Clinical Nutrition Research

The Korean Society of Clinical Nutrition (한국임상영양학회)
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A Nutrition Intervention Focused on Weight Management Through Lifestyle Improvements in Prediabetic Subjects

  • Park, Seokyung (Department of Nutrition Team, Kyung Hee University Medical Center) ;
  • Woo, Mi-Hye (Department of Nutrition Team, Kyung Hee University Medical Center) ;
  • Lim, Hyun Jung (Department of Medical Nutrition, Graduate School of East-West Medical Science, Kyung Hee University) ;
  • Chon, Suk (Department of Endocrinology and Metabolism, Kyung Hee University School of Medicine) ;
  • Woo, Jeong-Taek (Department of Endocrinology and Metabolism, Kyung Hee University School of Medicine)
  • Received : 2017.09.19
  • Accepted : 2017.10.16
  • Published : 2018.01.31
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Abstract

We reported the cases in order to evaluate the effects of individualized nutrition interventions for enhancing self-management abilities of prediabetic subjects. We conducted four nutrition interventions for weight control in two subjects with high-risk of type 2 diabetes. The first subject was a 53-year-old housewife, and the second subject was a 46-year-old male office worker. The subjects visited the medical center 4 times during the study period, and the lifestyle interventions were advised by a clinical team comprised physicians, clinical dietitians, and nurses. In particular, nutrition intervention to achieve weight loss focused on enhancing motivation and problem-solving skills to improve self-management ability. As a result, both subjects achieved weight loss by the time of their last visits. These two case studies, which differed in terms of sex, occupation, and dietary habits showed the importance of individualized nutrition intervention and forming an intimate relationship based on trust centered on prediabetic subjects. In conclusion, systematic collaboration within the clinical team is necessary, and social infrastructure should be prepared to fully realize the benefits of a systematic intervention program.

