@article{01GTGK9SS18WR64BH3SSBWEDRV,
  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.}},
  author       = {{Basdeki, Eirini D. and Karatzi, Kalliopi and Arnaoutis, Giannis and Makrilakis, Konstantinos and Liatis, Stavros and Cardon, Greet and De Craemer, Marieke and Iotova, Violeta and Tsochev, Kaloyan and Tankova, Tsvetalina and Kivelä, Jemina and Wikström, Katja and Rurik, Imre and Radó, Sándorné and Miguel‐Berges, María L. and Gimenez‐Legarre, Natalia and Moreno‐Aznar, Luis and Manios, Yannis}},
  issn         = {{0952-3871}},
  journal      = {{JOURNAL OF HUMAN NUTRITION AND DIETETICS}},
  keywords     = {{Nutrition and Dietetics,Medicine (miscellaneous),blood pressure, diabetes mellitus, dietary patterns, hypertension, lifestyle, sedentary lifestyle,sedentary lifestyle,lifestyle,hypertension,dietary patterns,diabetes mellitus,blood pressure,DOSE-RESPONSE METAANALYSIS,ALL-CAUSE MORTALITY,CARDIOVASCULAR-DISEASE,PHYSICAL-ACTIVITY,DIETARY PATTERNS,HYPERTENSION,GUIDELINES,BEHAVIOR,ALCOHOL,HEALTH}},
  language     = {{eng}},
  number       = {{4}},
  pages        = {{1564--1575}},
  title        = {{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}},
  url          = {{http://doi.org/10.1111/jhn.13145}},
  volume       = {{36}},
  year         = {{2023}},
}

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