Healthy lifestyle interventions in general practice Part 4: Lifestyle and diabetes mellitus

Schwellnus, Martin; Patel, D N; Nossel, C; Dreyer, M; Whitesman, S; Derman, E W

doi:10.1080/20786204.2009.10873800

Cited by 3 publications

(4 citation statements)

References 38 publications

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“…The main lifestyle interventions for the treatment of the metabolic syndrome are similar to those for other chronic diseases of lifestyle [23][24][25][26][27] and include nutritional intervention, promotion of physical activity, psychosocial care and education. The main focus of a lifestyle intervention programme for metabolic syndrome is to reduce the risk factors which are overweight and obesity, physical inactivity and atherogenic dyslipidaemia.…”

Section: Elements Of a Lifestyle Intervention Programme For The Metabmentioning

confidence: 99%

“…9 As with many other chronic diseases, the guidelines for a setting where exercise training sessions should be conducted under direct medical supervision (medical doctor present at the training sessions) are mainly related to the presence of co-morbidities where medical supervision would normally be indicated such as in co-existing cardiovascular disease 24 or diabetes mellitus and its complications (poor glycaemic control, presence of retinopathy, presence of nephropathy, and presence of peripheral or autonomic neuropathy). 26 These higher risk patients will benefit from an initial period of exercise training under medical supervision.…”

Section: Setting and Level Of Supervision Of The Exercise Interventionmentioning

confidence: 99%

“…In patients with metabolic syndrome and a moderately high risk of CHD (10-20% Framingham risk score), or in those with co-existing disease where medically directed exercise is indicated, 24,26 exercise intervention should take place in a group setting under medical direction (no doctor is necessarily required to be present at supervised training sessions).…”

Section: Setting and Level Of Supervision Of The Exercise Interventionmentioning

confidence: 99%

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Healthy lifestyle interventions in general practice Part 6: Lifestyle and metabolic syndrome

Schwellnus

Patel

Nossel

et al. 2009

South African Family Practice

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Although there is no clarity on the precise definition of the metabolic syndrome, there is consensus that it is a cluster of inter-related risk factors (elevated blood pressure, elevated plasma glucose, atherogenic dyslipidaemia) that are due to mainly abdominal obesity and insulin resistance, and which appear to directly promote the development of atherosclerotic cardiovascular disease (ASCVD), and increase the risk for developing type 2 diabetes mellitus. The prevalence of the metabolic syndrome is increasing globally, including in the adolescent population. In developed countries the prevalence of the metabolic syndrome is about 30% of the adult population. The cornerstone of management of this syndrome is lifestyle intervention. Following a comprehensive initial assessment to risk-stratify patients, they are recommended to attend either a group-based programme (medically supervised or medically directed, depending on the severity of the disease and the presence of any co-morbidities) or a home-based intervention programme. The main elements of a lifestyle intervention programme for metabolic syndrome are nutritional intervention (mainly for weight loss and to improve the atherogenic dyslipidaemia), exercise training (minimum of 30-60 minutes at moderate intensity on most days of the week), and psychosocial interventions. Regular monitoring should be conducted and a follow-up assessment is indicated after three months to assess progress and to re-set goals. Longer-term (5-6 months) and supervised intervention programmes are associated with better long-term outcomes.

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Section: Elements Of a Lifestyle Intervention Programme For The Metabmentioning

confidence: 99%

Section: Setting and Level Of Supervision Of The Exercise Interventionmentioning

confidence: 99%

Section: Setting and Level Of Supervision Of The Exercise Interventionmentioning

confidence: 99%

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Healthy lifestyle interventions in general practice Part 6: Lifestyle and metabolic syndrome

Schwellnus

Patel

Nossel

et al. 2009

South African Family Practice

Self Cite

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“…This tool was developed by the researcher based on literature review [27][28][29][30] . It includes patients' knowledge regarding his/her understanding to nature of the disease (definition, types, normal values, diabetes medications, foot care, complications etc.)…”

Section: Diabetes Knowledge Assessment Sheetmentioning

confidence: 99%

Effect of lifestyle intervention on health behaviors, weight and blood glucose level among patients with diabetes mellitus

