Type 2 diabetes mellitus (T2DM) is a prevalent chronic disease worldwide. The prevalence of T2DM is increasing rapidly in China. Understanding the contribution of modifiable lifestyle factors on T2DM risk is imperative to prevent the development of T2DM in China. We examined associations between lif...

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Bibliographic Details
Published in:PloS one 2013-11, Vol.8 (11), p.e77919-e77919
Main Authors: Shi, Liang, Shu, Xiao-Ou, Li, Honglan, Cai, Hui, Liu, Qiaolan, Zheng, Wei, Xiang, Yong-Bing, Villegas, Raquel
Format: Article
Language:English
Subjects:
Adult
Aged
Alcohol
Alcohol Drinking - adverse effects
Alcohol use
Alcoholic beverages
Alcohols
Analysis
Anthropometry
Atherosclerosis
Cancer
Cardiovascular diseases
China - epidemiology
Chronic diseases
Chronic illnesses
Cigarette smoking
Cigarettes
Commuting
Coronary artery disease
Coronary heart disease
Demographics
Demography
Developing countries
Diabetes
Diabetes mellitus
Diabetes mellitus (non-insulin dependent)
Diabetes Mellitus, Type 2 - epidemiology
Diabetes Mellitus, Type 2 - etiology
Diet
Dose-response effects
Drinking (Alcoholic beverages)
Epidemiology
Exercise
Family medical history
Geriatrics
Habits
Health risk assessment
Heart diseases
Humans
Incidence
LDCs
Lifestyles
Male
Medicine
Men
Mens health
Metabolism
Middle age
Middle Aged
Motor Activity
Older people
Physical activity
Physical fitness
Population
Prevention
Proportional Hazards Models
Public health
Risk analysis
Risk Factors
Sedentary Behavior
Smoking
Smoking - adverse effects
Sociodemographics
Systematic review
Type 2 diabetes
Walking
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Summary:Type 2 diabetes mellitus (T2DM) is a prevalent chronic disease worldwide. The prevalence of T2DM is increasing rapidly in China. Understanding the contribution of modifiable lifestyle factors on T2DM risk is imperative to prevent the development of T2DM in China. We examined associations between lifestyle factors including physical activity, smoking and alcohol consumption with incidence of T2DM among middle-aged and elderly men in urban Shanghai. Information on socio-demographics, lifestyle habits, dietary habits, and disease history was collected via in-person interviews. Anthropometric measurements were taken. A total of 51 464 Chinese men aged 40-74 years free of T2DM, coronary heart disease (CHD), and stroke at baseline were included in the current study. Incident T2DM was identified through follow-up surveys conducted every 2-3 years. Cox proportional hazard analyses were conducted to evaluate associations between lifestyle risk factors and incidence of T2DM. We documented 1304 new cases of T2DM during 276 929 person-years of follow-up (average: 5.4 years). Physical activity was inversely associated with T2DM risk. Daily living, commuting, and total physical activity METs had inverse negative dose-response relationships with T2DM (P-trend = 0.0033, 0.0022, and
ISSN:1932-6203
1932-6203
DOI:10.1371/journal.pone.0077919