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Reducing the risk of type 2 diabetes with nutrition and physical activity – efficacy and implementation of lifestyle interventions in Finland

Bibliographic Data

ID15093006
AuthorsJaana Lindström (0000-0001-9255-020X, Finnish Institute for Health and Welfare, corresponding author), Pilvikki Absetz (0000-0002-1047-909X, Finnish Institute for Health and Welfare), Katri Hemiö (Finnish Institute for Health and Welfare), Päivi Peltomäki (0000-0001-8819-2980, Finnish Institute for Health and Welfare), Markku Peltonen (0000-0002-3767-4223, Finnish Institute for Health and Welfare)
Year2010
Volume13
Issue6A
Pages993-999
Publication date2010-06-01
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenuePublic Health Nutrition (JOURNAL)
Journal identifiersISSN: 1368-9800 • E-ISSN: 1475-2727
PublisherCambridge University Press (CUP) (PUBLISHER)
DOI10.1017/s1368980010000960
PMID20513271
OpenAlexW1970549193
LanguageEN
Citations received4
References cited31

Background The prevalence of type 2 diabetes has been increasing in Finland, in parallel with a gradual increase in overweight and obesity during the past decades. The expanding prevalence of type 2 diabetes brings along complications, most importantly CVD. Therefore, it is extremely important to implement activities to prevent type 2 diabetes. Objective In the present paper, the clinical evidence for the prevention of type 2 diabetes is presented with the Finnish diabetes prevention study. In addition, the paper discusses the practical implementation of prevention of type 2 diabetes using three different types of prevention programmes as examples: FIN-D2D, including risk-screening and repeated consultation in primary health-care; FINNAIR, a workplace-targeted intervention project involving airline employees; and the good ageing in Lahti region (GOAL) programme, a community-based prevention programme. Conclusions FIN-D2D, the FINNAIR project and the GOAL programme have shown that screening for type 2 diabetes risk and implementing large-scale lifestyle intervention in primary health-care are feasible. However, the crucial questions still are whether it is possible to replicate the results concerning effectiveness of lifestyle intervention in primary and occupational health-care systems. Furthermore, it remains to be shown whether it is possible to achieve the same results in different health-care settings, cultures, regions and age groups, especially in adolescents and young adults among whom the increase in the incidence has been the highest. In addition, the importance of co-operation among all sections of society, citizens’ awareness of healthy lifestyles and the social inequalities in health must be emphasised because the diabetes epidemic cannot be solved only by concentrating on preventive actions carried out by health-care systems

Diabetes mellitus · Environmental health · Family medicine · Health care · Intervention (counseling · Obesity · Overweight · Psychological intervention · Type 2 diabetes · Diabetes Management and Education · Diabetes, Cardiovascular Risks, and Lipoproteins · Medicine · Nursing · Obesity and Health Practices · Gerontology

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Unique citing works4
Citations per year0,25
Citation span2010 - 2013 (4)
Citation velocityhistorical
Highly citedNo
Citation typesNeutral: 4

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