Of the 3654 participants at baseline, 2639 had information on all 4 healthy factors. As in EPIC-Potsdam, participants who had diabetes (n = 208 [7.9%]), MI (n = 219 [8.3%]), stroke (n = 84 [10.9%]), and cancer (n = 189 [7.2%]) at baseline were excluded from analyses. Of the remaining participants, 50.0% had a healthy diet score, 82.5% had a body mass index lower than 30 (calculated as weight in kilograms divided by height in meters squared), 48.2% had never smoked, and 44.1% had participated in physical activity at least 3 times/wk. After adjusting for age, sex, and educational and occupational status, the risk of developing incident diabetes (P value for linear trend, < .001) and MI (P value for linear trend, < .001) decreased as the number of healthy lifestyle factors increased (Table), but this was not observed for incident stroke. Having 1 or more healthful factors compared with 0 factors did not lower the risk of incident MI and stroke. However, having all 4 healthy lifestyle factors had the greatest impact on incident diabetes—an 83% risk reduction.