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Dissertation on Diabetes for BSC Nursing


Research has shown that excessive weight gain, obesity, and physical inactivity predispose individuals to the risk of developing T2DM (Pearson & Grace, 2012, and Barnett & Kumar, 2009). Evidence show that relatively moderate change in physical activity and consumption of good healthy diet declines the incidence and prevalence of type 2 diabetes by 50% and more in individuals with high risk of developing T2DM (Penn et al., 2009). Policies and theoretical models (NICE, 2012, and Becker & Rosenstock, 1984) have recommended processes to initiate and sustain this behavioral intervention, which is to be addressed in this report.
             DIET AND PHYSICAL EXERCISE FOR T2DM PREVENTION.
             Several studies have identified weight loss to be a necessary factor for preventing or delaying the onset of T2DM (Costa et al., 2011; Nilsen et al., 2011, and Saaristo et al., 2010). According to (Carlsson, 2012; Baker et al., 2010, and Yuen et al., 2010) a healthy weight loss can be achieved through several evidenced-based methods like; moderate increase in physical activity, change in diet habit (healthier diet) and health education, have been shown to have a more positive effect in preventing the onset of T2DM in people with IGT (Aguiar et al., 2014; Uzung et al., 2013). Limited reports exist which studied the single effect of diet (low-fat and high fiber diet) or physical exercise (Psaltopoulou, Ilias & Alevizaki, 2010, and Roumen, Blaak, & Corpeleijn, 2009), they demonstrated that weight loss can be achieved by each form of those lifestyle modification, thereby physical exercise or only diet modification can be an effective approach for preventing T2DM in high risk individuals. However, Salas-Salvado ́ et al. (2011) in a review demonstrated that only exercise or diet modification will not achieve sufficient weight loss necessary to prevent or delay development of T2DM, they recommended the combination of diet and physical exercise for any real-world campaign programs aiming to prevent or delay the onset of T2DM.


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