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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
12
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pubmed:dateCreated |
1992-3-9
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pubmed:abstractText |
From a previously reported 5-year screening programme of 6,956 47-49-year-old Malmö males, a series of 41 subjects with early-stage Type 2 (non-insulin-dependent) diabetes mellitus and 181 subjects with impaired glucose tolerance were selected for prospective study and to test the feasibility aspect of long-term intervention with an emphasis on life-style changes. A 5-year protocol, including an initial 6-months (randomised) pilot study, consisting of dietary treatment and/or increase of physical activity or training with annual check-ups, was completed by 90% of subjects. Body weight was reduced by 2.3-3.7% among participants, whereas values increased by 0.5-1.7% in non-intervened subjects with impaired glucose tolerance and in normal control subjects (p less than 0.0001); maximal oxygen uptake (ml.min-1.kg-1) was increased by 10-14% vs decreased by 5-9%, respectively (p less than 0.0001). Glucose tolerance was normalized in greater than 50% of subjects with impaired glucose tolerance, the accumulated incidence of diabetes was 10.6%, and more than 50% of the diabetic patients were in remission after a mean follow-up of 6 years. Blood pressure, lipids, and hyperinsulinaemia were reduced and early insulin responsiveness to glucose loading preserved. Improvement in glucose tolerance was correlated to weight reduction (r = 0.19, p less than 0.02) and increased fitness (r = 0.22, p less than 0.02). Treatment was safe, and mortality was low (in fact 33% lower than in the remainder of the cohort).(ABSTRACT TRUNCATED AT 250 WORDS)
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:chemical | |
pubmed:status |
MEDLINE
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pubmed:month |
Dec
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pubmed:issn |
0012-186X
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
34
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
891-8
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pubmed:dateRevised |
2011-11-17
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pubmed:meshHeading |
pubmed-meshheading:1778354-Blood Glucose,
pubmed-meshheading:1778354-Blood Pressure,
pubmed-meshheading:1778354-Diabetes Mellitus, Type 2,
pubmed-meshheading:1778354-Diabetic Diet,
pubmed-meshheading:1778354-Exercise,
pubmed-meshheading:1778354-Feasibility Studies,
pubmed-meshheading:1778354-Follow-Up Studies,
pubmed-meshheading:1778354-Glucose Tolerance Test,
pubmed-meshheading:1778354-Humans,
pubmed-meshheading:1778354-Hyperglycemia,
pubmed-meshheading:1778354-Insulin,
pubmed-meshheading:1778354-Lipids,
pubmed-meshheading:1778354-Male,
pubmed-meshheading:1778354-Middle Aged,
pubmed-meshheading:1778354-Prediabetic State,
pubmed-meshheading:1778354-Prospective Studies,
pubmed-meshheading:1778354-Sweden
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pubmed:year |
1991
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pubmed:articleTitle |
Prevention of type 2 (non-insulin-dependent) diabetes mellitus by diet and physical exercise. The 6-year Malmö feasibility study.
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pubmed:affiliation |
Department of Internal Medicine, Malmö General Hospital, University of Lund, Sweden.
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pubmed:publicationType |
Journal Article,
Clinical Trial,
Comparative Study,
Randomized Controlled Trial,
Research Support, Non-U.S. Gov't
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