Type 2 & other diabetes

Combination of Multiple Low-Risk Lifestyle Behaviors and Incident Type 2 Diabetes: A Systematic Review and Dose-Response Meta-analysis of Prospective Cohort Studies

Diabetes CarePublished Systematic review and dose-response meta-analysis of prospective cohort studies

Pooled result · Incident T2DResult — go to the resultRelative risk 0.20 95% CI 0.17–0.23

Authors' conclusion

There is a very good indication that a combination of LRLBs that includes maintaining a healthy bodyweight, healthy diet, regular exercise, smoking abstinence or cessation, and light alcohol consumption is associated with a lower risk of incident type 2 diabetes.

Study context

Population
Prospective cohort studies reporting the association between ≥3 combined low-risk lifestyle behaviors (LRLBs) (including healthy diet) and incident T2D; databases searched up to September 202230 cohort comparisons
Participants
1,693,753 participants
Comparison
Highest vs lowest adherence to combined low-risk lifestyle behaviors
Outcome
Incident T2D
Methodological detailsrandom-effects model, one-stage linear mixed model dose-response, GRADE certainty assessment
  • Random-effects model
  • One-stage linear mixed model dose-response
  • GRADE certainty assessment

Pooled result

As reported in the abstract

Relative risk

0.20

95% CI 0.17–0.23

Highest adherencevs Lowest adherence
RR 0.20 (95% CI 0.17–0.23)

Further pooled results

Global dose-response: maximum adherence to all five LRLBs and incident T2D

RR for maximum adherence to all five LRLBs (85% protection)
0.15 (95% CI 0.12-0.18)

Original publication

Combination of Multiple Low-Risk Lifestyle Behaviors and Incident Type 2 Diabetes: A Systematic Review and Dose-Response Meta-analysis of Prospective Cohort Studies. Diabetes Care. Published 22 February 2023. doi:10.2337/dc22-1024

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