TY  - JOUR
  - Perry, IJ,Villegas, R,Salim, A,Flynn, A
  - 2005
  - May
  - Diabetic Medicine
  - Clustering of protective factors for glucose intolerance and insulin resistance: a cross-sectional study
  - Validated
  - ()
  - glucose intolerance insulin resistance protective factors TYPE-2 DIABETES-MELLITUS US MALE PHYSICIANS LIFE-STYLE ALCOHOL-CONSUMPTION CIGARETTE-SMOKING DIETARY PATTERNS HEART-DISEASE RISK MEN CLASSIFICATION
  - 22
  - 1091
  - 1097
  - Aims A cluster of interrelated factors: a body mass index (BMI) < 25 kg/m(2), moderate exercise and alcohol intake, non-smoking and a favourable dietary pattern has been linked with markedly reduced risk of Type 2 diabetes. The aim of this study was to estimate the prevalence of a similar low-risk group in a sample of middle-aged Irish men and women, and determine whether this cluster is associated with a reduced risk of glucose intolerance (IFG and Type 2 diabetes according to ADA/WHO criteria) and insulin resistance [homeostasis model assessment (HOMA) score in upper quartile of distribution].Methods A cross-sectional study involving a stratified random sample of 1018 general practice patients, aged 50-69 years. We defined a low-risk group based on the following variables: BMI < 25 kg/m(2); waist-hip ratio < 0.85 for women and 0.90 for men; never smoking status; participation in medium to high level of physical activity; light drinking (3.5-7 units of alcohol per week) and a 'prudent' dietary pattern. Valid data were available for glucose tolerance status and HOMA score and all exposure variables from 684 and 671 participants, respectively.Results A total of 7.5% of participants had none of the 'protective factors', 24.9% had one, 31.0% two, 23.3% three, 10.0% four, 3.0% five and 0.3% had six protective factors. In multivariate analyses the odds ratios for insulin resistance were 0.59, 0.48, 0.14 and 0.04 in persons with one, two, three and four or more low-risk factors, respectively, relative to those with none. Similar linear inverse trends were observed for glucose intolerance.Conclusions The findings are consistent with an inverse linear relation between a cluster of core protective, lifestyle-related factors and the prevalence of both glucose intolerance and insulin resistance.
DA  - 2005/05
ER  - 

@article{V43337156,
   = {Perry,  IJ and Villegas,  R and Salim,  A and Flynn,  A },
   = {2005},
   = {May},
   = {Diabetic Medicine},
   = {Clustering of protective factors for glucose intolerance and insulin resistance: a cross-sectional study},
   = {Validated},
   = {()},
   = {glucose intolerance insulin resistance protective factors TYPE-2 DIABETES-MELLITUS US MALE PHYSICIANS LIFE-STYLE ALCOHOL-CONSUMPTION CIGARETTE-SMOKING DIETARY PATTERNS HEART-DISEASE RISK MEN CLASSIFICATION},
   = {22},
  pages = {1091--1097},
   = {{Aims A cluster of interrelated factors: a body mass index (BMI) < 25 kg/m(2), moderate exercise and alcohol intake, non-smoking and a favourable dietary pattern has been linked with markedly reduced risk of Type 2 diabetes. The aim of this study was to estimate the prevalence of a similar low-risk group in a sample of middle-aged Irish men and women, and determine whether this cluster is associated with a reduced risk of glucose intolerance (IFG and Type 2 diabetes according to ADA/WHO criteria) and insulin resistance [homeostasis model assessment (HOMA) score in upper quartile of distribution].Methods A cross-sectional study involving a stratified random sample of 1018 general practice patients, aged 50-69 years. We defined a low-risk group based on the following variables: BMI < 25 kg/m(2); waist-hip ratio < 0.85 for women and 0.90 for men; never smoking status; participation in medium to high level of physical activity; light drinking (3.5-7 units of alcohol per week) and a 'prudent' dietary pattern. Valid data were available for glucose tolerance status and HOMA score and all exposure variables from 684 and 671 participants, respectively.Results A total of 7.5% of participants had none of the 'protective factors', 24.9% had one, 31.0% two, 23.3% three, 10.0% four, 3.0% five and 0.3% had six protective factors. In multivariate analyses the odds ratios for insulin resistance were 0.59, 0.48, 0.14 and 0.04 in persons with one, two, three and four or more low-risk factors, respectively, relative to those with none. Similar linear inverse trends were observed for glucose intolerance.Conclusions The findings are consistent with an inverse linear relation between a cluster of core protective, lifestyle-related factors and the prevalence of both glucose intolerance and insulin resistance.}},
  source = {IRIS}
}