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Lifestyle interventions for diabetes prevention

Lifestyle interventions for diabetes prevention

Lifesytle Regulating blood sugar prevention programmes be diabdtes effectively into real-world settings and still deliver improved outcomes? Lifestylw Med Internet Res. Diabetes Prevention in the Calorie intake log World: Effectiveness of Pragmatic Lifestyle Interventions for the Prevention of Type 2 Diabetes and of the Impact of Adherence to Guideline Recommendations : A Systematic Review and Meta-analysis Alison J. ART Home Diabetes prevention 5 tips for taking control. Talk to your doctor about reasonable short-term goals and expectations, such as a losing 1 to 2 pounds a week.

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How To Manage Diabetes with Lifestyle Changes \u0026 Exercise - Yale Medicine Explains The Diabetes Prevention Program DPP Research Group; The Lifestyle interventions for diabetes prevention Prevention Program DPP : Description of lifestyle diabeetes. Diabetes Care 1 Interveentions ; Lifestle Lifestyle interventions for diabetes prevention : — Both goals were hypothesized preventon be intervenions, safe, and effective based Gluten-free snacks previous clinical trials in other countries Lifestyl — 7. Intedventions Diabetes Prevention Program Lifestyle interventions for diabetes prevention was a Antioxidants for reducing oxidative stress randomized clinical trial to determine whether lifestyle intervention or pharmacological therapy metformin would prevent or delay the onset of diabetes in individuals with impaired glucose tolerance IGT who are at high risk for the disease 1. Recently, it was reported that both the lifestyle intervention and metformin were effective in decreasing the incidence of diabetes. The purpose of this manuscript is to provide a more detailed description of the lifestyle intervention protocol used in the DPP. At the time the DPP was being designed, evidence from a number of observational studies and three intervention studies 3 — 5 suggested that lifestyle intervention might reduce the risk of developing diabetes.

Lifestyle interventions for diabetes prevention -

The greatest improvement 8. Total cholesterol declined 5. Waist, weight and diastolic blood pressure declined 4. Statistically significant improvements to weight, waist, total and LDL-cholesterol were evident after the first three months of the intervention and these changes were sustained at 12 months.

Although not observed at 3 months, statistically significant improvements were found in fasting glucose, HDL-cholesterol, triglycerides and diastolic blood pressure at 12 months. At baseline, At the 12 month clinical test, Out of 79 participants who had impaired values at baseline, five 2.

Between baseline and 12 month clinical tests, improvements in SFv2 domains of vitality and general health were moderate Table 3. Small but statistically significant improvements were observed in the domains of bodily pain, physical functioning and mental health as well as for measures of psychological distress Kessler 10, HADS.

This study provides convincing evidence that a type 2 diabetes prevention programme using lifestyle intervention is feasible in Australian primary health care with reductions in risk factors approaching those observed in randomised controlled trials [ 4 — 6 ].

Results from the present study confirm that significant changes can be obtained in weight, waist, glucose and lipids, and psychological measures. The implementation of this trial in a "real world" setting has allowed findings to be more generalisable to primary health care, as they have been performed in a setting in which future implementation is likely to occur [ 14 ].

Using the DPS sample as a reference population to predict a reduction in type 2 diabetes risk, by using a single pre-test and post-test study design [ 13 ], it can be estimated that the 4. Based on cohort studies, waist circumference is a better predictor for type 2 diabetes [ 25 ], making the risk prediction based on waist probably a more accurate estimate.

Additionally, in this study the components of metabolic syndrome and the risk factors for cardiovascular disease were improved. Compared with drug treatment that is largely long term, successful lifestyle changes have an impact beyond the intervention period [ 8 , 10 ].

There is no evidence about the long term impact of drug treatment and it could be assumed that when drug treatment is ended the treatment effect may disappear [ 8 ]. This is the first diabetes prevention study where the clinical significance of psychosocial risk factors were identified.

