A new evaluation of the Finnish Diabetes Prevention Study (Finnish DPS) recognizes that people with high diabetes type 2 risk through a strict diet and exercise training their lifestyle change permanently, and thus the onset of the disease, even after the end of the Active discussions delayed.
About 50 percent of persons with impaired glucose tolerance develop in the course of ten years of diabetes, if they do without active intervention. In the study, overweight middle-aged people with impaired glucose tolerance were randomly divided into a group with intensive counseling on lifestyle or control group. The first group received detailed and personalized advice tailored to achieve specific goals such as weight loss, reduced consumption of fats and saturated fats, increased fiber intake and daily moderate physical activity for 30 minutes or even longer. After four years of active counseling, the first group compared to the control group achieved a 58 percent reduction in the relative with type 2 diabetes risk.
The re-evaluation of the FDPS examined the extent to which changed after the end of the active work of the reach up to that lifestyle, and the remaining risk. Jaana Lindström from the National Public Health Institute in Helsinki and colleagues found that the participants of the Consultative Group achieved positive retained lifestyle changes and thus reduced the relative risk by 36 percent. The overall reduction in risk was associated with the successful completion of counseling goals. These included weight loss, dietary intake of saturated fats and total fat decreased and increased physical activity and intake of dietary fiber. The study (with a follow-up after about three years after active counseling) shows that a clear difference in the incidence of diabetes after discontinuation of active counseling can be maintained.
Jaako Tuomilehto, one of the responsible researcher of the Finnish Diabetes Prevention Study, noted: "From the perspective of public health is an important message: An intensive, time-limited counseling for lifestyle can by reducing diabetes type 2 risk in high-risk patients with long-term value produce. A if successfully running lifestyle advice alone can prevent diabetes type 2 is not mandatory for all persons, but it is the beginning of the disease to delay further. early as the onset of diabetes delay can make a significant effect on the subsequent course of the disease and thus have the cost of diabetes care. "
Source: Jaana Lindström et al. Sustained reduction in the incidence of type 2 diabetes by lifestyle intervention: follow-up of the Finnish Diabetes Prevention Study. Lancet 2006 368:1673.
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