ISSN 1916-9736 E-ISSN 1916-9744
Published by Canadian Center of Science and Education
A Review about the Effect of Life style Modification
on Diabetes and Quality of Life
Prabha Shrestha1 & Laxmi Ghimire2
1 Faculty of Health, School of Nursing and Midwifery, Burwood Campus, Deakin University, Melbourne, Australia
2 Department of Public Health, School of Medicine & Dentistry, University of Aberdeen, Aberdeen, Scotland, United Kingdom
Correspondence: Prabha Shrestha, Faculty of Health, School of Nursing and Midwifery, Deakin University, Melbourne, Burwood Campus, VIC 3125, Australia. E-mail: firstname.lastname@example.org Received: September 6, 2012 Accepted: September 19, 2012 Online Published: October 10, 2012 doi:10.5539/gjhs.v4n6p185 URL: http://dx.doi.org/10.5539/gjhs.v4n6p185 Abstract
The aim of this review is to examine diabetes and quality of life improvements through modifying life style. The data was collected by reviewing published articles from PubMed, Medline, Web of Science, and Google open access publications. The review identified prevention strategies can reduce the risk and complications of diabetes. Life style modification in relation to obesity, eating habit, and physical exercise can play a major role in the prevention of diabetes. Nowadays, there has been progress in the development of behavioural strategies to modify these life style habits and it is not easy to accept for long term basis. If people maintain a balanced diet and physical exercise this can have real and potential benefits for their prevention and control of complications from chronic diseases particularly for cardiovascular risk and diabetes. Healthy life style may best be achieved through public private partnerships involving government, partners organizations, health services providers, community and people living with diabetes. Effective strategies to reduce the incidence of diabetes globally and assist in managing the disease are urgently required.
Keywords: diabetes, quality of life, life style modification, diet, exercise 1. Introduction
Diabetes is a major public health problem globally with an increasing disease trend. A total of 366 million (8.3%) people lived with diabetes in 2011 and 4.6 million deaths were attributed to diabetes. The incidence is estimated to increase to double the 2011 data to 552 million in 2030 (International Diabetes Federation n.d.), if no action is taken. The diabetes epidemic is worse in developing Asian countries. Asian people are at significant risk of diabetes in comparison to western societies, because of their changing life style and consumption of white rice (Hu et al., 2012).
A major public health problem occurring is the increasing incidence of diabetes in Asian countries including Nepal and India. A study in 2009 reported a diabetes prevalence rate of 25.9% of the population in Kathmandu the capital city. The rate for men was 27.1% and women 24.8%, where as in India, the prevalence of diabetes is reported as 4.3% overall 4.4% in men and 4.5% in women (Yadav et al., 2012). Why the Nepalese context has a higher incidence rate than India despite a similar socio-cultural situation is unknown. A further study has yielded the incidence is higher in urban areas (22.8%) compared to rural context (20%) and men (16.6%) and women (22.4%) (Yadav et al., 2012). Despite differing reports of the magnitude of the problem, the evidence suggests that the rate of diabetes in Nepal is considerably higher than global data, which needs to be dealt with effectively. 2. Methods
2.1 Search Engine
An extensive review of published articles related to diabetes; prevalence, quality of life (QoL), prevention, diet and exercise were accessed from Web of Science, BMJ, BMC, Lancet, Diabetes care, etc. Additionally articles extracted from online sites, magazines, peer review articles, newspaper and open access materials in Google Scholar were accessed....