Diabetes prevention and lifestyle intervention in resource-limited settings

Sathish, Thirunavukkarasu

doi:10.1016/s2213-8587(19)30027-0

Cited by 9 publications

(5 citation statements)

References 11 publications

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“…Diabetes and its consequences are a major problem for health systems around the world, reaching epidemic proportions over the last 30 years [1]. Worldwide, over 420 million people are currently living with diabetes [2].…”

Section: Introductionmentioning

confidence: 99%

How prepared are healthcare professionals for delivering physical activity guidance to those with diabetes? A formative evaluation

Kime

Pringle

Zwolinsky

et al. 2020

BMC Health Serv Res

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Background: Physical activity is recognised as important for diabetes management and improved overall health of individuals with diabetes, yet many adults with diabetes are inactive. Healthcare professionals have been identified as key to promoting physical activity, including individuals with diabetes, but are ill-prepared to deliver this. Our paper evaluates the barriers/facilitators of healthcare professionals' delivery of physical activity guidance to adults with diabetes and aims to inform efforts to investigate and enhance their preparedness to promote physical activity. Methods: A sequential mixed method, two-phase design was adopted involving a purposeful sample of healthcare professionals. Phase one was an online pilot survey designed to test assumptions around healthcare professionals' knowledge, training and preparedness to deliver physical activity guidance. Phase two comprised eighteen semistructured interviews, thematically analysed to provide an in-depth exploration of healthcare professionals' experiences of delivering physical activity guidance to adults with diabetes. Results: Healthcare professionals are committed to promoting physical activity to adults with diabetes and are reasonably confident in giving basic, generic guidance. Yet, significant challenges prevent them from achieving this in their practice, including: lack of education and training around physical activity, diabetes and health; ignorance of recommended physical activity and diabetes guidelines; lack of awareness of referral options; limited time and accessibility to appropriate resources. Nevertheless, healthcare professionals believed discussions around physical activity needed to be an integral part of consultations, incorporating improved communication strategies for conveying key physical activity messages. Conclusions: HCPs have a key role in the promotion of physical activity to people with long-term conditions such as diabetes and they are identified within both the strategic policy context and national interventions for physical activity. Yet, this study indicated that HCPs face multiple and at times complex barriers to physical activity promotion generally and with diabetes patients. Conversely HCPs also reported what works, why and how, when promoting physical activity. Rich information derived from the day-today , working healthcare professional is integral to shaping future practices going forward. The bottom up, iterative design adopted in this study provides an approach to tap into this information.

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Section: Introductionmentioning

confidence: 99%

How prepared are healthcare professionals for delivering physical activity guidance to those with diabetes? A formative evaluation

Kime

Pringle

Zwolinsky

et al. 2020

BMC Health Serv Res

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“…However, evidence on the longitudinal relationship between individual’s lifestyle in early- and mid-life and health outcomes in the context of China is rather limited, with exceptions of several qualitative studies that have examined how historical contexts and social changes could affect people’s perceptions and choices and thus health in the life course (Liang & Luo, 2012, 2017). Although studies from the U.S. and Singapore showed that lifestyle interventions demonstrated positive effects on reducing the development of diabetes and diabetes-associated microvascular complications in later life (Sathish, 2019), evaluations on similar interventions were rather limited in China. The Chinese government has adopted chronic disease prevention programs in the spirit of Health in All Policies and stressed the role of communities in healthy aging (Ministry of Health, 2010; Shen, 2014; Yang et al, 2008).…”

Section: Understanding Healthy Aging From a Life Course Perspectivementioning

confidence: 99%

“…Although studies from the U.S. and Singapore showed that lifestyle interventions demonstrated positive effects on reducing the development of diabetes and diabetesassociated microvascular complications in later life (Sathish, 2019), evaluations on similar interventions were rather limited in China. The Chinese government has adopted chronic disease prevention programs in the spirit of Health in All Policies and stressed the role of communities in healthy ageing (Ministry of Health, 2010; Yang et al, 2008;Shen, 2014).…”

