Abstract
Background: Type 2 diabetes is a serious growing public health burden. In overweight and obese patients, lifestyle modifications, including nutrition therapy, regular physical activity and weight loss, are considered fundamental for the management of type 2 diabetes. The objective of the study is to evaluate the effect of life style intervention that is diet on blood glucose in diabetic patient over a period of 1 month and to find out whether the variables like BMI, Waist circumference, hip circumference, waist-hip ratio, frequency of hypoglycemic events changes due to this intervention.
Methods: The study setting is a diabetic clinic in Thiruvananthapuram. Subjects who were in the age group 40-65 years and who completed at least five years after diagnosed as diabetic mellitus is selected into the study. Subjects under medication like insulin, OHA and both were included. Sample size obtained was 74. Due to drop outs it came to 50. Patient willing to participate screened after obtaining written informed consent. Self care and self records on food items as well as nutrition were emphasized in order to incorporate them into their lifestyle. The data collected analyzed. Student’s t test and Chi-square test performed.
Results: The mean age of duration of diabetes among subjects was 10.44 with a standard deviation 5.388. Average duration of years with type 2 diabetes is more for males than females. Adherence to physical activity (62%) is more than dietary adherence (46%). The intervention for one month is found to be effective as in the study we got significant difference in BMI, FBS and PPBS values. The occurrence of hypo events was also found to be effective after intervention.
Conclusion: The intervention was for one month. There is significant difference in BMI, FBS and PPBS values after intervention, which shows that if the DM patients strictly adhere to Diet and Physical activity improvement can be seen in outcome variables right from first month onwards.
Keywords: Diabetes, Diet, Physical activity
References
- Garg R., Diabetes education & prevention, Indian J Med Res 138, December 2013, pp 820-823
- Abdi S, Sadiya A, Ali S., Varghese S., Abusnana S., Behavioural Lifestyle Intervention Study (BLIS) in patients with type 2 diabetes in the United Arab Emirates: A randomized controlled trial, BMC Nutrition 2015.
- Blackburn D.F., Swidrovich J., Lemstra M., Non-adherence in type 2 diabetes: practical considerations for interpreting the literature, Patient Prefer Adherence.2013;7: 183–189.
- Vittal V., Shankar V., KuttyK., Anil Kumar S. V., An Interventional Study of Physical Activity on HbA1C and VO2max in Type 2 Diabetes Mellitus, Indian J Physiol Pharmacol 2016; 60(1) : 76–81
- Coppell K.J., Kataoka M., Williams S.M., ChisholmA.W., Vorgers S.M., Mann J.I. , Nutritional intervention in patients with type 2 diabetes who are hyperglycemic despite optimized drug treatment—Lifestyle Over and Above Drugs in Diabetes (LOADD) study: randomized controlled trial, BMJ2010;341:c3337
- SATO Y., Physical Exercise for Diabetes Mellitus: The effective programs for treatment, JMAJ 46(7): 314–320, 2003.
- Asaad G., Soria D.C., Bell R.C., Chan C.B., Effectiveness of a Lifestyle Intervention in Patients with Type 2 Diabetes: The Physical Activity and Nutrition for Diabetes in Alberta (PANDA) Trial, Healthcare 2016, 4, 73.
- Parajuli J, Saleh F, Thapa N, Ali L., Factors associatedwith nonadherence to diet and physical activity among Nepalese type 2 diabetes patients; a cross sectional study. BMC Res Notes. 2014 Oct 24; 7:758.
- Daivadanam M, Absetz P, Sathish T, Thankappan KR, Fisher EB, Philip NE, Mathews E, Oldenburg B., Lifestyle change in Kerala, India: needs assessment and planning for a community-based diabetes prevention trial BMC Public Health. 2013 Feb 1; 13:95.
- Matvienko OA, Hoehns JD. Lifestyle intervention study in patients with diabetes or impaired glucose tolerance: translation of a research intervention into practice. J Am Board Fam Med. 2009; 22(5):535-543
- Pan XR,Li GW,Hu YH,Wang JX,Yang WY,An ZX,Hu ZX,Lin J,Xiao JZ,Cao HB,Liu PA,Jiang XG,Jiang YY,Wang JP,Zheng H,Zhang H,Bennett PH,Howard BV, Effects of diet and exercise in preventing NIDDM in people with impaired glucose tolerance. The Da Qing IGT and Diabetes Study, Diabetes Care.1997 Apr; 20(4):537-44.
- Absetz P, Valve R, Oldenburg B, Heinonen H, Nissinen A, Fogelholm M, Ilvesmäki V, Talja M, Uutela A., Type 2 diabetes preventionin the "real world": one-year results of the GOAL Implementation Trial Diabetes Care. 2007 Oct; 30(10):2465-70.
- Tanha B.K., Delpisheh A, Azizi F., Raoof A, Asadollahi K., Evaluatingthe Effect of Standard Nutrition-Exercise on Glucose and Lipids Level on Type 2 Diabetic Patients: An Intervention Study. Razavi Int J Med. 2015 February; 3(1): e24842.
Corresponding Author
Dr Nisanth K
Assistant Professor, Dept of General Medicine, Azeezia Institute of Medical Sciences & Research, Kollam, Kerala, India
Email: This email address is being protected from spambots. You need JavaScript enabled to view it.
DOI: https://dx.doi.org/10.18535/jmscr/v6i8.31
