<p>Translating knowledge into action to prevent pediatric and adolescent diabesity: a meeting report</p>

Abstract

BackgroundThe obesity and Type 2 Diabetes Mellitus (T2DM) rates are at an all-time high globally. This diabesity epidemic is increasingly impacting children and adolescents, and there is scarce evidence of interventions with favourable long-term outcomes.PurposeIn order to understand the determinants of diabesity and how to address them, multiple stakeholders were invited to a meeting to discuss current state of knowledge and to help design a program to prevent pediatric and adolescent diabesity.Participants and methodsThe meeting was held at McMaster University on March 4th, 2015. The event involved presentations to deliver state-of-the-art knowledge about diabesity, and roundtable discussions of several domains including nutrition, physical activity, sleep, and mental health. Discussion transcripts were analyzed using NVivo.ResultsForty-nine participants took part in the workshop. They included clinical healthcare professionals, public health, Aboriginal Patient Navigator, research scientists, students, and patients with family members. A total of 628 reference counts from the roundtable discussions were coded under 20 emerging themes. Participants believed that the most important elements of the program involve the provision of knowledge and education, family involvement, patient motivation, location of program delivery, and use of surveys and questionnaires for outcome measurement.ConclusionEffective pediatric and adolescent diabesity prevention programs should be conceptualized by multidisciplinary stakeholders and embrace the complexity of diabesity with multiprong interventions. This meeting provided a framework for developing such interventions.

Diabetes and diabesity in the view of proteomics, drug, and plant-derived remedies

“…Nutrition, along with other factors such as physical activity, sleep, and mental health, should be considered in diabesity prevention. [ 57 ] It has previously been shown that saturated fats cause weight gain, hyperlipidemia, and insulin resistance. However, a low carbohydrate-high fat diet is more effective in comparison to a low-fat diet in reducing central fat,[ 58 ] indicating that focusing on fat alone is not enough.…”

Análisis del concepto “Diabesidad”

“…31 En el 2019 se observó que la Diabesidad afecta a la población en general. 32 En el 2018 se reportó que el 80% de los pacientes con DT2 fueron diagnosticados previamente con Obesidad. 33…”

Care of the Patient with Obesity

“…Acanthosis nigricans, polycystic ovarian syndrome, nonalcoholic fatty liver disease, and gout are also common associations of metabolic syndrome. Type 2 diabetes and obesity are the most closely related, and a common condition of "diabesity" occurs in both adults and children [20]. Obesity is a common risk factor for hypertension, and concomitant sleep apnea can contribute to hypertension.…”