OBJECTIVE: To review evidence from literature on type 2 diabetes pertinent to physical activity and diet and lifestyle modification, and to determine the relevance of this evidence to clinical practice. QUALITY OF EVIDENCE: Direct (level I) evidence supports interventions for physical activity and diet modification for primary prevention and management of type 2 diabetes. Few studies examine the effectiveness of primary health care providers' making such interventions. MAIN MESSAGE: Family physicians have an important role in identifying people at risk of developing type 2 diabetes and managing those diagnosed with the disease, yet they struggle to deliver practice-based interventions that promote sustainable behaviour change among their patients. CONCLUSION: It is evident that supporting patients to make changes in their physical activity and dietary habits can prevent onset of type 2 diabetes. Translating this finding into effective recommendations for clinical practice requires further effort and evaluation.
OBJECTIVE: To review evidence from literature on type 2 diabetes pertinent to physical activity and diet and lifestyle modification, and to determine the relevance of this evidence to clinical practice. QUALITY OF EVIDENCE: Direct (level I) evidence supports interventions for physical activity and diet modification for primary prevention and management of type 2 diabetes. Few studies examine the effectiveness of primary health care providers' making such interventions. MAIN MESSAGE: Family physicians have an important role in identifying people at risk of developing type 2 diabetes and managing those diagnosed with the disease, yet they struggle to deliver practice-based interventions that promote sustainable behaviour change among their patients. CONCLUSION: It is evident that supporting patients to make changes in their physical activity and dietary habits can prevent onset of type 2 diabetes. Translating this finding into effective recommendations for clinical practice requires further effort and evaluation.
Authors: C N Sadur; N Moline; M Costa; D Michalik; D Mendlowitz; S Roller; R Watson; B E Swain; J V Selby; W C Javorski Journal: Diabetes Care Date: 1999-12 Impact factor: 19.112
Authors: R R Wing; M G Goldstein; K J Acton; L L Birch; J M Jakicic; J F Sallis; D Smith-West; R W Jeffery; R S Surwit Journal: Diabetes Care Date: 2001-01 Impact factor: 19.112
Authors: R E Glasgow; R G Hiss; R M Anderson; N M Friedman; R A Hayward; D G Marrero; C B Taylor; F Vinicor Journal: Diabetes Care Date: 2001-01 Impact factor: 19.112
Authors: X R Pan; G W Li; Y H Hu; J X Wang; W Y Yang; Z X An; Z X Hu; J Lin; J Z Xiao; H B Cao; P A Liu; X G Jiang; Y Y Jiang; J P Wang; H Zheng; H Zhang; P H Bennett; B V Howard Journal: Diabetes Care Date: 1997-04 Impact factor: 19.112
Authors: J Tuomilehto; J Lindström; J G Eriksson; T T Valle; H Hämäläinen; P Ilanne-Parikka; S Keinänen-Kiukaanniemi; M Laakso; A Louheranta; M Rastas; V Salminen; M Uusitupa Journal: N Engl J Med Date: 2001-05-03 Impact factor: 91.245
Authors: Suzanne E Mitchell; Morgan Mako; Ekaterina Sadikova; Linda Barnes; Abriella Stone; Milagros C Rosal; John Wiecha Journal: J Diabetes Sci Technol Date: 2014-09-10
Authors: Magnolia Cardona-Morrell; Lucie Rychetnik; Stephen L Morrell; Paola T Espinel; Adrian Bauman Journal: BMC Public Health Date: 2010-10-29 Impact factor: 3.295