جستجوی مقالات مرتبط با کلیدواژه "prediabetic" در نشریات گروه "پزشکی"

Recognizing the pivotal role of lifestyle in preventing diabetes among prediabetic individuals, this study aimed to assess the impact of a cognitive behavioral program on their lifestyle.

This quasi-experimental study took place between July 2020 and April 2022 in specialized diabetes clinics affiliated with the Institute of Endocrine and Metabolism Sciences at Tehran University of Medical Sciences. Forty-two prediabetic individuals participated in the research through simple random sampling. After random allocation to both groups, data were collected using the International Physical Activity Questionnaire, Adolescence Food Habit Checklist, and Glover-Nilsson Smoking Behavioral Questionnaire (GN-SBQ).

The findings revealed a statistically significant difference in the dietary habits of adults in the intervention group before and after the intervention (p<.001, p=.480). Additionally, there was a statistically significant difference in tobacco dependence between the intervention and control groups before and after the intervention (p=.084, p=.241). The average dietary behavior score for the intervention group was 19.23 (SD=1.86) compared to 15.95 (SD=2.26) for the control group. The cognitive behavioral program significantly increased dietary behaviors in the intervention group (F=27.87, P<.001).

This study underscores the effectiveness of educational interventions utilizing cognitive behavioral programs in addressing the physical, behavioral, cognitive, and social aspects of smoking cessation and dietary habits among prediabetic individuals. Such models hold promise for inclusion in educational programs aimed at diabetes prevention.

A lack of healthy nutrition first causes prediabetes and then overt diabetes, and every year about 5% to 10% of people with glucose intolerance develop type 2 diabetes. This study aimed to assess the factors affecting the consumption of healthy foods (CHF) based on the food pyramid among prediabetic women based on the Theory of Planned Behavior (TPB).

Methods & Materials:

This cross-sectional study was conducted in 2019 on 99 prediabetic women selected from comprehensive healthcare centers in Arak, Iran. A demographic questionnaire, a TPB-based questionnaire, and a food consumption Questionnaire were used for data collection. Data were analyzed through Spearman’s correlation and linear regression analyses.

Ethical Considerations: 

This study was approved by the Research Ethics Committee of Arak University of Medical Sciences (Code: IR.ARAKMU.REC.1398.07).

The Mean±SD score of diet behavior was 1.34±0.28 (in the possible range of 0-2). Around 41% of participants consumed sugary foods such as sweets and chocolate at least once a week and 35% at least once a month. Regression analysis shows that by increasing a standard deviation in the behavioral intention score, the behavior score of a healthy diet will increase by 0.22 standard deviation (P<0.05).

To achieve a healthy lifestyle in the individual at risk for a diabetics education program to increase perceived behavior and motivation for decision making for adherence to healthy food can be attention for policymakers in a health system.

A lack of healthy nutrition first causes prediabetes and then overt diabetes, and every year about 5% to 10% of people with glucose intolerance develop type 2 diabetes. This study aimed to assess the factors affecting the consumption of healthy foods (CHF) based on the food pyramid among prediabetic women based on the Theory of Planned Behavior (TPB).

This cross-sectional study was conducted in 2019 on 99 prediabetic women selected from comprehensive healthcare centers in Arak, Iran. A demographic questionnaire, a TPB-based questionnaire, and a food consumption Questionnaire were used for data collection. Data were analyzed through Spearman’s correlation and linear regression analyses.

This study was approved by the Research Ethics Committee of Arak University of Medical Sciences (Code: IR.ARAKMU.REC.1398.07).

The Mean±SD score of diet behavior was 1.34±0.28 (in the possible range of 0-2). Around 41% of participants consumed sugary foods such as sweets and chocolate at least once a week and 35% at least once a month. Regression analysis shows that by increasing a standard deviation in the behavioral intention score, the behavior score of a healthy diet will increase by 0.22 standard deviation (P<0.05).

To achieve a healthy lifestyle in the individual at risk for a diabetics education program to increase perceived behavior and motivation for decision making for adherence to healthy food can be attention for policymakers in a health system.

Previous studies have not investigated the association of concomitant changes in obesity indicators with diabetes in prediabetic patients. This study aimed to identify the patterns of changes in the abdominal obesity indices over time in prediabetic patients and to predict high-risk individuals for the future risk of diabetes development.

This prospective 16-year cohort study was conducted among 1228 prediabetic individuals during 2003-2019. The subjects were followed-up over time, and changes in their abdominal obesity indices were evaluated. The hidden Markov model (LMM) was used for data analysis.

The LMM identified three hidden states, depending on changes in the abdominal obesity indices: low risk of diabetes development; moderate risk of diabetes development; and high risk of diabetes development (19%, 45%, and 36%, respectively). The probability of progression from moderate to low- and high-risk groups was 0.34 and 0.02, respectively, and the probability of staying in high- and moderate-risk groups was 0.98 and 0.78, respectively.

Based on our long-term evaluation of patterns of changes in the abdominal indices, we classified prediabetic individuals into high, moderate, and low risk groups of diabetes development in the future. Due to the low probability of transition from the high risk to the low risk group in prediabetic patients, it is necessary to consider weight control as an important preventive factor in diabetes progression.

Gestational diabetes is the most common medical condition in pregnancy. Since probiotics are viable microorganisms which have beneficial effects on microbial flora of the intestine, they affect glucose metabolism. Therefore, this study was performed with aim to determine the effect of probiotic capsule on the prevention of gestational diabetes in high risk pre-diabetes pregnant women.

This double-blind clinical trial study was performed on 255 high risk pre-diabetic pregnant women in health centers covered by health center No.2 of Mashhad in 2018. In the probiotic group and the placebo group, in addition to routine care, one probiotic capsule and placebo were daily prescribed respectively from 14-16 weeks of gestation for 12 weeks. Then, glucose tolerance test (OGTT) was performed at week 26-28. The research tools included demographic and midwifery information form, checklist of pregnancy diabetes screening tests, drug use checklist, examination form and satisfaction form. Data were analyzed using SPSS software (version 22), and Chi-square, One-way ANOVA, Kruskal – Wallis and Mann-Whitney tests. P<0.05 was considered statistically significant.

21 patients (26.3%) in the probiotic group, 49 (59.8%) in the placebo group, and 55 (67.1%) in the control group had gestational diabetes (P<0.001). Gestational diabetes in the intervention group was significantly less than the placebo and control group. The results of the Chi-square Pearson test for two by two comparison of the groups showed significant difference in gestational diabetes mellitus between probiotic group with placebo (P <0.001) and probiotic group with control (P <0.001). Gestational diabetes in the intervention group in significance level of lower than 5% was lower than the placebo and control group.

The use of probiotic capsules can be recommended to high risk pregnant women in preventing gestational diabetes.