¶ … Diabetes Patients
putting patients on a diet consisting of all-natural, all-organic, locally grown or locally produced foods plus exercise
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...
Systematic Review 2013: 97:3 505-516
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…
