Research Article

Do Behavioral Risk Factors for Prediabetes and Insulin Resistance Differ across the Socioeconomic Gradient? Results from a Community-Based Epidemiologic Survey

Table 3

Association (OR 95% CI) between diet quality, sleep duration, and physical activity and prediabetes (versus unaffected), by socioeconomic status level.

Education levelIncome
Odds ratio 95% CIAOdds ratio 95% CIA
<HSHS or equiv.College or equiv.Postgrad<$20,000$20,000–$49,999$50,000+

Individual factor
Model 1C: 
Total diet quality (lower tertile versus upper and middle tertiles)
1.57 0.29, 8.38]0.98 0.40, 2.421.40 0.63, 3.120.81 0.46, 1.421.06 0.45, 2.501.07 0.54, 2.140.94 0.55, 1.61
Model 2:  
BMI (≥25 versus <25)
2.08 0.61, 7.06]1.17 0.53, 2.621.31 0.60, 2.871.17 0.73, 1.881.08 0.55, 2.131.46 0.75, 2.831.23 0.73, 2.07
Model 3:
Waist circumference, cm mean SE (Larger: ≥88 for women, ≥102 for men, versus smaller)
1.31 0.47, 3.70]1.74 0.79, 3.861.90 0.99, 3.651.68   1.07, 2.62 B0.97 0.45, 2.102.13   1.10, 4.10 1.88   1.22, 2.92
Model 4:  
Physical activity (low versus med/high)
2.37 0.70, 8.01]1.29 0.62, 2.660.93 0.44, 1.981.09 0.62, 1.911.41 0.67, 2.971.20 0.57, 2.531.01 0.59, 1.73
Model 5:  
Sleep length/quality (low versus med/high)
2.36 0.87, 6.40]1.00 0.50, 2.001.20 0.59, 2.431.19 0.74, 1.911.12 0.60, 2.100.93 0.49, 1.771.45 0.89, 2.35
Two factors
Low diet and sleep scores 3.43 0.49, 24.18]0.60 0.19, 1.961.13 0.36, 3.500.94 0.36, 2.470.81 0.23, 2.871.47 0.48, 4.470.92 0.37, 2.28
Three factors
Low diet and sleep scores, plus low activity2.83 0.24, 33.06]1.64 0.37, 7.211.06 0.17, 6.482.80 0.34, 22.911.43 0.35, 5.772.75 0.28, 27.342.19 0.36, 13.38
Four factors
Low diet, sleep, activity, plus high BMI or waist (select the relevant one)3.33 0.29, 38.89]1.58 0.32, 7.740.89 0.09, 8.432.02 0.22, 18.661.33 0.33, 5.432.33 0.21, 25.442.33 0.25, 21.90

These analyses exclude 980 subjects with diabetes.
AFrom multivariable models adjusting for age, gender, race/ethnicity, smoking status, and family history of diabetes.
BIn bold, .
CDietary models are adjusted for age, gender, race/ethnicity, total caloric intake, and family history of diabetes.