Adherence
Individuals with cardiovascular disease (CVD) or type 2 diabetes exhibit a clustered 'unhealthy behavioral phenotype' characterized by low physical activity, high television viewing, and poor sleep duration, which is significantly more prevalent in those with both conditions compared to disease-free individuals.
If you have heart disease or type 2 diabetes, your risk is significantly higher if you combine low exercise, high TV watching, and poor sleep. These behaviors tend to happen together. Focus on breaking this cluster: try to reduce evening TV time to improve sleep, and gradually increase movement. Dietary changes are important, but addressing these three non-diet behaviors is equally critical for managing your condition.
People with 'Type 2 diabetes + CVD' were more likely to report low physical activity (1.71 (1.64 to 1.78)), high levels of TV viewing (1.92 (1.85 to 1.99)) and poor sleep duration (1.52 (1.46 to1.58)) relative to people without disease... those in the ‘Type 2 diabetes + CVD’ group were three times more likely to report an ‘unhealthy phenotype’, (ie, low physical activity, high TV viewing and poor sleep duration) (OR=3.29 (95% CI 3.02 to 3.58))
Why this rating
Large sample size (n=233,110) and rigorous statistical adjustment, but limited by cross-sectional design and self-reporting.
Source
Cross-sectional study of diet, physical activity, television viewing and sleep duration in 233 110 adults from the UK Biobank; the behavioural phenotype of cardiovascular disease and type 2 diabetes
Sophie Cassidy et al. · BMJ Open · 2016
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