{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,9]],"date-time":"2026-03-09T22:18:48Z","timestamp":1773094728635,"version":"3.50.1"},"reference-count":58,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2023,2,28]],"date-time":"2023-02-28T00:00:00Z","timestamp":1677542400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J Human Nutrition Diet"],"published-print":{"date-parts":[[2023,8]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Individuals from families at high\u2010risk 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.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>In total, 1844 adults (31.6% males) at high\u2010risk for T2DM across six European countries were included in this cross\u2010sectional 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.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>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\u20130.99) and the existence of HTN (odds ratio = 1.12; 95% confidence interval = 1.00\u20131.25). Participants in the highest tertile of LP3 spent mean 3\u2009h of screen time, consumed 1.5 portions of sweet and\/or salty snacks and 1\u2009L of soft drinks on a daily basis, were associated with 12% higher risk of HTN.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>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\u2010risk populations.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/jhn.13145","type":"journal-article","created":{"date-parts":[[2023,1,31]],"date-time":"2023-01-31T07:33:53Z","timestamp":1675150433000},"page":"1564-1575","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"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"],"prefix":"10.1111","volume":"36","author":[{"given":"Eirini D.","family":"Basdeki","sequence":"first","affiliation":[{"name":"Cardiovascular Prevention &amp; Research Unit, Clinic &amp; Laboratory of Pathophysiology, Department of Medicine National and Kapodistrian University of Athens  Athens Greece"},{"name":"Department of Nutrition and Dietetics, School of Health Science and Education Harokopio University of Athens  Athens Greece"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kalliopi","family":"Karatzi","sequence":"additional","affiliation":[{"name":"Laboratory of Dietetics and Quality of Life, Department of Food Science and Human Nutrition Agricultural University of Athens  Athens Greece"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9526-1128","authenticated-orcid":false,"given":"Giannis","family":"Arnaoutis","sequence":"additional","affiliation":[{"name":"Department of Nutrition and Dietetics, School of Health Science and Education Harokopio University of Athens  Athens Greece"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Konstantinos","family":"Makrilakis","sequence":"additional","affiliation":[{"name":"National and Kapodistrian University of Athens Medical School, First Department of Propaedeutic Medicine Laiko General Hospital  Athens Greece"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Stavros","family":"Liatis","sequence":"additional","affiliation":[{"name":"National and Kapodistrian University of Athens Medical School, First Department of Propaedeutic Medicine Laiko General Hospital  Athens Greece"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Greet","family":"Cardon","sequence":"additional","affiliation":[{"name":"Department of Movement and Sports Sciences Ghent University  Ghent Belgium"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marieke","family":"De Craemer","sequence":"additional","affiliation":[{"name":"Department of Rehabilitation Sciences Ghent University  Ghent Belgium"},{"name":"Research Foundation Flanders  Brussels Belgium"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Violeta","family":"Iotova","sequence":"additional","affiliation":[{"name":"Departemnt of Pediatrics Medical University of Varna  Varna Bulgaria"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kaloyan","family":"Tsochev","sequence":"additional","affiliation":[{"name":"Departemnt of Pediatrics Medical University of Varna  Varna Bulgaria"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tsvetalina","family":"Tankova","sequence":"additional","affiliation":[{"name":"Clinical Center of Endocrinology and Gerontology Medical University of Sofia, Sofia  Bulgaria"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jemina","family":"Kivel\u00e4","sequence":"additional","affiliation":[{"name":"Population Health Unit, Finnish Institute for Health and Welfare  Helsinki Finland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Katja","family":"Wikstr\u00f6m","sequence":"additional","affiliation":[{"name":"Population Health Unit, Finnish Institute for Health and Welfare  Helsinki