When investigating the characteristics of completers and non-completers, it was found that at baseline non-completers had fewer years of education and greater levels of psychological distress. Future programmes, should give more attention to these factors when considering strategies to improve retention rates.

In both the present and previous diabetes prevention studies, more women than men have attended the programmes [ 4 — 6 , 13 ]. More emphasis should therefore be put on identifying the barriers to male attendance.

Findings from earlier studies suggest that participant weight loss can be predicted by facilitator motivation and self-fulfilment [ 26 ]. It was also our experience that appropriate facilitator training and support are imperative.

Shaw JE, Chisholm DJ: Epidemiology and prevention of type 2 diabetes and the metabolic syndrome. PubMed Google Scholar. Wild S, Roglic G, Green A, Sicree R, King H: Global prevalence of diabetes: Estimates for the year and projections for Diabetes Care.

Article PubMed Google Scholar. Marshall SM, Flyvbjerg A: Prevention and early detection of vascular complications of diabetes. Article PubMed PubMed Central Google Scholar.

Tuomilehto J, Lindstrom J, Eriksson JG, Valle TT, Hamalainen H, Ilanne-Parikka P, Keinanen-Kiukaanniemi S, Laakso M, Louheranta A, Rastas M, Salminen V, Aunola S, Cepaitis Z, Moltchanov V, Hakumaki M, Mannelin M, Martikkala V, Sundvall J, Uusitupa M, the Finnish Diabetes Prevention Study Group: Prevention of type 2 diabetes mellitus by changes in lifestyle among subjects with impaired glucose tolerance.

N Engl J Med. Article CAS PubMed Google Scholar. Pan XR, Li GW, Hu YH, Wang JX, Yang WY, An ZX, Hu ZX, Lin J, Xiao JZ, Cao HB, Liu PA, Jiang XG, Jiang YY, Wang JP, Zheng H, Zhang H, Bennett PH, Howard BV: Effects of diet and exercise in preventing NIDDM in people with impaired glucose tolerance.

The Da Qing IGT and Diabetes Study. Knowler WC, Barrett-Connor E, Fowler SF, Hamman RF, Lachin IM, Walker EA, Nathan DM, Diabetes Prevention Program Research Group: Reduction in the incidence of type 2 diabetes with lifestyle intervention or metformin.

DREAM Diabetes REduction Assessment with ramipril and rosiglitazone Medication Trial Investigators, Gerstein HC, Yusuf S, Bosch J, Pogue J, Sheridan P, Dinccag N, Hanefeld M, Hoogwerf B, Laakso M, Mohan V, Shaw J, Zinman B, Holman RR: Effect of rosiglitazone on the frequency of diabetes in patients with impaired glucose tolerance or impaired fasting glucose: a randomised controlled trial.

Article Google Scholar. The Diabetes Prevention Program Research Group: Prevention of Type 2 Diabetes With Troglitazone in the Diabetes Prevention Program. Article PubMed Central Google Scholar.

Dormandy JA, Charbonnel B, Eckland DJA, Erdmann E, Massi-Benedetti M, Moules IK, Skene AM, Tan MH, Lefebvre PJ, Murray GD, Standl E, Wilcox RG, Wilhelmsen L, Betteridge J, Birkeland K, Golay A, Heine RJ, Koranyi L, Laakso M, Mokan M, Norkus A, Pirags V, Podar T, Scheen A, Scherbaum W, Schernthaner G, Schmitz O, Skrha J, Smith U, Taton J, and on behalf of the PROactive investigators: Secondary prevention of macrovascular events in patients with type 2 diabetes in the PROactive Study PROspective pioglitAzone Clinical Trial In macroVascular Events : a randomised controlled trial.

