A lifestyle pattern characterised by high consumption of sweet and salty snacks, sugar sweetened beverages and sedentary time is associated with blood pressure in families at risk for type 2 diabetes mellitus in Europe. The Feel4Diabetes Study

Eirini D Basdeki^{1

2}, Kalliopi Karatzi³, Giannis Arnaoutis², Konstantinos Makrilakis⁴, Stavros Liatis⁴, Greet Cardon⁵, Marieke De Craemer^{6

7}, Violeta Iotova⁸, Kaloyan Tsochev⁸, Tsvetalina Tankova⁹, Jemina Kivelä¹⁰, Katja Wikström¹⁰, Imre Rurik¹¹, Sándorné Radó¹², María L Miguel-Berges^{13

14

15

16}, Natalia Gimenez-Legarre^{13

14

15}, Luis Moreno-Aznar^{13

14

15

16}, Yannis Manios^{2

17}

Affiliations

¹ Cardiovascular Prevention & Research Unit, Clinic & Laboratory of Pathophysiology, Department of Medicine, National and Kapodistrian University of Athens, Athens, Greece.
² Department of Nutrition and Dietetics, School of Health Science and Education, Harokopio University of Athens, Athens, Greece.
³ Laboratory of Dietetics and Quality of Life, Department of Food Science and Human Nutrition, Agricultural University of Athens, Athens, Greece.
⁴ National and Kapodistrian University of Athens Medical School, First Department of Propaedeutic Medicine, Laiko General Hospital, Athens, Greece.
⁵ Department of Movement and Sports Sciences, Ghent University, Ghent, Belgium.
⁶ Department of Rehabilitation Sciences, Ghent University, Ghent, Belgium.
⁷ Research Foundation Flanders, Brussels, Belgium.
⁸ Departemnt of Pediatrics, Medical University of Varna, Varna, Bulgaria.
⁹ Clinical Center of Endocrinology and Gerontology, Medical University of Sofia, Sofia, Bulgaria.
¹⁰ Population Health Unit, Finnish Institute for Health and Welfare, Helsinki, Finland.
¹¹ Department of Family and Occupational Medicine, University of Debrecen, Debrecen, Hungary.
¹² Faculty of Health, Doctoral School of Health Science, University of Debrecen, Debrecen, Hungary.
¹³ GENUD (Growth, Exercise, Nutrition and Development) Research Group, Facultad de Ciencias de la Salud, Universidad de Zaragoza, Zaragoza, Spain.
¹⁴ Instituto Agroalimentario de Aragón (IA2), Zaragoza, Spain.
¹⁵ Instituto de Investigación Sanitaria Aragón (IIS Aragón), Zaragoza, Spain.
¹⁶ Centro de Investigación Biomédica en Red de Fisiopatología de la Obesidad y Nutrición (CIBERObn), Instituto de Salud Carlos III, Madrid, Spain.
¹⁷ Institute of Agri-food and Life Sciences, Hellenic Mediterranean University Research Centre(Agro-Health), Heraklion, Greece.

PMID: 36719056
DOI: 10.1111/jhn.13145

A lifestyle pattern characterised by high consumption of sweet and salty snacks, sugar sweetened beverages and sedentary time is associated with blood pressure in families at risk for type 2 diabetes mellitus in Europe. The Feel4Diabetes Study

Eirini D Basdeki et al. J Hum Nutr Diet. 2023 Aug.

. 2023 Aug;36(4):1564-1575.

doi: 10.1111/jhn.13145. Epub 2023 Feb 28.