Finland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Imre","family":"Rurik","sequence":"additional","affiliation":[{"name":"Department of Family and Occupational Medicine University of Debrecen  Debrecen Hungary"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"S\u00e1ndorn\u00e9","family":"Rad\u00f3","sequence":"additional","affiliation":[{"name":"Faculty of Health, Doctoral School of Health Science University of Debrecen  Debrecen Hungary"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mar\u00eda L.","family":"Miguel\u2010Berges","sequence":"additional","affiliation":[{"name":"GENUD (Growth, Exercise, Nutrition and Development) Research Group, Facultad de Ciencias de la Salud Universidad de Zaragoza  Zaragoza Spain"},{"name":"Instituto Agroalimentario de Arag\u00f3n (IA2)  Zaragoza Spain"},{"name":"Instituto de Investigaci\u00f3n Sanitaria Arag\u00f3n (IIS Arag\u00f3n)  Zaragoza Spain"},{"name":"Centro de Investigaci\u00f3n Biom\u00e9dica en Red de Fisiopatolog\u00eda de la Obesidad y Nutrici\u00f3n (CIBERObn) Instituto de Salud Carlos III  Madrid Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Natalia","family":"Gimenez\u2010Legarre","sequence":"additional","affiliation":[{"name":"GENUD (Growth, Exercise, Nutrition and Development) Research Group, Facultad de Ciencias de la Salud Universidad de Zaragoza  Zaragoza Spain"},{"name":"Instituto Agroalimentario de Arag\u00f3n (IA2)  Zaragoza Spain"},{"name":"Instituto de Investigaci\u00f3n Sanitaria Arag\u00f3n (IIS Arag\u00f3n)  Zaragoza Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Luis","family":"Moreno\u2010Aznar","sequence":"additional","affiliation":[{"name":"GENUD (Growth, Exercise, Nutrition and Development) Research Group, Facultad de Ciencias de la Salud Universidad de Zaragoza  Zaragoza Spain"},{"name":"Instituto Agroalimentario de Arag\u00f3n (IA2)  Zaragoza Spain"},{"name":"Instituto de Investigaci\u00f3n Sanitaria Arag\u00f3n (IIS Arag\u00f3n)  Zaragoza Spain"},{"name":"Centro de Investigaci\u00f3n Biom\u00e9dica en Red de Fisiopatolog\u00eda de la Obesidad y Nutrici\u00f3n (CIBERObn) Instituto de Salud Carlos III  Madrid Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yannis","family":"Manios","sequence":"additional","affiliation":[{"name":"Department of Nutrition and Dietetics, School of Health Science and Education Harokopio University of Athens  Athens Greece"},{"name":"Institute of Agri\u2010food and Life Sciences Hellenic Mediterranean University Research Centre(Agro\u2010Health)  Heraklion Greece"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2023,2,28]]},"reference":[{"key":"e_1_2_12_2_1","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCRESAHA.116.304723"},{"key":"e_1_2_12_3_1","unstructured":"WHOCardiovascular diseases \u2010 Key facts.2021."},{"key":"e_1_2_12_4_1","doi-asserted-by":"publisher","DOI":"10.1152\/physiol.00026.2016"},{"key":"e_1_2_12_5_1","doi-asserted-by":"publisher","DOI":"10.1161\/CIR.0000000000000677"},{"key":"e_1_2_12_6_1","doi-asserted-by":"publisher","DOI":"10.4239\/wjd.v6.i6.850"},{"key":"e_1_2_12_7_1","doi-asserted-by":"publisher","DOI":"10.1097\/XCE.0000000000000114"},{"key":"e_1_2_12_8_1","unstructured":"CDC Know your risk for high blood pressure.2020."},{"key":"e_1_2_12_9_1","doi-asserted-by":"publisher","DOI":"10.1097\/HJH.0000000000000611"},{"key":"e_1_2_12_10_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.hjh.0000160199.51158.cf"},{"key":"e_1_2_12_11_1","doi-asserted-by":"publisher","DOI":"10.1093\/ajh\/hpu024"},{"key":"e_1_2_12_12_1","doi-asserted-by":"publisher","DOI":"10.1038\/jhh.2011.3"},{"key":"e_1_2_12_13_1","doi-asserted-by":"publisher","DOI":"10.1038\/jhh.2016.44"},{"key":"e_1_2_12_14_1","doi-asserted-by":"publisher","DOI":"10.1111\/1753-0407.12173"},{"key":"e_1_2_12_15_1","doi-asserted-by":"publisher","DOI":"10.3390\/nu8010058"},{"key":"e_1_2_12_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.numecd.2014.06.008"},{"key":"e_1_2_12_17_1","doi-asserted-by":"publisher","DOI":"10.1146\/annurev-nutr-011215-025104"},{"key":"e_1_2_12_18_1","article-title":"Effects of low sodium diet versus high sodium diet on blood pressure, renin, aldosterone, catecholamines, cholesterol, and triglyceride","volume":"4","author":"Graudal NA","year":"2017","journal-title":"Cochrane Database Syst Rev"},{"key":"e_1_2_12_19_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11906-005-0007-2"},{"key":"e_1_2_12_20_1","doi-asserted-by":"publisher","DOI":"10.1093\/eurheartj\/ehy339"},{"key":"e_1_2_12_21_1","doi-asserted-by":"publisher","DOI":"10.1249\/01.MSS.0000115224.88514.3A"},{"key":"e_1_2_12_22_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11906-015-0588-3"},{"key":"e_1_2_12_23_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11906-013-0386-8"},{"key":"e_1_2_12_24_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12874-018-0607-6"},{"key":"e_1_2_12_25_1","doi-asserted-by":"publisher","DOI":"10.1017\/S1368980018002136"},{"key":"e_1_2_12_26_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12902-019-0478-9"},{"key":"e_1_2_12_27_1","doi-asserted-by":"publisher","DOI":"10.1093\/eurheartj\/eht151"},{"key":"e_1_2_12_28_1","doi-asserted-by":"publisher","DOI":"10.1249\/01.MSS.0000078924.61453.FB"},{"key":"e_1_2_12_29_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12902-019-0469-x"},{"key":"e_1_2_12_30_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12902-020-0501-1"},{"key":"e_1_2_12_31_1","unstructured":"WHO A healthy lifestyle \u2010 WHO recommendations.2010."