PRACTICAL MANAGEMENT OF DIET AND LIFESTYLE INTERVENTIONS FOR PEOPLE WITH DIABETES OR CARDIOVASCULAR DISEASE

2010 ◽  
Vol 36 ◽  
pp. 76-85 ◽  
Author(s):  
Fiona Symes ◽  
Debbie Sutton
Author(s):  
Ahmad Alkhatib ◽  
Lawrence Achilles Nnyanzi ◽  
Brian Mujuni ◽  
Geofrey Amanya ◽  
Charles Ibingira

Objectives: Low and Middle-Income Countries are experiencing a fast-paced epidemiological rise in clusters of non-communicable diseases such as diabetes and cardiovascular disease, forming an imminent rise in multimorbidity. However, preventing multimorbidity has received little attention in LMICs, especially in Sub-Saharan African Countries. Methods: Narrative review which scoped the most recent evidence in LMICs about multimorbidity determinants and appropriated them for potential multimorbidity prevention strategies. Results: MMD in LMICs is affected by several determinants including increased age, female sex, environment, lower socio-economic status, obesity, and lifestyle behaviours, especially poor nutrition, and physical inactivity. Multimorbidity public health interventions in LMICs, especially in Sub-Saharan Africa are currently impeded by local and regional economic disparity, underdeveloped healthcare systems, and concurrent prevalence of communicable and non-communicable diseases. However, lifestyle interventions that are targeted towards preventing highly prevalent multimorbidity clusters, especially hypertension, diabetes, and cardiovascular disease, can provide early prevention of multimorbidity, especially within Sub-Saharan African countries with emerging economies and socio-economic disparity. Conclusion: Future public health initiatives should consider targeted lifestyle interventions and appropriate policies and guidelines in preventing multimorbidity in LMICs.


2017 ◽  
Vol 28 (8) ◽  
pp. 2265-2273 ◽  
Author(s):  
I. Levinger ◽  
T. C. Brennan-Speranza ◽  
A. Zulli ◽  
L. Parker ◽  
X. Lin ◽  
...  

2016 ◽  
Vol 103 (4) ◽  
pp. 1162-1170 ◽  
Author(s):  
Lingwei Xiang ◽  
Hongyu Wu ◽  
An Pan ◽  
Bhakti Patel ◽  
Guangda Xiang ◽  
...  

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