Keywords

References

  1. Mokdad AH, Ford ES, Bowman BA, Dietz WH, Vinicor F, Bales VS, Marks JS. Prevalence of obesity, diabetes, and obesity-related health risk factors, 2001. JAMA 2003;289:76-9.
  2. American Diabetes Association. Standards of medical care in diabetes-2017 [Internet]. Arlington (VA): American Diabetes Association; 2017 [cited 2017 January 1]. Available from: http://care.diabetesjournals.org/content/diacare/suppl/2016/12/15/40.Supplement_1.DC1/DC_40_S1_final.pdf.
  3. Sasai H, Sairenchi T, Iso H, Irie F, Otaka E, Tanaka K, Ota H, Muto T. Relationship between obesity and incident diabetes in middle-aged and older Japanese adults: the Ibaraki Prefectural Health Study. Mayo Clin Proc 2010;85:36-40. https://doi.org/10.4065/mcp.2009.0230
  4. Will JC, Williamson DF, Ford ES, Calle EE, Thun MJ. Intentional weight loss and 13-year diabetes incidence in overweight adults. Am J Public Health 2002;92:1245-8. https://doi.org/10.2105/AJPH.92.8.1245
  5. Curioni CC, Lourenco PM. Long-term weight loss after diet and exercise: a systematic review. Int J Obes 2005;29:1168-74. https://doi.org/10.1038/sj.ijo.0803015
  6. Ditschuneit HH, Flechtner-Mors M, Johnson TD, Adler G. Metabolic and weight-loss effects of a long-term dietary intervention in obese patients. Am J Clin Nutr 1999;69:198-204. https://doi.org/10.1093/ajcn/69.2.198
  7. Goodpaster BH, Delany JP, Otto AD, Kuller L, Vockley J, South-Paul JE, Thomas SB, Brown J, McTigue K, Hames KC, Lang W, Jakicic JM. Effects of diet and physical activity interventions on weight loss and cardiometabolic risk factors in severely obese adults: a randomized trial. JAMA 2010;304:1795-802. https://doi.org/10.1001/jama.2010.1505
  8. Hamman RF, Wing RR, Edelstein SL, Lachin JM, Bray GA, Delahanty L, Hoskin M, Kriska AM, Mayer-Davis EJ, Pi-Sunyer X, Regensteiner J, Venditti B, Wylie-Rosett J. Effect of weight loss with lifestyle intervention on risk of diabetes. Diabetes Care 2006;29:2102-7. https://doi.org/10.2337/dc06-0560
  9. Knowler WC, Barrett-Connor E, Fowler SE, Hamman RF, Lachin JM, Walker EA, Nathan DMDiabetes Prevention Program Research Group. Reduction in the incidence of type 2 diabetes with lifestyle intervention or metformin. N Engl J Med 2002;346:393-403. https://doi.org/10.1056/NEJMoa012512
  10. Tuomilehto J, Lindstrom J, Eriksson JG, Valle TT, Hamalainen H, Ilanne-Parikka P, Keinanen-Kiukaanniemi S, Laakso M, Louheranta A, Rastas M, Salminen V, Uusitupa MFinnish Diabetes Prevention Study Group. Prevention of type 2 diabetes mellitus by changes in lifestyle among subjects with impaired glucose tolerance. N Engl J Med 2001;344:1343-50. https://doi.org/10.1056/NEJM200105033441801
  11. Diabetes Prevention Program Research GroupKnowler WC, Fowler SE, Hamman RF, Christophi CA, Hoffman HJ, Brenneman AT, Brown-Friday JO, Goldberg R, Venditti E, Nathan DM. 10-year follow-up of diabetes incidence and weight loss in the Diabetes Prevention Program Outcomes Study. Lancet 2009;374:1677-86. https://doi.org/10.1016/S0140-6736(09)61457-4
  12. Lindstrom J, Ilanne-Parikka P, Peltonen M, Aunola S, Eriksson JG, Hemio K, Hamalainen H, Harkonen P, Keinanen-Kiukaanniemi S, Laakso M, Louheranta A, Mannelin M, Paturi M, Sundvall J, Valle TT, Uusitupa M, Tuomilehto JFinnish Diabetes Prevention Study Group. Sustained reduction in the incidence of type 2 diabetes by lifestyle intervention: follow-up of the Finnish Diabetes Prevention Study. Lancet 2006;368:1673-9. https://doi.org/10.1016/S0140-6736(06)69701-8
  13. Saito T, Watanabe M, Nishida J, Izumi T, Omura M, Takagi T, Fukunaga R, Bandai Y, Tajima N, Nakamura Y, Ito MZensharen Study for Prevention of Lifestyle Diseases Group. Lifestyle modification and prevention of type 2 diabetes in overweight Japanese with impaired fasting glucose levels: a randomized controlled trial. Arch Intern Med 2011;171:1352-60. https://doi.org/10.1001/archinternmed.2011.275
  14. Korean Diabetes Association. 2015 Treatment guidelines for diabetes (5th edition) [Internet]. Seoul: Korean Diabetes Association; 2015 [cited 2016 March 23]. Available from: http://www.diabetes.or.kr/pro.
  15. Appel LJ, Clark JM, Yeh HC, Wang NY, Coughlin JW, Daumit G, Miller ER 3rd, Dalcin A, Jerome GJ, Geller S, Noronha G, Pozefsky T, Charleston J, Reynolds JB, Durkin N, Rubin RR, Louis TA, Brancati FL. Comparative effectiveness of weight-loss interventions in clinical practice. N Engl J Med 2011;365:1959-68. https://doi.org/10.1056/NEJMoa1108660
  16. Powers MA, Bardsley J, Cypress M, Duker P, Funnell MM, Fischl AH, Maryniuk MD, Siminerio L, Vivian E. Diabetes self-management education and support in type 2 diabetes. Diabetes Educ 2017;43:40-53. https://doi.org/10.1177/0145721716689694
  17. Brunisholz KD, Briot P, Hamilton S, Joy EA, Lomax M, Barton N, Cunningham R, Savitz LA, Cannon W. Diabetes self-management education improves quality of care and clinical outcomes determined by a diabetes bundle measure. J Multidiscip Healthc 2014;7:533-42.
  18. Weaver RG, Hemmelgarn BR, Rabi DM, Sargious PM, Edwards AL, Manns BJ, Tonelli M, James MT. Association between participation in a brief diabetes education programme and glycaemic control in adults with newly diagnosed diabetes. Diabet Med 2014;31:1610-4. https://doi.org/10.1111/dme.12513
  19. Steinsbekk A, Rygg LO, Lisulo M, Rise MB, Fretheim A. Group based diabetes self-management education compared to routine treatment for people with type 2 diabetes mellitus. A systematic review with meta-analysis. BMC Health Serv Res 2012;12:213. https://doi.org/10.1186/1472-6963-12-213