Topic: Diabetes (DM)
Title: Target Population for Diabetes Prevention: The Metabolically Obese, Normal-Weight Individual.
Author: Ruderman, N.
Source: In: Devlin, J.T. and Schneider, S.H., eds. Handbook of Exercise in Diabetes. Alexandria, VA: American Diabetes Association. 2002. p. 235-249.
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: Epidemiological evidence suggests that regular physical activity may prevent, or at least retard, the development of type 2 diabetes and coronary heart disease. This benefit of exercise is likely to be most prominent in individuals predisposed to the insulin resistance syndrome. Individuals with insulin resistance often have generalized obesity; however, they also may not be obese or even overweight by present standards. The latter have been referred to as metabolically obese, normal-weight (MONW) individuals. 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 author considers the MONW group as a target population for diabetes prevention. Exercise may be therapeutically more efficacious in MONW individuals than in patients with established type 2 diabetes and overt obesity. People at risk for type 2 diabetes and the insulin resistance syndrome, including MONW individuals, may be identified early by such factors as family history, birth weight, and the presence of gestational diabetes (a type of diabetes that occurs during pregnancy), polycystic ovarian syndrome, and central adiposity (the tendency to add fat in the middle of the body). Whether lifestyle modification programs of diet and exercise should be targeted specifically at these high risk individuals or aimed at the general population is a major public health issue. 2 figures. 6 tables. 37 references.

Format: Book Chapter
Language: English.
Major Keywords: Diabetes Mellitus. Exercise. Patient Care Management. Guidelines. Prevention. Complications. Risk Factors. Therapy. Insulin Resistance. Type 2 Diabetes. Obesity.
Minor Keywords: Body Weight. Weight Loss. Genetics. Screening. Nutrition. Diet Therapy. Cardiovascular Diseases. Patient Selection. Activities of Daily Living. Blood Glucose. Lifestyle.
Publication Number: DMBK10122
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