The associations were largely consistent and significant among individuals from different socioeconomic background s and baseline characteristics .
Conclusions /interpretationAdoption of a healthy lifestyle is associated with substantial risk reduction in type 2 diabetes and long-term adverse outcomes among diabetic individuals .
Aims /hypothesisA healthy lifestyle has been widely recommended for the prevention and management of type 2 diabetes .
However , no systematic review has summarised the relationship between combined lifestyle factors ( including , but not limited to , smoking , alcohol drinking , physical activity , diet and being overweight or obese ) and  incident type 2 diabetes and risk of health outcomes among diabetic individuals .
Healthy behaviours and 10-year incidence of diabetes: a population cohort study.
OBJECTIVE To examine the association between meeting behavioural goals and diabetes incidence over 10 years in a large , representative Swedish population . METHODS Population -based prospect i ve cohort study of 32,120 individuals aged 35 to 55 years participating in a health promotion intervention in Västerbotten County , Sweden ( 1990 to 2013 ) . Participants underwent an oral glucose tolerance test , clinical measures , and completed diet and activity question naires . Poisson regression quantified the association between achieving six behavioural goals at baseline - body mass index ( BMI ) < 25 kg/m(2 ) , moderate physical activity , non-smoker , fat intake < 30 % of energy , fibre intake ≥15 g/4184 kJ and alcohol intake ≤20 g/day - and diabetes incidence over 10 years . RESULTS Median interquartile range ( IQR ) follow-up time was 9.9 ( 0.3 ) years ; 2211 individuals ( 7 % ) developed diabetes . Only 4.4 % of participants met all 6 goals ( n=1245 ) and compared to these individuals , participants meeting 0/1 goals had a 3.74 times higher diabetes incidence ( 95 % confidence interval (CI)=2.50 to 5.59 ) , adjusting for sex , age , calendar period , education , family history of diabetes , history of myocardial infa rct ion and long-term illness . If everyone achieved at least four behavioural goals , 14.1 % ( 95 % CI : 11.7 to 16.5 % ) of incident diabetes cases might be avoided . CONCLUSION Interventions promoting the achievement of behavioural goals in the general population could significantly reduce diabetes incidence
The associations were largely consistent and significant among individuals from different socioeconomic background s and baseline characteristics .
Conclusions /interpretationAdoption of a healthy lifestyle is associated with substantial risk reduction in type 2 diabetes and long-term adverse outcomes among diabetic individuals .
Aims /hypothesisA healthy lifestyle has been widely recommended for the prevention and management of type 2 diabetes .
However , no systematic review has summarised the relationship between combined lifestyle factors ( including , but not limited to , smoking , alcohol drinking , physical activity , diet and being overweight or obese ) and  incident type 2 diabetes and risk of health outcomes among diabetic individuals .