Lifestyle Modification in a Group at High Risk for DiabetesLifestyle Modification in a Group at High Risk for Diabetes

วิโรจน์ เจียมจรัสรังษี; Wiroj Jiamjarasrungsi; วิฑูรย์ โล่ห์สุนทร; Vitoon Lohsuntorn;
Date: 2551
Abstract
Accumulating evidence from randomized controlled trials have shown that diabetes mellitus can be prevented or delayed in high-risk individuals by an intensive lifestyle modification program. However, to be meaningful for clinical practice in the real world, the results need to be both widely generalizable and the methods practical and affordable enough to implement in a wide variety of health-care settings. This review described some aspects of the intensive lifestyle modification program in groups at high risk for diabetes. Topics included epidemiologic evidence about the relationship between lifestyle factors and diabetes risk, clinical outcomes and cost-effectiveness of the intensive lifestyle modification program, and predicting factors for its success. Some details of the three example programs, including the Chinese Da Qing IGT and Diabetes Study, the Finnish Diabetes Prevention Study (DPS), the US Diabetes Prevention Program (DPP) and Look AHEAD Study, were described. The information provided could be utilized in the development of practical lifestyle interventions for diabetes prevention in Thailand.
Copyright ผลงานวิชาการเหล่านี้เป็นลิขสิทธิ์ของสถาบันวิจัยระบบสาธารณสุข หากมีการนำไปใช้อ้างอิง โปรดอ้างถึงสถาบันวิจัยระบบสาธารณสุข ในฐานะเจ้าของลิขสิทธิ์ตามพระราชบัญญัติสงวนลิขสิทธิ์สำหรับการนำงานวิจัยไปใช้ประโยชน์ในเชิงพาณิชย์
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