| Titre : | Lifestyle Changes Following Diagnosis of Cardiometabolic Diseases : A Case-Crossover Study from the NutriNet-Santé Study |
| Auteurs : | Asri Mutiara Putri ; Ecole des hautes études en santé publique (EHESP) (Rennes, FRA) |
| Type de document : | Mémoire |
| Année de publication : | 2024 |
| Description : | 38p. / fig., tabl |
| Langues: | Anglais |
| Classement : | MPH/ (Mémoires MPH à partir de 2024) |
| Mots-clés : | Appareil circulatoire [pathologie] ; Maladie chronique ; Hypertension artérielle ; Diabète ; Diagnostic de santé ; Comportement santé ; Changement ; Condition vie ; Consommation alcool ; Activité physique ; France |
| Résumé : |
Background: Cardiovascular diseases (CVDs), are significant global health concerns. CVDs are attributable to cardiometabolic diseases (CMDs), which include hypertension and type 2 diabetes, and modifiable behavioural factors. Diagnosis of chronic diseases is a crucial "teachable moment," leading individuals to initiate risk-reducing behavioural changes. The existing literature provides mixed evidence on the relationship between disease diagnosis and lifestyle modifications.
Objectives: This study aims to assess the lifestyle changes (smoking, alcohol consumption, physical activity, sedentary behaviour, and dietary intake) after the diagnosis of CMDs (hypertension and type 2 diabetes) in French adult patients. Methods: This case-crossover study analysed data from 6714 (hypertension group) and 1528 (type 2 diabetes group) volunteers from the NutriNet-Santé study, an ongoing French cohort study. Conditional logistic regression and McNemar tests were performed to assess lifestyle changes, comparing an individual's lifestyle after the diagnosis of CMDs with its lifestyle before the diagnosis of CMDs. Results: In the hypertension group, patients had a lower odds of being current smokers (OR 0.34, 95% CI: 0.23-0.49, p < 0.001), a median alcohol consumption reduction of 0.35 (95% CI: 0.21-0.64, p < 0.001) and a lower odds of a being drinker post-diagnosis (OR 0.84, 95% CI: 0.72-0.99, p = 0.038). There were no significant changes in physical activity, dietary intake, and sedentary behaviour. In type 2 diabetes group, a median decreased of 0.79 (95% CI: 0.29-1.29, p = 0.001) in alcohol consumption and an increased odds of engaging high physical activity (OR 1.48, 95% CI: 1.05-2.09, p = 0.026) were observed post-diagnosis. There were no significant changes in smoking status, dietary intake, and sedentary behaviour. The extent of lifestyle changes varied according to sociodemographic factors, including employment status, education attainment, and gender. Conclusion: A hypertension diagnosis promotes smoking cessation and decreased alcohol consumption, whereas a type 2 diabetes diagnosis leads to reduced alcohol intake and increased physical activity. |
| Diplôme : | Master MPH of public health |
| Plan de classement simplifié : | Master of Public Health - master international de Santé Publique (MPH) |
| En ligne : | https://documentation.ehesp.fr/memoires/2024/mph/asri_mutiara_putri.pdf |
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