We used Cox proportional hazards models to evaluate the association between mortality and each lifestyle factor individually and then the lifestyle scores.
All participants with an unhealthy lifestyle had individually tailored lifestyle counselling at all visits (at baseline and after one and three years); those at high risk of ischaemic heart disease, according to predefined criteria, were furthermore offered six sessions of group based lifestyle counselling on smoking cessation, diet, and physical activity.
Previous studies have considered dietary and lifestyle factors individually, but few studies have considered these factors in aggregate in order to estimate the proportion of diabetes that might be avoided by adopting a pattern of low-risk behaviors (6, 7).
The independent effects of achieving the success score components at 3-year examination were assessed by including each of the five lifestyle goal variables individually in a Cox model (Table 1).
In subgroup analyses by race/ethnicity, HRs and 95% CIs were calculated for diabetes incidence for each lifestyle risk factor individually and several lifestyle factors in aggregate, adjusting for age, family history of diabetes, hormone therapy use, study arm, and lifestyle risk factors not already included in the model.
Some programs, especially those designed by registered dietitians or employing them, can help people create individually tailored lifestyle programs that include realistic goal setting, reduced calorie intake, increased energy expenditure, and behavior modification.
An individually tailored lifestyle program might increase the willingness of patients to participate.
Text messages would encourage and motivate them to adopt a healthy lifestyle if they were individually tailored.
Identifying responders to high-intensity PRT may allow for individually tailored lifestyle interventions in the future and development of cointerventions to optimize favorable body composition adaptations.
