Trends in health behaviors of US adults with and without Diabetes: 2007–2018
Authors' conclusion
During 2007-2018, there was some improvement in health behaviors. Improving self-management may require targeted interventions for different segments, like age groups or glycemic levels, among those with diabetes.
Study context
- Population
- Non-pregnant US adults, NHANES 2007–2018
- Exposure
- Adults with vs without self-reported diabetes; 2015–2018 vs 2007–2010
- Outcome
- Proportions meeting recommended health behaviors (self-reported)
Methodological detailsNational Health and Nutrition Examination Surveys, weighted proportions, adjusted analyses
- National Health and Nutrition Examination Surveys
- Weighted proportions
- Adjusted analyses
Main finding
As reported in the abstract
Meeting recommendations · 2007-2010 Diabetes 61.9 % added sugar; 17.2 % physical activity; 68.2 % weight management; 14.4 % avoided alcohol; 57.5 % avoided tobacco; 34.1 % adequate sleep; 97.5 % saw healthcare provider · No diabetes 19.2 % added sugar; 33.6 % physical activity; 68.8 % weight management; 8.5 % avoided alcohol; 44.2 % avoided tobacco; 33.0 % adequate sleep; 82.6 % saw healthcare provider
Added sugar (<10 % of total calories)
Physical activity
Weight management
Avoided alcohol
Avoided tobacco
Adequate sleep
Saw healthcare provider
Observational data: associations, not effects.
Further findings
Change among adults with diabetes, 2015-2018 vs 2007-2010
- Met sleep goals (adjusted)
- +16.7 pp (95 % CI: 10.6,22.8)
- Met physical activity goals (adjusted)
- +8.3 pp (95 % CI: 3.8,12.8)
- Met added sugar recommendations (adjusted)
- −8.8 pp (95 % CI −14.7, −2.9)
- Adjusted analyses
Variation by subgroup
- Meeting added sugar, physical activity and weight management varied by age, education and glycemic level, but not race and ethnicity
Original publication
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