Authors

Affiliations

¹ Cardiovascular Prevention & Research Unit, Clinic & Laboratory of Pathophysiology, Department of Medicine, National and Kapodistrian University of Athens, Athens, Greece.
² Department of Nutrition and Dietetics, School of Health Science and Education, Harokopio University of Athens, Athens, Greece.
³ Laboratory of Dietetics and Quality of Life, Department of Food Science and Human Nutrition, Agricultural University of Athens, Athens, Greece.
⁴ National and Kapodistrian University of Athens Medical School, First Department of Propaedeutic Medicine, Laiko General Hospital, Athens, Greece.
⁵ Department of Movement and Sports Sciences, Ghent University, Ghent, Belgium.
⁶ Department of Rehabilitation Sciences, Ghent University, Ghent, Belgium.
⁷ Research Foundation Flanders, Brussels, Belgium.
⁸ Departemnt of Pediatrics, Medical University of Varna, Varna, Bulgaria.
⁹ Clinical Center of Endocrinology and Gerontology, Medical University of Sofia, Sofia, Bulgaria.
¹⁰ Population Health Unit, Finnish Institute for Health and Welfare, Helsinki, Finland.
¹¹ Department of Family and Occupational Medicine, University of Debrecen, Debrecen, Hungary.
¹² Faculty of Health, Doctoral School of Health Science, University of Debrecen, Debrecen, Hungary.
¹³ GENUD (Growth, Exercise, Nutrition and Development) Research Group, Facultad de Ciencias de la Salud, Universidad de Zaragoza, Zaragoza, Spain.
¹⁴ Instituto Agroalimentario de Aragón (IA2), Zaragoza, Spain.
¹⁵ Instituto de Investigación Sanitaria Aragón (IIS Aragón), Zaragoza, Spain.
¹⁶ Centro de Investigación Biomédica en Red de Fisiopatología de la Obesidad y Nutrición (CIBERObn), Instituto de Salud Carlos III, Madrid, Spain.
¹⁷ Institute of Agri-food and Life Sciences, Hellenic Mediterranean University Research Centre(Agro-Health), Heraklion, Greece.

PMID: 36719056
DOI: 10.1111/jhn.13145

Abstract

Background: Individuals from families at high-risk for type 2 diabetes mellitus (T2DM) are also at high risk for hypertension (HTN) and cardiovascular disease. Studies identifying lifestyle patterns (LPs) combining dietary, physical activity or sedentary variables and examining their possible role with respect to developing blood pressure (BP) are limited. The present study aimed to examine the association of different LPs with BP levels in families at high risk for T2DM in Europe.

Methods: In total, 1844 adults (31.6% males) at high-risk for T2DM across six European countries were included in this cross-sectional study using data from the baseline assessment of the Feel4Diabetes Study. BP measurements and dietary and physical activity assessments were conducted, and screen times were surveyed. LPs were revealed with principal component analysis of various data regarding diet, physical activity, screen time and smoking.

Results: Three LPs were identified. LP3 (high consumption of sweet and salty snacks, sugar sweetened soft drinks and juices, and high amount of screen time) was positively associated with diastolic BP (B, 0.52; 95% confidence interval = 0.05-0.99) and the existence of HTN (odds ratio = 1.12; 95% confidence interval = 1.00-1.25). Participants in the highest tertile of LP3 spent mean 3 h of screen time, consumed 1.5 portions of sweet and/or salty snacks and 1 L of soft drinks on a daily basis, were associated with 12% higher risk of HTN.

Conclusions: Focusing on the combination of eating and lifestyle behaviours may more accurately identify, and therefore guide preventive measures tailored to the specific needs of high-risk populations.

Keywords: blood pressure; diabetes mellitus; dietary patterns; hypertension; lifestyle; sedentary lifestyle.

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References

REFERENCES

1. Rahimi K, Emdin CA, MacMahon S. The epidemiology of blood pressure and its worldwide management. Circ Res. 2015;116(6):925-36.
1. WHO Cardiovascular diseases - Key facts. 2021.
1. Rossier BC, Bochud M, Devuyst O. The hypertension pandemic: an evolutionary perspective. Physiology. 2017;32(2):112-25.
1. Arnett DK, Blumenthal RS, Albert MA, Buroker AB, Goldberger ZD, Hahn EJ, et al. 2019 ACC/AHA guideline on the primary prevention of cardiovascular disease: a report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines. Circulation. 2019;140(11):596.
1. Kharroubi AT. Diabetes mellitus: The epidemic of the century. World J Diabetes. 2015;6(6):850-67.

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A lifestyle pattern characterised by high consumption of sweet and salty snacks, sugar sweetened beverages and sedentary time is associated with blood pressure in families at risk for type 2 diabetes mellitus in Europe. The Feel4Diabetes Study

Affiliations

A lifestyle pattern characterised by high consumption of sweet and salty snacks, sugar sweetened beverages and sedentary time is associated with blood pressure in families at risk for type 2 diabetes mellitus in Europe. The Feel4Diabetes Study

Authors

Affiliations

Abstract

References

REFERENCES

Publication types

MeSH terms

Substances

Grants and funding

LinkOut - more resources

Full Text Sources

Medical