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confidence: 99%

Understanding Health and Social Challenges for Aging and Long-Term Care in China

Yang

Tan

et al. 2020

Res Aging

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The second King’s College London Symposium on Ageing and Long-term Care in China was convened from 4 to 5th July 2019 at King’s College London in London. The aim of the Symposium was to have a better understanding of health and social challenges for aging and long-term care in China. This symposium draws research insights from a wide range of disciplines, including economics, public policy, demography, gerontology, public health and sociology. A total of 20 participants from eight countries, seek to identify the key issues and research priorities in the area of aging and long-term care in China. The results published here are a synthesis of the top four research areas that represent the perspectives from some of the leading researchers in the field.

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“…12 Xinjiang is located in the west of China, with relatively backward social and economic level, obvious cultural differences, and genetic difference, leading to a high level of the diabetes prevalence. As we all know, lifestyle changes or drug intervention can prevent or delay T2DM, [13][14][15][16][17][18] but there is no specific method to accurately predict T2DM, so it is still the focus of clinical research. Nomography is an intuitive graphical prediction model, which can provide accurate and personalized risk prediction for everyone, so it is widely used in gastric cancer, invasive ductal cancer, prostate cancer, osteosarcoma and other diseases.…”

Section: Introductionmentioning

confidence: 99%

Nomogram Model for Screening the Risk of Type II Diabetes in Western Xinjiang, China

Wang¹,

Zhang²,

Wang³

et al. 2021

DMSO

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Objective A simple type 2 diabetes mellitus (T2DM) screening model was established preciously based on easily available variables for identifying high-risk individuals in western Xinjiang, China. Methods A total of 458,153 cases participating in the national health examination were recruited. Logistic regression and the least absolute shrinkage and selection operator (LASSO) models were used for univariate analysis, factors selection, and the establishment of prediction model. Receiver operating characteristic (ROC) curve, Hosmer–Lemeshow test and clinical decision curve (CDA) were applied for evaluating the discrimination, calibration and clinical validity, respectively. The optimal threshold for predicting risk factors for T2DM has been estimated as well. Results The nomogram depicted the risk of T2DM based on different genders, the factors mainly consisted of age, family history of T2DM (FHOT), waist circumference (WC), total cholesterol (TC), triglycerides (TG), low-density lipoprotein cholesterol (LDLc), body mass index (BMI), high-density lipoprotein cholesterol (HDLc), etc. The area under ROC of men and women was 0.864 and 0.816 in the development group, similarly in the validation group, which was 0.865 and 0.815, respectively. The calibration curve showed that the nomogram was accurate for predicting the risk of T2DM, and the CDA proved great clinical application value of the nomogram. Threshold values of the age, WC, TC, TG, HDLc, BMI in different genders were 52.5 years old (men) and 48.5 years old (women), 85.50 cm (men) and 89.9 cm (women), 4.94 mmol/L (men) and 4.94mmol/L (women), 1.26mmol/L (men) and 1.67mmol/L (women), 1.40mmol/L (men) and 1.40mmol/L (women), 24.70kg/m 2 (men) and 24.95kg/m 2 (women), respectively. Conclusion Our results give a clue that the nomogram may be useful for identifying adults who have high risk for diabetes, which is simple, affordable, with high credibility and can be widely implemented. Further studies are needed to evaluate the utility and feasibility of this model in various settings.

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Diabetes prevention and lifestyle intervention in resource-limited settings

Cited by 9 publications

References 11 publications

How prepared are healthcare professionals for delivering physical activity guidance to those with diabetes? A formative evaluation

How prepared are healthcare professionals for delivering physical activity guidance to those with diabetes? A formative evaluation

Understanding Health and Social Challenges for Aging and Long-Term Care in China

Nomogram Model for Screening the Risk of Type II Diabetes in Western Xinjiang, China

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