Adventure and Games for Diabetes Prevention

2022 ◽  
Vol 79 (1) ◽  
Author(s):  
Carrie D. Taylor ◽  
Eric James Lange
Keyword(s):  
Diabetes Prevention ◽  
Adventure Education ◽  
American Heart ◽  
Heart Association ◽  
Physical Educators ◽  
Fat Cell ◽  
Education Students ◽  
Conceptual Content ◽  
Toll Road ◽  
Control And Prevention

According to the Centers for Disease Control and Prevention, diabetes prevention represents a critical need for the health education curriculum, given the rise of the disease and its precondition for today’s youth. An active understanding of diabetes encourages young people to take control of the nutritional and exercise factors that keep the disease in check. When teachers use experiential activities, or “adventure” education, students perform tasks that illustrate conceptual content and reinforce learning. Research has found that current modalities to be successful but lacking the physicality to meet the recommendations of the American Heart Association and the Society of Health and Physical Educators. Games such as Toll Road Boogie; Tom and Jerry, or Insulin and Sugar; Wacky Receptor; and Tusker Monster, or Fat Cell Tag help children meet the 60 min of physical activity that are required most days of the week. This article offers several examples of how to design and implement games and incentives into lessons that are both enjoyable and illustrative of diabetes prevention-based education for ages 8 to 18.

scholarly journals Determination of high sensitivity C-reactive protein: Clinical and analytical quality

2005 ◽  
Vol 24 (2) ◽  
pp. 85-93
Author(s):  
Svetlana Ignjatovic
Keyword(s):  
American Heart ◽  
Inflammatory Marker ◽  
Heart Association ◽  
High Sensitivity ◽  
C Reactive Protein ◽  
High Relative Risk ◽  
Reactive Protein ◽  
Control And Prevention ◽  
Coronary Syndromes

Inflammation plays a key role in the pathophysiology of atherosclerotic disease. A number of inflammatory markers that are measurable in blood have been investigated for their ability to predict the risk of future atherosclerotic events. High-sensitivity (hs) measurement of C-reactive protein (CRP) has received a great deal of attention recently for use as an atherosclerotic risk marker. For these reasons, CRP is currently the inflammatory marker of choice. The Centers for Disease Control and Prevention (CCDC) and the American Heart Association (AHA) issued guidelines for the utility of this marker in the primary prevention setting and in patients with stable coronary disease or acute coronary syndromes. The guidelines also included specific recommendations that pertain to the laboratory aspect of CRP and defined cut-points for clinical interpretation; CRP concentrations <1 mg/L are considered low, 1-3 mg/L average, and >3 mg/L high relative risk. A number of preanalytical and analytical factors including specimen type and stability, assay imprecision, commercial availability, and standardization are reviewed here. Better control of preanalytic and analytic sources of variations will undoubtedly lead to improvement in CRP measurements. Further research is required to better define the performance characteristics necessary for assays bearing the designation hsCRP. These characteristics include developing guidelines for total analytical error from a careful review of the intraindividual biological variability of the analyte under conditions that will be encountered in clinical practice, defining allowable random and systematic error limits based on this information, validating these guidelines in the clinical setting, and completing the standardization efforts.

scholarly journals Exercício físico e síndrome metabólica

2004 ◽  
Vol 10 (4) ◽  
pp. 319-324 ◽  
Author(s):  
Emmanuel Gomes Ciolac ◽  
Guilherme Veiga Guimarães
Keyword(s):  
Disease Control ◽  
Sports Medicine ◽  
American Heart Association ◽  
American Heart ◽  
Heart Association ◽  
National Institutes Of Health ◽  
Surgeon General ◽  
Sindrome Metabolica ◽  
Control And Prevention ◽  
Centers For Disease Control

A prática regular de atividade física tem sido recomendada para a prevenção e reabilitação de doenças cardiovasculares e outras doenças crônicas por diferentes associações de saúde no mundo, como o American College of Sports Medicine, os Centers for Disease Control and Prevention, a American Heart Association, o National Institutes of Health, o US Surgeon General, a Sociedade Brasileira de Cardiologia, entre outras. Estudos epidemiológicos têm demonstrado relação direta entre inatividade física e a presença de múltiplos fatores de risco como os encontrados na síndrome metabólica. Entretanto, tem sido demonstrado que a prática regular de exercício físico apresenta efeitos benéficos na prevenção e tratamento da hipertensão arterial, resistência à insulina, diabetes, dislipidemia e obesidade. Com isso, o condicionamento físico deve ser estimulado para todos, pessoas saudáveis e com múltiplos fatores de risco, desde que sejam capazes de participar de um programa de treinamento físico. Assim como a terapêutica clínica cuida de manter a função dos órgãos, a atividade física promove adaptações fisiológicas favoráveis, resultando em melhora da qualidade de vida.

Evidenzbasierte Indikationen zur chirurgischen Therapie extrakranieller Karotisstenosen

2003 ◽  
Vol 22 (05) ◽  
pp. 222-232
Author(s):  
H.-H. Eckstein
Keyword(s):  
American Heart Association ◽  
American Heart ◽  
Heart Association ◽  
Amaurosis Fugax

ZusammenfassungNach Durchführung prospektiv-randomisierter Studien liegen für die Karotis-Thrombendarteriektomie (KarotisTEA) höhergradiger Karotisstenosen gesicherte Indikationen auf dem Evidenzlevel Ia mit dem Empfehlungsgrad A vor. Dies betrifft sowohl >50%ige symptomatische als auch >60%ige asymptomatische Stenosen (NASCET-Kriterien). In Subgruppen-Analysen aus NASCET konnten klinische und morphologische Variablen identifiziert werden, die auf ein besonders hohes Risiko eines karotisbedingten Schlaganfalls im natürlichen Verlauf hinweisen. Patienten mit folgenden Variablen profitieren daher besonders von der Karotis-TEA: Stenosegrad >90%, schlechter Kollateralkreislauf, kontralateraler Karotisverschluss, Plaque-Ulzerationen, Tandemstenosen, intraluminale Thromben, nicht-lakunärer Hirninfarkt, Lebensalter >75 Jahre, komplexes klinisches Risikoprofil, Hemisphären-TIA (vs. Amaurosis fugax), männliches Geschlecht. Der präventive Effekt der Karotis-TEA kann jedoch nur unter Beachtung eines niedrigen perioperativen Schlaganfallbzw. Letalitätrisikos realisiert werden. Nach Empfehlungen der American Heart Association (AHA) darf das perioperative Risiko 3% bei asymptomatischen Stenosen ohne kontralaterale Stenose, 5% bei asymptomatischen Stenosen mit hochgradiger kontralateraler Stenose oder Verschluss und 6% bei symptomatischen >50%ige Stenosen (NASCET-Kriterien) nicht überschreiten. Die Ergebnisse der Qualitätssicherung Karotis-TEA der Deutschen Gesellschaft für Gefäßchirurgie (DGG) zeigen, dass diese maximal akzeptablen Obergrenzen zum Teil deutlich unterschritten werden. Vor diesem Hintergrund stellt das Stenting von Karotisstenosen einen klinischen Heilversuch dar, der nur nach interdisziplinärem Konsil und/oder i. R. randomisierter Studien zulässig ist.

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