Search Box

Medical Guide,Inc.

Search This Blog

Thursday, May 29, 2008

Preventing Diabetes With Diet And Exercise

In a Diabetes Special Issue of The Lancet, researchers demonstrate that group-based lifestyle interventions of diet and exercise for a period of six years may prevent or delay diabetes for up to 14 years following the intervention. It is not clear, however, that lifestyle interventions also reduce the incidence of cardiovascular disease (CVD) and mortality.

There have been several major clinical trials in various countries that have demonstrated how people with impaired glucose tolerances can reduce their likelihood of diabetes due to lifestyle interventions. Researchers, though, still have questions regarding the length of time after intervention that the strategies remain effective. To investigate this issue, Professor Guangwei Li, (China-Japan Friendship Hospital, Beijing, China), Dr Ping Zhang (Centers for Disease Control and Prevention, Atlanta, Georgia, USA), and colleagues conducted the China Da Qing Diabetes Prevention Outcome Study (CDQDPOS) - analyzing 20 years of patient follow-up data.

The patients who participated in the study all had impaired glucose tolerance and came from 33 clinics in China. In 1986, the researchers randomly assigned the patients to one of three lifestyle intervention groups (diet, exercise, or diet and exercise) or to the control group. Over a period of six years (until 1992), the patients experienced active intervention, and a 2006 follow-up provided data that would be used to assess the interventions' long-term effects on main outcomes such as diabetes incidence, CVD incidence and mortality, and all-cause mortality.

During the active intervention period, the combined lifestyle intervention group had a 51% reduction in incidence of diabetes compared to participants in the control group. Over the whole 20-year period, this effect was reduced to 43%. Intervention participants had an average annual incidence of new diabetes diagnoses of 7%, compared an 11% rate for control participants. After 20 years, 80% of those in the intervention group had diabetes and 93% of the control group did; intervention group participants suffered 3.6 fewer years with the disease than control group participants. The researchers, however, did not find a significant difference between the intervention and control groups when measuring the rates of first CVD events, CVD mortality and all-cause mortality.

"This study has shown that, in Chinese people with impaired glucose tolerance, group-based interventions targeting lifestyle changes such as diet and exercise produce a durable and long-lasting reduction in incidence of type 2 diabetes...Since around 3 million excess deaths a year are attributable to diabetes worldwide, lifestyle interventions seem to be a justifiable public-health action both in developed and developing nations," conclude the authors.

Dr Jaana Lindström (National Public Health Institute, Helsinki and University of Helsinki, Finland) and Professor Matti Uusitupa (University of Kuopio, Finland) write in an accompanying editorial that, "We propose that lifestyle intervention should start much earlier, when people are normoglycaemic, to achieve true primary prevention of type 2 diabetes and its main consequence, cardiovascular disease. In this regard, both population-based strategies and those targeted at high-risk groups should be applied."

rate icon Editor's Choice
Main Category: Diabetes
Also Included In: Nutrition / Diet; Obesity / Weight Loss / Fitness
Article Date: 23 May 2008 - 0:00 PDT


Anonymous said...

Hey Everybody,

This blog is an amazing resource for group fitness!

If you really love body weight resistance training and cardio interval training workouts but are sick and tired of having to be a prisoner to your watch, then you will love WORKOUT MUSE!

It features rapid fat loss body weight training AND cardio interval training soundtracks that tell you when to start, stop, and even provides you with countdowns and updates to keep you focused on the task at hand.

Plus our elite team of sound designers creates mind-blowing, adrenaline racing music from scratch to encourage the ideal BPM for the most effective fat loss workouts possible.

You can get your own instantly downloadable FREE full cardio interval mp3 soundtrack (5 minute warm-up, 20 minutes of interval, 5-minute cool-down) by signing up for our FREE newsletter @

Please feel free to go to our Blog for regularly updated rapid fat loss training content @

You can also check out some cool rapid fat loss training video demos at our You Tube page @

Workout Muse is the perfect rapid fat loss music interval training solution for both fitness enthusiasts and fitness professionals:

- FITNESS ENTHUSIASTS: Perfect for fitness enthusiasts who currently do no have a trainer and is looking for the most simple, convenient, and affordable done-for-you integrated rapid fat loss training and nutrition solution so you can just listen and lose fat! Also, great for those fitness enthusiasts who are looking for rapid fat loss cardio interval workouts to compliment their resistance workouts with their trainers.

- FITNESS PROS: Ideal for or a fitness professional looking for a proven rapid fat loss training system automated to sound and music for their group training business (fitness boot camps or corporate wellness programs). The professional membership provides all the done-for-you training, nutrition, and business resources you need to get your clients big-time results so you can have the booming 6-figure group training business you deserve. Plus, you will have instant access to our mastermind group that will help build your business!

Keep up the great work with this blog, there is a ton of awesome content here!

Yours in Fat Loss,

BJ Gaddour, CSCS

Anonymous said...

There are various online sources to provide you informative details on FDA approved weight loss pills as well as information on pills and tablets available in the pharmaceutical market that are capable of successfully relieving you from the grip of erectile dysfunction and depression. But the online pill destination is somewhat unique as it makes a whole array of information available to you, including details on the highly popular pills and tablets, testimonials as well as news on the latest tidbits of the pharmaceutical market. Log in to the website and get hold of relevant pill-care details.

Search Box