Type 1 diabetes

Clustering of risk behaviours and associations between risk behaviours and cardio-metabolic risk factors in adult individuals with type 1 diabetes

Diabetes Res Clin PractPublished Cross-sectional study

Authors' conclusion

Accumulation of risk behaviors increases negative health outcomes. Exhibiting ≥2 risk behaviours or low LTPA was associated with multiple adverse outcomes.

Study context

Population
Adults with T1D in the FinnDiane Study; 40 % men, mean age 46 years
Participants
956 adults
Exposure
Number of risk behaviours
Outcome
Clustering of risk behaviours and associations between behaviours and health variables

Main finding

As reported in the abstract

Number of risk behaviours reported
No risk behaviours
4.3 %
1 risk behaviour
25.7 %
2 risk behaviours
37.4 %
3 risk behaviours
24.7 %
4 risk behaviours
6.8 %
5 risk behaviours
1.0 %

Observational data: associations, not effects.

Further findings

Prevalence of individual risk behaviours

%

Dietary non-adherence
84.4
Low LTPA
54.4
Poor sleep
41.9
High alcohol consumption
15.2
Smoking
11.2

Associations with cardio-metabolic risk factors vs ≤1 risk behaviour

≥2 risk behaviours: higher BMI, waist circumference and diastolic blood pressure
≥3 risk behaviours: larger waist-hip ratio, higher HbA1c and TG concentration
≥4 risk behaviours: higher cholesterol concentration
Low LTPA had the highest number of deleterious health associations
  • Adjusted for confounders

Original publication

Clustering of risk behaviours and associations between risk behaviours and cardio-metabolic risk factors in adult individuals with type 1 diabetes. Diabetes Res Clin Pract. Published 23 January 2024. doi:10.1016/j.diabres.2024.111115

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