| Secular trends in adherence to healthy behaviors among US adults with diabetes, 1999-2018 |
| 论文作者 |
Feng, CW; Feng, L; Shan, ZL; Han, H; Cao, YY; Sheng, AL; Guasch-Ferre, M; Geng, X; Wang, L; Zong, G |
| 期刊/会议名称 |
AMERICAN JOURNAL OF EPIDEMIOLOGY |
| 论文年度 |
2025 |
| 论文类别 |
|
| 摘要 |
Adherence to a healthy lifestyle is essential for diabetes management in light of the plateaued metabolic control, diversified causes of death, and continued excess mortality among people with diabetes (PWD). In this study, the secular trend of adherence to healthy behaviors was assessed among PWD in the National Health and Nutrition Examination Survey, a nationally representative survey of Americans, begun in 1999, that uses a stratified, multistage probability design in 2-year cycles. Adherence to a healthy lifestyle was estimated via a scale using never smoking, moderate drinking, adequate physical activity, and healthy diet data; the scores range from 0 to 4. Among 7410 participants, adherence to healthy behaviors across time slightly increased from a score of 1.4 (95% CI, 1.3-1.5) in 1999-2002 to 1.6 (1.5-1.8) in 2015-2018 (P = .002 for trend). The overall lifestyle score of non-Hispanic Black people increased to the same score as non-Hispanic White people (1.7 vs 1.6 in 2015-2018). Large socioeconomic disparities remained in that participants with higher income and education level and who were covered by health insurance were more likely to adhere to healthy behaviors. The metabolic control plateaued and causes of death have diversified among PWD; thus, our findings suggested a potential for lifestyle modification in facilitating the long-term health of these patients. |
| 卷 |
194 |
| 影响因子 |
4.8 |
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