Early impact of a combined dietary and cognitive-behavioural strategy on body mass index, blood pressure and quality of life

Author(s):  
S Chrubasik ◽  
C Chrubasik ◽  
T Torda
2018 ◽  
Vol 128 (03) ◽  
pp. 170-181 ◽  
Author(s):  
Rainer Lundershausen ◽  
Sabrina Müller ◽  
Mahmoud Hashim ◽  
Joachim Kienhöfer ◽  
Stefan Kipper ◽  
...  

Abstract Purpose To assess quality of life, glycemic control, and safety/tolerability associated with liraglutide versus insulin initiation in patients with type 2 diabetes in Germany. Methods Liraglutide/insulin-naïve adults with type 2 diabetes and inadequate glycemic control despite using oral antidiabetic medication were assigned to liraglutide (≤1.8 mg daily; n=878) or any insulin (n=382) according to the treating physician’s decision and followed for 52 weeks. The primary objective was to evaluate Audit of Diabetes-Dependent Quality of Life (ADDQoL) scores. Results At baseline, the liraglutide group was younger and had shorter type 2 diabetes duration, lower glycated hemoglobin (HbA1c), higher body mass index, and a lower prevalence of certain diabetes-related complications than the insulin group (all p<0.05). ADDQoL average weighted impact scores improved numerically in both groups from baseline to 52 weeks (mean difference [95% confidence interval], liraglutide vs. insulin: 0.159 [−0.023;0.340]; not significant). Changes in general wellbeing and five ADDQoL domains significantly favored liraglutide (remaining 14 domains, not significant). HbA1c reductions were greater with insulin than liraglutide (−2.0% vs. −1.2%; p<0.01); however, mean HbA1c after 52 weeks was 7.2% in both groups. Compared with insulin, liraglutide significantly decreased body mass index (−1.54 kg/m2 vs. +0.27 kg/m2; p<0.001), systolic blood pressure (−5.03 mmHg vs. −1.03 mmHg; p<0.01) and non-severe hypoglycemia (0.85% vs. 4.55% at 52 weeks; p<0.01). Adverse drug reactions were reported for<3% of patients in both groups. Conclusions Liraglutide improved certain ADDQoL components and reduced body mass index, systolic blood pressure, and non-severe hypoglycemia versus insulin. Both treatments improved glycemic control.


Author(s):  
Vilma Dudonienė ◽  
Rasa Vaškevičiūtė ◽  
Rolandas Kesminas

Pregnancy sets new and higher demands for woman’s body. There are changes in almost all functions of organs and systems, and metabolism during pregnancy. These changes are physiological and the body adapts to the new conditions. Many organs and systems start functioning pathologically, and pregnant body starts to react abnormally to various external and internal stimuli. Physical activity (any bodily movement produced by skeletal muscles that requires energy expenditure higher than resting; physical activity is indicatedby the average energy expenditure a day, a week, and is defined by metabolic equivalent (MET) [1]), fully affects and strengthens woman’s body, increases the physiological capacities, activates the work of all systems, and ensures the normal course of pregnancy by improving maternal cardiovascular condition, activating placental blood flow, oxygen transport, improving fetal metabolism. Physical activity has been proved to have positive effect on different systems of human body. The death-rate in pregnant women resulting from hypertension is the second cause after embolism. Preeclampsia is one of the hypertension-related failures which affects 3 to 5% of the pregnant women [2]. The purpose of this study was to evaluate and compare the effect of physical activity on the quality of life (quality of sleep, headache, right side pain, physical and psychological fatigue), blood pressure, and body mass index in physically active and inactive women during 20–35 weeks of pregnancy. It was found that the quality of sleep during 20–25–30–35 weeks of pregnancy was significantly higher and headache and right side pain, as well as, blood pressure, and body mass index were significantly lower in physically active women compared to inactive women. Conclusion. Physical activity during pregnancy had a positive effect on antenatal arterial blood pressure, body mass index and the quality of life during 20–35 weeks of pregnancy.Keywords: pregnancy, physical activity, quality of life, blood pressure, body mass index.


Pulmonology ◽  
2021 ◽  
Author(s):  
Jhonatan Betancourt-Peña ◽  
Juan Carlos Ávila-Valencia ◽  
Diana Milena Diaz-Vidal ◽  
Vicente Benavides-Córdoba

2021 ◽  
Vol 13 (4) ◽  
pp. 2341
Author(s):  
Gabriel González-Valero ◽  
Josep Vidal-Conti ◽  
Félix Zurita-Ortega ◽  
Pere Palou-Sampol

Current research shows that individuals with intellectual disabilities do not engage in enough physical activity to acquire health benefits. However, cooperative learning has been shown to be an effective tool for inclusion and for improving healthy physical habits. The aim of this study is to contrast an explanatory model which incorporates quality of life, active time in cooperative activities, body mass index and age, as well as to analyze, using multi-group structural equations, the existing associations according to the sex of subjects with intellectual disabilities. The convenience sampling used allowed the collection of data from a total of 156 subjects in Granada (Spain), aged between 18–55 years. In terms of gender, the sample was homogeneous, representing 52.6% (n = 82) for women and 47.4% (n = 74) for men. The active time during the cooperative learning was recorded with the Xiaomi Mi Band 2 activity band, for the quality of life scale (GENCAT) was used, and the body mass index was calculated through its standardized equation. Age was directly associated with body mass index in both sexes. Likewise, age was positively related to the active time of women. Quality of life was directly associated with active time and body mass index was inversely related to active time. This study shows the importance of active time during work and cooperative learning in individuals with intellectual disabilities, as it is associated with an improvement in the quality of life and a reduction in the problems of sedentarism, overweight, and obesity.


2008 ◽  
Vol 11 ◽  
pp. S105-S114 ◽  
Author(s):  
Hwee-Lin Wee ◽  
Yin-Bun Cheung ◽  
Wai-Chiong Loke ◽  
Chee-Beng Tan ◽  
Mun-Hong Chow ◽  
...  

2018 ◽  
Vol 24 (4) ◽  
pp. 365-372 ◽  
Author(s):  
Riccardo D’Ambrosi ◽  
Camilla Maccario ◽  
Nicola Serra ◽  
Chiara Ursino ◽  
Federico Giuseppe Usuelli

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