Relationships between lifestyle patterns and cardio-renal-metabolic parameters in patients with type 2 diabetes mellitus: A cross-sectional study.

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  • Additional Information
    • Source:
      Publisher: Public Library of Science Country of Publication: United States NLM ID: 101285081 Publication Model: eCollection Cited Medium: Internet ISSN: 1932-6203 (Electronic) Linking ISSN: 19326203 NLM ISO Abbreviation: PLoS One Subsets: MEDLINE
    • Publication Information:
      Original Publication: San Francisco, CA : Public Library of Science
    • Subject Terms:
      Life Style*; Cardiovascular Diseases/*complications ; Cardiovascular Diseases/*metabolism ; Diabetes Mellitus, Type 2/*epidemiology ; Diabetes Mellitus, Type 2/*etiology ; Kidney Diseases/*complications ; Kidney Diseases/*metabolism; Adult ; Aged ; Biomarkers ; Cross-Sectional Studies ; Female ; Humans ; Japan/epidemiology ; Male ; Middle Aged ; Risk Factors ; Surveys and Questionnaires
    • Abstract:
      Introduction: While individuals tend to show accumulation of certain lifestyle patterns, the effect of such patterns in real daily life on cardio-renal-metabolic parameters remains largely unknown. This study aimed to assess clustering of lifestyle patterns and investigate the relationships between such patterns and cardio-renal-metabolic parameters.
      Participants and Methods: The study participants were 726 Japanese type 2 diabetes mellitus (T2DM) outpatients free of history of cardiovascular diseases. The relationship between lifestyle patterns and cardio-renal-metabolic parameters was investigated by linear and logistic regression analyses.
      Results: Factor analysis identified three lifestyle patterns. Subjects characterized by evening type, poor sleep quality and depressive status (type 1 pattern) had high levels of HbA1c, alanine aminotransferase and albuminuria. Subjects characterized by high consumption of food, alcohol and cigarettes (type 2 pattern) had high levels of γ-glutamyl transpeptidase, triglycerides, HDL-cholesterol, blood pressure, and brachial-ankle pulse wave velocity. Subjects characterized by high physical activity (type 3 pattern) had low uric acid and mild elevation of alanine aminotransferase and aspartate aminotransferase. In multivariate regression analysis adjusted by age, gender and BMI, type 1 pattern was associated with higher HbA1c levels, systolic BP and brachial-ankle pulse wave velocity. Type 2 pattern was associated with higher HDL-cholesterol levels, triglycerides, aspartate aminotransferase, ɤ- glutamyl transpeptidase levels, and diastolic BP.
      Conclusions: The study identified three lifestyle patterns that were associated with distinct cardio-metabolic-renal parameters in T2DM patients.
      Trial Registration: UMIN000010932.
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    • Accession Number:
      0 (Biomarkers)
    • Publication Date:
      Date Created: 20170309 Date Completed: 20170825 Latest Revision: 20190208
    • Publication Date:
      20240628
    • Accession Number:
      PMC5342268
    • Accession Number:
      10.1371/journal.pone.0173540
    • Accession Number:
      28273173