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¶ … Diabetes Patients
putting patients on a diet consisting of all-natural, all-organic, locally grown or locally produced foods plus exercise Systematic Review 2013: 97:3 505-516
insulin injections
O - reduction in body's challenge to create/absorb insulin
nnonth trials
PICOT Question:
In patients who suffer from Type 2 diabetes (P), is an intervention consisting of a traditional, organic, and all-natural diet of locally grown/produced foods plus exercise (I) more effective in addressing the body's issues in creating or absorbing insulin (O) than insulin injections (C) over a 6-month trial period (T)?
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Diet diabetes management
PubMed
ProQuest, Emerald Insight
Effective
How is diet an effective intervention in diabetes management?
Dietary Intervention diabetes
PubMed
Emerald Insight
Insulin
How is dietary intervention in diabetes treatment compared to insulin?
4
3
Managing diabetes through diet exercise
PubMed
CINAHL, ProQuest
Environment
Can organic diet and exercise help to manage diabetes in patients?
4
4
Using a combination of food and exercise to manage diabetes
Pub Med
ProQuest, Emerald Insight
Effective
How can organic diet be combined with exercise to promote effective diabetes management in patients?
4
5
Managing diabetes through changing dietary pattern and lifestyle
PubMed
CINAHL, ProQuest
Prevention
Can changes in dietary patterns and lifestyle help in prevention and control of diabetes in patients?
5
Evaluation Table
Author
Conceptual Framework
Design/
Method
Sample & Setting
Systematic review/meta-analysis
20 RCTs, N=3073 across 3460 randomly assigned individuals
RCTs w/ intervention above 6 mos, comparing low GI Med. Diet with control diets, high-GI
Low-GI Med. Diet is effective in improving markers of cardio-risk in people w/ diabetes
Strength: Low-GI Med. Diet should be considered in diabetes management
Cunningham-Myrie et al. Associations between neighborhood 2015: 68:9 970-978
Survey
2848 respondents from 2007-08 Jamaica Health and Lifestyle Survey
Physical activity, obesity, environment (neighborhood)
Relationship between neighborhood indicators and DM and the modifiable risk factors PA and obesity
Multi-level analyses: mixed-effect logistic regression models
ICC=10.7, Significant clustering in PA levels of 20 minutes
Strength: Environment has a partial impact on PA, diabetes and obesity
Oftedal, Bru & Karlsen. Motivation for diet and exercise management 2011: 25 735-744
Cross-section study consisting a postal questionnaire/ longitudinal, prospective survey
The questionnaire was administered to 425 adults aged between 30 and 70
Intrinsic motivational factors, diet and exercise management
Descriptive statistics, principal component analysis, multiple linear regression, Pearson correlation coefficients, reliability testing
Extrinsic factors play a vital role in determining dietary behavior. Intrinsic motivation improves exercise management
Strength: Motivation plays an important role in diet and exercise management
Aguiar et al. Efficacy of interventions that include diet, aerobic and resistance training 2014: 11:2 1-10
Systematic review/ meta-analysis
23 articles from 8 studies including RCTs, Quasi-experimental
Diet, aerobic exercise, resistance training
Resistance training should…
References
Aguiar et al. (2014, January 15). Efficacy of Interventions that include Diet, Aerobic and Resistance Training Components for Type 2 Diabetes Prevention: A Systematic Review with Meta-Analysis. International Journal of Behavioral Nutrition and Physical Activity, 11(2), 1-10.
Ajala O., English, P., & Pinkney, J. (2013). Systemic Review and Meta-analysis of Different Dietary Approaches to the Management of Type 2 Diabetes. American Journal of Clinical Nutrition, 97(3), 505-516.
Cunningham-Myrie, C., Theall, K., Yonger, N., et al. (2015). Associations Between Neighborhood Effects and Physical Activity, Obesity, and Diabetes. The Jamaica Health and Lifestyle Survey, 2008. Journal of Clinical Epidemiology, 68(9), 970-978.
Oftedal, B., Bru, E. & Karlsen, B. (2011). Motivation for Diet and Exercise Management Among Adults with Type 2 Diabetes. Scandinavian Journal of Caring Sciences, 25, 735-744.
Type 2 Diabetes Disease phenotype and genotype Although several major risk factors (particularly obesity/overweightness) have been identified for diabetes mellitus type 2’s (T2D) development, not much information is available on its etiology. Environmental as well as genetic elements play a central role, with disease risk probably a reflection of a multifaceted relationship between the two. Specific T2D epidemiology elements, the extensive susceptibility to it, growth in susceptibility among individuals of particular ethnicities,
Type 2 Diabetes among Asian Americans: Effectiveness of a Culturally Tailored Diabetes Education ProgramPICOT question: In Asian Americans with type 2 diabetes (P), does a culturally tailored diabetes education program, including patient-specific dietary and lifestyle modifications, (I) reduce A1C levels (O) after 2 months (T) versus a control group of Asian Americans?Literature ReviewAccording to Nguyen, Fischer, Ha, and Tran (2015), �type 2 diabetes mellitus (T2DM) is a growing epidemic in
Type 2 diabetes (T2D) is a major chronic illness in the U.S., with 84 million adults being pre-diabetic (Centres for Disease Control and Prevention, 2017). Whereas risk factors are numerous, minority groups are at a particularly greater risk for T2D compared to the rest of the population. The high risk stems in large part from acculturation challenges – difficulties associated with adapting to the host country’s social and cultural norms
EBP Type 2 diabetes mellitus has become a common condition afflicting individuals worldwide. There are an increasing number of women in the reproductive age group presenting with type 2 diabetes, which necessitates appropriate risk management in order to reduce the likelihood of any negative effects for mothers and fetuses (Mahmud & Mazza, 2010). Prevention of any complications among this high risk group is best achieved through preconception care including counseling that
Depression, Diabetes and Obesity This is a case study on a 58-year-old male, Mr. H.Y. who worked at a supermarket and is now retired. He has a supportive wife who works full time and children who are all independent .He has a history of smoking, but quit 10 years ago and drinks alcohol twice a week. He is obese and a known case of diabetes for one year. He has gained
African-Americans in Louisiana & Type 2 Diabetes Rates The poor will be always with us, we are biblically admonished. And for Americans we might add to this ancient maxim that the African-American poor will be always with us. Despite the many gains that they have made in the past 30 years African-Americans remain far more likely to be poor than are white Americans. This has a number of different consequences for