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    Please use this identifier to cite or link to this item: http://asiair.asia.edu.tw/ir/handle/310904400/17849


    Title: Impact of lifestyle-related factors on all-cause and cause-specific mortality in patients with type 2 diabetes mellitus: The Taichung Diabetes Study
    Authors: Cheng-Chieh Lin;Chia-Ing Li;Chiu-Shong Liu;Wen-Yuan Lin;Mao-Tsu Fuh, Martin;Sing-Yu Yang;Cheng-Chun Lee;Tsai-Chung Li
    Contributors: 健康產業管理學系
    Date: 2012
    Issue Date: 2012-11-26 12:04:26 (UTC+8)
    Abstract: To examine whether combined lifestyle behaviors have an impact on all-cause and cause-specific mortality in patients aged 30-94 years with type 2 diabetes (T2DM). Participants included 5,686 patients >30 years old with T2DM who were enrolled in a Diabetes Care Management Program at a medical center in central Taiwan before 2007. Lifestyle behaviors consisted of smoking, alcohol drinking, physical inactivity, and carbohydrate intake. The main outcomes were all-cause and cause-specific mortality. Cox proportional hazards models were used to examine the association between combined lifestyle behaviors and mortality. The mortality rate among men was 24.10 per 1,000 person-years, and that among women was 17.25 per 1,000 person-years. After adjusting for the traditional risk factors, we found that combined lifestyle behavior was independently associated with all-cause mortality and mortality due to diabetes, cardiovascular disease, and cancer. Patients with three or more points were at a 3.50-fold greater risk of all-cause mortality (95% CI 2.06-5.96) and a 4.94-fold (1.62-15.06), 4.24-fold (1.20-14.95), and 1.31-fold (0.39-4.41) greater risk of diabetes-specific, CVD-specific, and cancer-specific mortality, respectively, compared with patients with zero points. Among these associations, the combined lifestyle behavior was not significantly associated with cancer mortality. Combined lifestyle behavior is a strong predictor of all-cause and cause-specific mortality in patients with T2DM.
    Relation: DIABETES CARE, 35(1):105-112.
    Appears in Collections:[健康產業管理學系] 期刊論文

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