The Lifestyle in Primary Type II Diabetes Prevention in Adult03

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The risk factors of diabetes included family history, race/ethnicity, age (≥45years), obesity,

high-density lipoprotein cholesterol level and hypertension (≥140/90mmHg) (American

Diabetes Association, 2016). Obesity is the most worthy of attention among them because it

can make an impact on insulin resistance and disease progression (Belkina & Denis, 2010),

weight loss is the key in treatment. According to the survey in Macau, the proportion of

residents who are overweight and obese is 25.5% and 5.1%; male is more severe (29.4% vs.

4.60%) (澳門特別行政區衛生局,2017). WHO (2015) revealed that overweight is

leading over 90% of diabetic patients develop to type 2. Although there is no method of

intervention can prevent diabetes exactly, some of the risk factors able to improve and around

60% of diabetes can be delayed in high-risk individual by implementing an appropriate

lifestyle such as physical activity, health diet and smoking cessation (Tuomilehto et al., 2001).

Knowler et al. (2002) also revealed that these lifestyle interventions especially exercise and

diet can reduce the risk of progressing from impaired glucose tolerance (IGT) to diabetes by

43-58%.

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