},{"key":"e_1_2_12_32_1","unstructured":"WHO Waist circumference and waist\u2010hip ratio: report of a WHO expert consultation.2008."},{"key":"e_1_2_12_33_1","doi-asserted-by":"publisher","DOI":"10.3945\/an.115.009753"},{"key":"e_1_2_12_34_1","doi-asserted-by":"publisher","DOI":"10.1038\/s41430-020-00850-w"},{"key":"e_1_2_12_35_1","doi-asserted-by":"publisher","DOI":"10.1161\/HYPERTENSIONAHA.110.165456"},{"key":"e_1_2_12_36_1","doi-asserted-by":"publisher","DOI":"10.1097\/HJH.0000000000000800"},{"key":"e_1_2_12_37_1","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCULATIONAHA.109.911164"},{"key":"e_1_2_12_38_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11906-021-01156-3"},{"key":"e_1_2_12_39_1","doi-asserted-by":"publisher","DOI":"10.3390\/nu11020387"},{"key":"e_1_2_12_40_1","doi-asserted-by":"publisher","DOI":"10.1038\/s41598-020-73355-y"},{"key":"e_1_2_12_41_1","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph15051026"},{"key":"e_1_2_12_42_1","doi-asserted-by":"publisher","DOI":"10.1159\/000507510"},{"key":"e_1_2_12_43_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.clnu.2020.02.004"},{"key":"e_1_2_12_44_1","doi-asserted-by":"publisher","DOI":"10.1017\/S0007114514002931"},{"key":"e_1_2_12_45_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.mayocp.2013.11.005"},{"key":"e_1_2_12_46_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.l1451"},{"key":"e_1_2_12_47_1","doi-asserted-by":"publisher","DOI":"10.3390\/nu11081840"},{"key":"e_1_2_12_48_1","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCULATIONAHA.113.005925"},{"key":"e_1_2_12_49_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2018.14854"},{"key":"e_1_2_12_50_1","doi-asserted-by":"publisher","DOI":"10.1136\/bjsports-2020-102955"},{"key":"e_1_2_12_51_1","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCULATIONAHA.118.035312"},{"key":"e_1_2_12_52_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacc.2013.03.031"},{"key":"e_1_2_12_53_1","doi-asserted-by":"publisher","DOI":"10.3945\/ajcn.111.019620"},{"key":"e_1_2_12_54_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2011.812"},{"key":"e_1_2_12_55_1","doi-asserted-by":"publisher","DOI":"10.5888\/pcd15.170247"},{"key":"e_1_2_12_56_1","doi-asserted-by":"publisher","DOI":"10.1093\/ije\/dys078"},{"key":"e_1_2_12_57_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12966-019-0858-6"},{"key":"e_1_2_12_58_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.numecd.2014.04.011"},{"key":"e_1_2_12_59_1","doi-asserted-by":"publisher","DOI":"10.1136\/bjsports-2019-101154"}],"container-title":["Journal of Human Nutrition and Dietetics"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/jhn.13145","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/jhn.13145","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/jhn.13145","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,10,25]],"date-time":"2023-10-25T03:15:14Z","timestamp":1698203714000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/jhn.13145"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,2,28]]},"references-count":58,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2023,8]]}},"alternative-id":["10.1111\/jhn.13145"],"URL":"https:\/\/doi.org\/10.1111\/jhn.13145","archive":["Portico"],"relation":{"has-review":[{"id-type":"doi","id":"10.1111\/JHN.13145\/v3\/decision1","asserted-by":"object"},{"id-type":"doi","id":"10.1111\/JHN.13145\/v2\/decision1","asserted-by":"object"},{"id-type":"doi","id":"10.1111\/JHN.13145\/v1\/review1","asserted-by":"object"},{"id-type":"doi","id":"10.1111\/JHN.13145\/v1\/review2","asserted-by":"object"},{"id-type":"doi","id":"10.1111\/JHN.13145\/v1\/decision1","asserted-by":"object"},{"id-type":"doi","id":"10.1111\/JHN.13145\/v2\/review1","asserted-by":"object"}]},"ISSN":["0952-3871","1365-277X"],"issn-type":[{"value":"0952-3871","type":"print"},{"value":"1365-277X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,2,28]]},"assertion":[{"value":"2022-07-07","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2023-01-16","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2023-02-28","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}