Lifestyle modification for the primary prevention of type 2 diabetes mellitus in the Canadian Aboriginal population
Canada’s Aboriginal populations have significantly higher rates of type 2 diabetes compared to non-Aboriginal Canadians. In First Nations populations living on reserve, the rates are more than double. Large randomized controlled trials (RCTs) have shown that intensive lifestyle modification in indiv...
Published in: | University of Western Ontario Medical Journal |
---|---|
Main Authors: | , |
Format: | Article in Journal/Newspaper |
Language: | English |
Published: |
Western Libraries
2014
|
Subjects: | |
Online Access: | https://ojs.lib.uwo.ca/index.php/uwomj/article/view/4500 |
id |
ftunivwontaojs:oai:ojs.uwo.ca:article/4500 |
---|---|
record_format |
openpolar |
spelling |
ftunivwontaojs:oai:ojs.uwo.ca:article/4500 2023-05-15T16:16:33+02:00 Lifestyle modification for the primary prevention of type 2 diabetes mellitus in the Canadian Aboriginal population Meglei, Gabriela Guidolin, Keegan 2014-12-23 application/pdf https://ojs.lib.uwo.ca/index.php/uwomj/article/view/4500 eng eng Western Libraries https://ojs.lib.uwo.ca/index.php/uwomj/article/view/4500/3708 https://ojs.lib.uwo.ca/index.php/uwomj/article/view/4500 Copyright (c) 2014 University of Western Ontario Medical Journal https://creativecommons.org/licenses/by/4.0 CC-BY University of Western Ontario Medical Journal; Vol. 83 No. 1 (2014): Rural & Remote Medicine; 36-39 2560-8274 0042-0336 indigenous peoples type 2 diabetes mellitus T2DM lifestyle interventions info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion Peer-reviewed Article 2014 ftunivwontaojs 2023-02-05T19:14:15Z Canada’s Aboriginal populations have significantly higher rates of type 2 diabetes compared to non-Aboriginal Canadians. In First Nations populations living on reserve, the rates are more than double. Large randomized controlled trials (RCTs) have shown that intensive lifestyle modification in individuals with impaired glucose tolerance can decrease the overall incidence of diabetes by up to 22%. Implementing lifestyle interventions into clinical practice remains a significant challenge because of both limited resources and uncertainly about optimal program design. Most studies have focused on translation into the primary care setting, and have shown moderate benefits. However, there have been no trials examining the feasibility and effectiveness of RCT-based lifestyle modification in Canadian Aboriginal communities. Canadian initiatives have so far focused on school-based healthy lifestyle curriculum and community awareness, but have had little success in reducing weight. Factors such as community remoteness, cultural diversity, poor retention of health care workers, and lack of access to healthy food are significant barriers to implementing lifestyle modification programs in Canadian Aboriginal communities. More importantly, these communities face systemic inequalities that must be addressed in order to achieve meaningful and sustained lifestyle changes. Article in Journal/Newspaper First Nations Western Libraries OJS University of Western Ontario Medical Journal 83 1 36 39 |
institution |
Open Polar |
collection |
Western Libraries OJS |
op_collection_id |
ftunivwontaojs |
language |
English |
topic |
indigenous peoples type 2 diabetes mellitus T2DM lifestyle interventions |
spellingShingle |
indigenous peoples type 2 diabetes mellitus T2DM lifestyle interventions Meglei, Gabriela Guidolin, Keegan Lifestyle modification for the primary prevention of type 2 diabetes mellitus in the Canadian Aboriginal population |
topic_facet |
indigenous peoples type 2 diabetes mellitus T2DM lifestyle interventions |
description |
Canada’s Aboriginal populations have significantly higher rates of type 2 diabetes compared to non-Aboriginal Canadians. In First Nations populations living on reserve, the rates are more than double. Large randomized controlled trials (RCTs) have shown that intensive lifestyle modification in individuals with impaired glucose tolerance can decrease the overall incidence of diabetes by up to 22%. Implementing lifestyle interventions into clinical practice remains a significant challenge because of both limited resources and uncertainly about optimal program design. Most studies have focused on translation into the primary care setting, and have shown moderate benefits. However, there have been no trials examining the feasibility and effectiveness of RCT-based lifestyle modification in Canadian Aboriginal communities. Canadian initiatives have so far focused on school-based healthy lifestyle curriculum and community awareness, but have had little success in reducing weight. Factors such as community remoteness, cultural diversity, poor retention of health care workers, and lack of access to healthy food are significant barriers to implementing lifestyle modification programs in Canadian Aboriginal communities. More importantly, these communities face systemic inequalities that must be addressed in order to achieve meaningful and sustained lifestyle changes. |
format |
Article in Journal/Newspaper |
author |
Meglei, Gabriela Guidolin, Keegan |
author_facet |
Meglei, Gabriela Guidolin, Keegan |
author_sort |
Meglei, Gabriela |
title |
Lifestyle modification for the primary prevention of type 2 diabetes mellitus in the Canadian Aboriginal population |
title_short |
Lifestyle modification for the primary prevention of type 2 diabetes mellitus in the Canadian Aboriginal population |
title_full |
Lifestyle modification for the primary prevention of type 2 diabetes mellitus in the Canadian Aboriginal population |
title_fullStr |
Lifestyle modification for the primary prevention of type 2 diabetes mellitus in the Canadian Aboriginal population |
title_full_unstemmed |
Lifestyle modification for the primary prevention of type 2 diabetes mellitus in the Canadian Aboriginal population |
title_sort |
lifestyle modification for the primary prevention of type 2 diabetes mellitus in the canadian aboriginal population |
publisher |
Western Libraries |
publishDate |
2014 |
url |
https://ojs.lib.uwo.ca/index.php/uwomj/article/view/4500 |
genre |
First Nations |
genre_facet |
First Nations |
op_source |
University of Western Ontario Medical Journal; Vol. 83 No. 1 (2014): Rural & Remote Medicine; 36-39 2560-8274 0042-0336 |
op_relation |
https://ojs.lib.uwo.ca/index.php/uwomj/article/view/4500/3708 https://ojs.lib.uwo.ca/index.php/uwomj/article/view/4500 |
op_rights |
Copyright (c) 2014 University of Western Ontario Medical Journal https://creativecommons.org/licenses/by/4.0 |
op_rightsnorm |
CC-BY |
container_title |
University of Western Ontario Medical Journal |
container_volume |
83 |
container_issue |
1 |
container_start_page |
36 |
op_container_end_page |
39 |
_version_ |
1766002404405280768 |