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Timing of lifestyle modification for type II Diabetes Mellitus: Meta analysis of effectiveness
Author(s) -
Shin Dongsoon,
Park Yujin
Publication year - 2017
Publication title -
the faseb journal
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.709
H-Index - 277
eISSN - 1530-6860
pISSN - 0892-6638
DOI - 10.1096/fasebj.31.1_supplement.957.6
Subject(s) - medicine , diabetes mellitus , type 2 diabetes mellitus , nutrition education , lifestyle modification , physical therapy , obesity , gerontology , endocrinology
Diabetes Mellitus, especially type II Diabetes Mellitus (T2DM), is one of diseases being important of lifestyle modification as a medical therapy. Among them, nutrition education as well as exercise is a main strategy to control fasting blood glucose. The aim of this research is to determine appropriate time for both interventions according to blood glucose level and BMI of patients with T2DM. We searched DBpia and KISS from 2015 to 2016, and collected 109 articles. From this, we selected 30 articles written Korean hospitals or public health centers. All articles had mean values of fasting blood glucose (FBG) concentration (mg/dl) and BMI (kg/m 2 ) measured at pre and post exercise or nutrition education at least four weeks and over twelve weeks follow‐up. The collected articles were divided 4 groups depending on exercise or nutrition education treatment besides of drug and diet therapy. Three articles reported no treatment was considered as control groups. Data were extracted in IBM SPSS Statistics Data Editor. The results are as follows; total number of subjects was 870 persons. Average age of subjects was 55.4(+/6.7) years old and the range was 52.1~58.2 years old. Their average BMI was 24.6(+/_0.7) kg/m 2 and the range was 24.3~25.5 kg/m 2 . And average FBG concentration was 157.3(+/_30.7) mg/dl and range was 118.0~228.9 mg/dl. After treatment, FBG and BMI of subjects showed no significant differences. However there was statistically significant difference in the mean difference of FBG concentrations between pre‐ and post‐ nutrition education intervention ( p<.009 ). Interestingly higher BMI level at initial was, the more exercise tended to be tried ( p<.051 ). While the lower FBG concentration were, the more nutrition education were applied ( p<.0001 ). Conclusively the appropriate timing might be needed to intervene to T2DM patients with exercise or nutrition education treatments depending on subject's FBG and BMI conditions. Support or Funding Information This research is supported by grant from Kyungnam University.