| Topic: | Diabetes (DM) |
| Title: | Primary Prevention of Type 2 Diabetes by Lifestyle Modification: Convincing Evidence From the Finnish Diabetes Prevention Study. |
| Author: | Eriksson, J., et al. |
| Source: | In: Devlin, J.T. and Schneider, S.H., eds. Handbook of Exercise in Diabetes. Alexandria, VA: American Diabetes Association. 2002. p. 183-195. |
| Availability: | Available from American Diabetes Association (ADA). Order Fulfillment Department, P.O. Box 930850, Atlanta, GA 31193-0850. (800) 232-6733. Fax (770) 442-9742. Website: www.diabetes.org. PRICE: $69.95 plus shipping and handling. ISBN: 1580400191. |
| Abstract: | The incidence of type 2 diabetes is increasing rapidly worldwide. Physical inactivity and obesity are the main environmental determinants of the disease. Based on epidemiological data, it has been estimated that the risk of type 2 diabetes may be reduced by 50 percent when controlling obesity and increasing physical activity. Until recently, it was not proven scientifically if type 2 diabetes could be prevented by lifestyle intervention in high risk subjects. This chapter is from a book that provides a practical, comprehensive guide to diabetes and exercise for health care professionals involved in patient care. In this chapter, the authors present evidence from the Finnish Diabetes Prevention Study, undertaken to find out whether the onset of type 2 diabetes could be prevented by lifestyle intervention in high-risk individuals. A total of 522 middle-aged overweight subjects with impaired glucose tolerance (IGT) were randomized into an intervention or control group. The intervention goals included reduction in weight of greater than 5 percent, total fat intake less than 30 percent of energy consumed, saturated fat intake less than 10 percent of energy consumed, fiber intake of 15 grams per 1,000 kcalories, and moderate exercise for more than 30 minutes per day. The overall incidence of type 2 diabetes was reduced 58 percent by the lifestyle intervention program. The findings emphasize the importance of modest weight reduction (5 to 10 percent) combined with exercise in the prevention of type 2 diabetes. An optimal exercise program for individuals with IGT should include components that improve cardiorespiratory fitness, muscles strength, and endurance. The authors conclude that the primary prevention of type 2 diabetes is possible by a nonpharmacological intervention. 3 tables. 24 references. |
| Format: | Book Chapter |
| Language: | English. |
| Major Keywords: | Diabetes Mellitus. Exercise. Patient Care Management. Guidelines. Prevention. Risk Factors. Therapy. Type 2 Diabetes. Weight Loss. |
| Minor Keywords: | Patient Compliance. Nutrition. Sports. Cardiovascular Diseases. Muscles. Patient Selection. Activities of Daily Living. Lifestyle. Caloric Intake. Dietary Fats. Dietary Fiber. |
| Publication Number: | DMBK10120 |
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