Mohamed

2014

JNEP

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Background: Diabetes in adults is a global health problem and is considered as one of the main threats to human health and its management requires a fundamental change in patient's lifestyle. The aim of this study was assess the effect of lifestyle intervention on health behaviors, weight and blood glucose level among patients with diabetes mellitus. Methods:A quasi-experimental research design was conducted in outpatient clinics for Diabetes Mellitus at Mansoura University Hospital and Mansoura Health Insurance Hospital, Egypt. The data were collected from 50 adult patients of both sex randomized selected who corresponded to inclusion criteria. A questionnaire (pre and post test) was used to collect data on socio-demographic characteristics, knowledge. Also blood glucose level and weight was taken for physical assessment and health promoting lifestyle profile II. Results:The results revealed that the majority of study subjects were married females. There was a statistically significant increase in mean of knowledge and health promoting behaviors at immediate and follow up test. Also it was found reduction in body weight and improve of blood glucose levels of studied group. Conclusion:Health education was effective methods on the studied patients' knowledge scores, decrease weight, improve blood glucose level and health behaviors in the study group. It was recommended that, diabetes patients should be given a written instruction plan for self-management measures of diabetes is better to improve patients outcome.

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Reduction of diabetes risk in routine clinical practice: are physical activity and nutrition interventions feasible and are the outcomes from reference trials replicable? A systematic review and meta-analysis

et al. 2010

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BackgroundThe clinical effectiveness of intensive lifestyle interventions in preventing or delaying diabetes in people at high risk has been established from randomised trials of structured, intensive interventions conducted in several countries over the past two decades. The challenge is to translate them into routine clinical settings. The objective of this review is to determine whether lifestyle interventions delivered to high-risk adult patients in routine clinical care settings are feasible and effective in achieving reductions in risk factors for diabetes.MethodsData sources: MEDLINE (PubMed), EMBASE, CINAHL, The Cochrane Library, Google Scholar, and grey literature were searched for English-language articles published from January 1990 to August 2009. The reference lists of all articles collected were checked to ensure that no relevant suitable studies were missed. Study selection: We included RCTs, before/after evaluations, cohort studies with or without a control group and interrupted time series analyses of lifestyle interventions with the stated aim of diabetes risk reduction or diabetes prevention, conducted in routine clinical settings and delivered by healthcare providers such as family physicians, practice nurses, allied health personnel, or other healthcare staff associated with a health service. Outcomes of interest were weight loss, reduction in waist circumference, improvement of impaired fasting glucose or oral glucose tolerance test (OGTT) results, improvements in fat and fibre intakes, increased level of engagement in physical activity and reduction in diabetes incidence.ResultsTwelve from 41 potentially relevant studies were included in the review. Four studies were suitable for meta-analysis. A significant positive effect of the interventions on weight was reported by all study types. The meta-analysis showed that lifestyle interventions achieved weight and waist circumference reductions after one year. However, no clear effects on biochemical or clinical parameters were observed, possibly due to short follow-up periods or lack of power of the studies meta-analysed. Changes in dietary parameters or physical activity were generally not reported. Most studies assessing feasibility were supportive of implementation of lifestyle interventions in routine clinical care.ConclusionLifestyle interventions for patients at high risk of diabetes, delivered by a variety of healthcare providers in routine clinical settings, are feasible but appear to be of limited clinical benefit one year after intervention. Despite convincing evidence from structured intensive trials, this systematic review showed that translation into routine practice has less effect on diabetes risk reduction.

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Healthy lifestyle interventions in general practice Part 4: Lifestyle and diabetes mellitus

Cited by 3 publications

References 38 publications

Healthy lifestyle interventions in general practice Part 6: Lifestyle and metabolic syndrome

Healthy lifestyle interventions in general practice Part 6: Lifestyle and metabolic syndrome

Effect of lifestyle intervention on health behaviors, weight and blood glucose level among patients with diabetes mellitus

Reduction of diabetes risk in routine clinical practice: are physical activity and nutrition interventions feasible and are the outcomes from reference trials replicable? A systematic review and meta-analysis

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