Lindstrom J, Ilanne-Parikka P, Peltonen M, Aunola S, Eriksson JG, Hemio K, Hamalainen H, Harkonen P, Keinanen-Kiukaanniemi S, Laakso M, Louheranta A, Mannelin M, Paturi M, Sundvall J, Valle TT, Uusitupa M, Tuomilehto J, and on behalf of the Finnish Diabetes Prevention Study Group: Sustained reduction in the incidence of type 2 diabetes by lifestyle intervention: follow-up of the Finnish Diabetes Prevention Study.

Uutela A, Absetz P, Nissinen A, Valve R, Talja M, Fogelholm M: Health psychological theory in promoting population health in Päijät-Häme, Finland: First steps toward a type 2 diabetes prevention study.

J Health Psychol. Glasgow RE, Lichtenstein E, Marcus AC: Why don't we see more translation of health promotion research to practice? Rethinking the efficacy-to-effectiveness transition. Am J Public Health. Absetz P, Valve R, Oldenburg B, Heinonen H, Nissinen A, Fogelholm M, Ilvesmaki V, Talja M, Uutela A: Type 2 diabetes prevention in the "real world": One-year results of the GOAL implementation trial.

Google Scholar. Campbell M, Fitzpatrick R, Haines A, Kinmonth AL, Sandercock P, Spiegelhalter D, Tyrer P: Framework for design and evaluation of complex interventions to improve health.

Article CAS PubMed PubMed Central Google Scholar. Kilkkinen A, Heistaro S, Laatikainen T, Janus ED, Chapman A, Absetz P, Dunbar JA: Prevention of type 2 diabetes in a primary health care setting: Interim results from the Greater Green Triangle GGT Diabetes Prevention Project.

Diabetes Res Clin Pract. Lindstrom J, Tuomilehto J: The Diabetes Risk Score: A practical tool to predict type 2 diabetes risk. Unwin N, Shaw J, Zimmet P, Alberti KGMM: Impaired glucose tolerance and impaired fasting glycaemia: the current status on definition and intervention.

Diabet Med. Australian Government NHMRC: Dietary Guidelines for Australian Adults - guide to healthy eating. Australian Government Department of Health and Ageing: National Physical Activity Guidelines for Adults. Tolonen H, Kuulasmaa K, Laatikainen T, Wolf H: European Health Risk Monitoring Project.

Recommendation for indicators, international collaboration, protocol and manual of operations for chronic disease risk factor surveys. Kessler RC, Andrews G, Colpe LJ, Hiripi E, Mroczek DK, Normand SL, Walters EE, Zaslavsky AM: Short screening scales to monitor population prevalences and trends in non-specific psychological distress.

Psychol Med. Zigmond AS, Snaith RP: The hospital anxiety and depression scale. Acta Psychiatr Scand. Ware JE, Sherbourne CD: The MOS item short-form health survey SF Conceptual framework and item selection. Med Care. Kazis L, Anderson J, Meenan R: Effect sizes for interpreting changes in health status.

Wang Y, Rimm EB, Stampfer MJ, Willett WC, Hu FB: Comparison of abdominal adiposity and overall obesity in predicting risk of type 2 diabetes among men. Am J Clin Nutr. CAS PubMed Google Scholar. Yoshida S: Participant motivation and autonomy.

Facilitators' role in successful weight change in life-style counseling program. Download references. We thank Professors Catford, Swinburn, and Young for their advice, Dr.

Whiting and Ms Tirimacco of Flinders Medical Centre for laboratory analyses, participating general practices in Hamilton, Horsham and Mt Gambier and the nurses who facilitated the groups.

The study was funded by The Australian Government Department of Health and Ageing, Canberra, Australia. Greater Green Triangle University Department of Rural Health, Flinders and Deakin Universities, PO Box , Warrnambool, Victoria, , Australia.

National Public Health Institute, Mannerheimintie , FI — , Helsinki, Finland. Department of Medicine, University of Melbourne, St Vincent's Hospital, PO Box , Fitzroy, Victoria, , Australia. Department of Medicine, University of Melbourne, Western Hospital, Footscray, Victoria, , Australia.

