Diet and exercise in the prevention of diabetes

Walker, KZ; O’Dea, Kerin; Gómez, M. C.; Girgis, Seham; Colagiuri, Ruth

doi:10.1111/j.1365-277x.2010.01061.x

Cited by 82 publications

(68 citation statements)

References 55 publications

(96 reference statements)

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“…A hereditariedade, a obesidade, os hábi-tos alimentares, o estresse e a inatividade físi-ca apresentam-se como alguns dos fatores de risco modificáveis associados ao DM tipo 2. Tendo em vista que existem muitas evidên-cias de que este possa ser prevenido por meio da mudança no estilo de vida 8 , o desafio dos sistemas de saúde consiste em desenvolver abordagens e estratégias eficazes no âmbito da saúde pública para proporcionar a incorporação dessa mudança na vida cotidiana 16 .…”

Section: Mudanças No Estilo De Vidaunclassified

Diabetes Tipo 2 e Estilo de Vida: O Papel do Exercício Físico na Atenção Primária e na Secundária

Nakagaki¹,

McLellan²

2013

Saúde em Revista

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diabetes tipo 2 e estilo de vida: o Papel do exercício Físico na atenção Primária e na secundáriaType 2 Diabetes and lifestyle: The role of exercise for primary and secondary careResumo O diabetes mellitus (DM) é visto atualmente como epidemia mundial devido ao grande aumento em sua incidência e prevalência, cujo controle representa um grande desafio para os sistemas de saúde. Assim, ações de intervenção com foco na mudança do estilo de vida necessitam ser implementadas por esses sistemas. Considerando que o exercício e a dieta são os pilares do tratamento do DM, o objetivo desta revisão bibliográfica foi avaliar o papel da mudança do estilo de vida, mais especificamente do exercício físico, na atenção primária e secundária do DM tipo 2. Para tanto, embasou-se em artigos publicados na base de dados Scopus durante o período de 1991 a 2011. As palavras-chave pesquisadas, nas lín-guas portuguesa e inglesa, foram "diabetes mellitus tipo 2", "modificação no estilo de vida" e "papel do exercício físico". De acordo com os referidos artigos, a modificação no estilo de vida por meio da adoção de hábitos alimentares saudáveis, prática regular de exercícios físicos e controle de peso mostra-se altamente eficaz na prevenção, no controle e tratamento do DM tipo 2. Além disso, os exercícios físicos aeróbios, resistidos e combinados evidenciam melhoras no controle metabólico e consequente redução no risco de desenvolver DM tipo 2 e suas complicações. Palavras-chave: diabetes mellitus tipo 2, modificação no estilo de vida, exercício físico.Abstract Diabetes Mellitus (DM) is currently seen as a worldwide epidemic due to the large increase in its incidence and prevalence, which control represents a major challenge for health systems. Thus, interventions focusing changes in lifestyle need to be implemented by those systems. Whereas exercise and diet are the cornerstones of treatment of diabetes, the aim of this review was to evaluate the role of change in lifestyle, specifically physical exercise, in primary and secondary attention of T2DM. For this purpose it was used in the Scopus database, considering the period from 1991 to 2011. The keywords searched in Portuguese and English were "type 2 diabetes mellitus", "change in lifestyle" and "role of physical exercise". In accordance with the above mentioned articles the change in lifestyle by adopting healthy eating habits, regular practice of physical activity and weight control was highly effective in the prevention, control and treatment of T2DM. Furthermore, the aerobic, resistance and combined exercises showed improvements in metabolic control and subsequent reduction in risk of developing T2DM and its complications.

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Section: Mudanças No Estilo De Vidaunclassified

Diabetes Tipo 2 e Estilo de Vida: O Papel do Exercício Físico na Atenção Primária e na Secundária

Nakagaki¹,

McLellan²

2013

Saúde em Revista

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“…It is generally accepted that this upward trend is mainly attributable to a sedentary lifestyle and an unhealthy diet3. A healthy diet, adequate physical activity (PA) and appropriate medications are important in health management of older type 2 diabetes patients4.…”

Section: Introductionmentioning

confidence: 99%

Appropriate physical activity and dietary intake achieve optimal metabolic control in older type 2 diabetes patients

Huang

Cheng

Tsai

et al. 2013

J of Diabetes Invest

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Aims/IntroductionThe aim of the present study was to investigate an appropriate level of physical activity and optimal dietary intake in older type 2 diabetes patients.Materials and MethodsThe cross‐sectional study enrolled 210 older type 2 diabetes patients. Participants were interviewed to obtain information on physical activity, 24‐h dietary recall and typical weekly dietary patterns. Anthropometric measurements, and biochemical analysis of blood and urine were determined.ResultsModerate physical activity (either moderate leisure‐time physical activity or moderate physical activity level) and diet with protein intake of ≥0.8 g/kg/day were associated with lower glycated hemoglobin and triglyceride, higher high‐density lipoprotein, lower waist circumference, body mass index and body fat, as well as better serum magnesium and albumin levels in older diabetic patients. In contrast, inadequate protein intake was correlated with higher glycated hemoglobin, triglyceride, body fat percentage, waist circumference and body mass index. In addition, high physical activity with inadequate protein and magnesium intake might exacerbate magnesium deficiency, resulting in poor glycemic control in older diabetic patients. Furthermore, low physical activity and inadequate protein intake were linked with poor glycemic control, and lower high‐density lipoprotein, and higher triglyceride, body fat percentage, waist circumference and body mass index.ConclusionsModerate physical activity and adequate dietary protein intake (≥0.8 g/kg/day) might be the optimal recommendation for better metabolic control in older adults with type 2 diabetes.

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“…20 They found four cohort studies that showed that incidence can be reduced by 28-59% with lifestyle change. 20 Collins et al assessed the effectiveness of dietetic intervention for childhood obesity. 21 Metaanalyses were used to quantify this relationship, the results suggesting that there is insufficient evidence to determine the effectiveness of dietary interventions in treating excessive weight gain in children and adolescents, although interventions that include a dietary treatment in this patient group were effective in gaining improvements in weight-related outcomes.…”

Section: Health Outcomesmentioning

confidence: 99%

“…[17][18][19] Two systematic reviews have also been completed, each combining evidence for different outcomes relating to patient benefits. 20,21 Walker et al explored whether Type 2 diabetes can be prevented by dietetic interventions. 20 They found four cohort studies that showed that incidence can be reduced by 28-59% with lifestyle change.…”

Section: Health Outcomesmentioning

confidence: 99%

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The contribution of dietitians to the primary health care workforce

Howatson¹,

Wall²,

Turner-Benny³

2015

J Prim Health Care

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Diet and exercise in the prevention of diabetes

Abstract: Diabetes can be prevented by lifestyle change. The challenge is to develop public health approaches to support individuals with respect to incorporating the lifestyle changes needed to reduce the risk of diabetes into their everyday life.

Cited by 82 publications

References 55 publications

Diabetes Tipo 2 e Estilo de Vida: O Papel do Exercício Físico na Atenção Primária e na Secundária

Diabetes Tipo 2 e Estilo de Vida: O Papel do Exercício Físico na Atenção Primária e na Secundária

Appropriate physical activity and dietary intake achieve optimal metabolic control in older type 2 diabetes patients

The contribution of dietitians to the primary health care workforce

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