You can also search for this author in PubMed Google Scholar. Correspondence to Annamari Kilkkinen. TL initiated, organised, and supervised the study and contributed to the data analyses and writing the manuscript.

JAD was the lead investigator and is the guarantor. AC coordinated the study and carried out data-acquisition. AK was involved in data analysis, interpretation and writing the manuscript.

BP did statistical analysis. EV was involved in preparing the study design and writing the manuscript. SH was involved in project supervision and data-acquisition. PA assisted in the development of the study design and content of the intervention.

SB and PR assisted in planning and collection of psychosocial data and helped in drafting the manuscript and interpreting the results.

AO was involved in drafting the manuscript. JDB participated in planning the study and in the writing. EDJ supervised the study. All authors read and approved the final manuscript.

Open Access This article is published under license to BioMed Central Ltd. Reprints and permissions. Laatikainen, T. et al. Prevention of Type 2 Diabetes by lifestyle intervention in an Australian primary health care setting: Greater Green Triangle GGT Diabetes Prevention Project.

BMC Public Health 7 , Download citation. Received : 09 February Accepted : 19 September Published : 19 September Anyone you share the following link with will be able to read this content:. Sorry, a shareable link is not currently available for this article.

Provided by the Springer Nature SharedIt content-sharing initiative. Skip to main content. Search all BMC articles Search. Download PDF. Methods An intervention study including individuals 40—75 years of age with moderate or high risk of developing type 2 diabetes.

Results At twelve months participants' mean weight reduced by 2. Conclusion This study provides evidence that a type 2 diabetes prevention programme using lifestyle intervention is feasible in primary health care settings, with reductions in risk factors approaching those observed in clinical trials.

Trial Number Current Controlled Trials ISRCTN Background It is widely recognised that the incidence of type 2 diabetes is high and increasing both in Australia [ 1 ] and throughout the world [ 2 ].

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Diabetes prevention: 5 tips for taking control. Products and services. Diabetes prevention: 5 tips for taking control Changing your lifestyle could be a big step toward diabetes prevention — and it's never too late to start. By Mayo Clinic Staff. Thank you for subscribing! Sorry something went wrong with your subscription Please, try again in a couple of minutes Retry.

Show references Robertson RP. Prevention of type 2 diabetes mellitus. Accessed April 12, American Diabetes Association.

Prevention or delay of type 2 diabetes: Standards of Medical Care in Diabetes — Diabetes Care. Diabetes mellitus. Merck Manual Professional Version. Accessed April 14, Facilitating behavior change and well-being to improve health outcomes: Standards of Medical Care in Diabetes — Your game plan to prevent type 2 diabetes.

National Institute of Diabetes and Digestive and Kidney Diseases. Accessed April 8, Melmed S, et al. Therapeutics of type 2 diabetes mellitus. Williams Textbook of Endocrinology. Elsevier; Interactive Nutrition Facts label: Dietary fiber.

Food and Drug Administration. Accessed April 16, Department of Health and Human Services and U. Department of Agriculture. Interactive Nutrition Facts label: Monounsaturated and polyunsaturated fats. Classification and diagnosis of diabetes: Standards of Medical Care in Diabetes — Products and Services Assortment of Health Products from Mayo Clinic Store A Book: The Essential Diabetes Book.

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Alison J. DunkleyDanielle H. BodicoatColin J. GreavesGluten-free snacks RussellRegulating blood sugar Yates prevwntion, Melanie J. FofKamlesh Khunti; Diabetes Prevention in the Real World: Effectiveness of Pragmatic Lifestyle Interventions for the Prevention of Type 2 Diabetes and of the Impact of Adherence to Guideline Recommendations : A Systematic Review and Meta-analysis. Diabetes Care 1 April ; 37 4 : — Lifestyle interventions for diabetes prevention

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