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Diabetology
Special Issues
Lifestyle Behavior Intervention for Diabetes Prevention and Management
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Lifestyle Behavior Intervention for Diabetes Prevention and Management

A special issue of Diabetology (ISSN 2673-4540).

Deadline for manuscript submissions: closed (30 September 2023) | Viewed by 13698

Special Issue Editors

Dr. Freya MacMillan

E-Mail Website
Guest Editor
School of Health Sciences, Translational Health Research Institute, Western Sydney University, Penrith, NSW 2153, Australia
Interests: marginalized populations; access to health; culturally and linguistically diverse groups; obesity; lifestyle interventions
Special Issues, Collections and Topics in MDPI journals
Dr. Sathish Thirunavukkarasu

E-Mail Website
Co-Guest Editor
Department of Family and Preventive Medicine, School of Medicine, Emory University, Atlanta, GA, USA
Interests: type 2 diabetes; primary care; prevention; prediabetes; lifestyle interventions; implementation science
Special Issues, Collections and Topics in MDPI journals

Special Issue Information

Dear Colleagues,

As Guest Editor of a Diabetology Special Issue, titled “Lifestyle Behavior Intervention for Diabetes Prevention and Management”, I invite you to submit an original research article, systematic review, narrative review, or short communication on this topic. Diabetology (ISSN 2673-4540) is an international, open access journal. In this Special Issue of Diabetology, we invite researchers to submit their works on the development, testing, and implementation of lifestyle behavior interventions into practice for the prevention and management of diabetes. The official deadline for paper submission is 20 February 2023, and the instructions on how to proceed with writing will be available on a dedicated web page. Research areas may include (but are not limited to) the following:

  • Studies of those with or at risk of diabetes to understand their lifestyle behaviors to inform the development of interventions;
  • Qualitative, quantitative, or mixed-method studies to evaluate novel lifestyle behavior interventions for diabetes prevention or management;
  • Implementation science studies examining the translation of lifestyle behavior interventions for diabetes prevention and/or management into community, healthcare, workplace, or other settings.

Dr. Freya MacMillan
Dr. Sathish Thirunavukkarasu
Guest Editors

Manuscript Submission Information

Manuscripts should be submitted online at www.mdpi.com by registering and logging in to this website. Once you are registered, click here to go to the submission form. Manuscripts can be submitted until the deadline. All submissions that pass pre-check are peer-reviewed. Accepted papers will be published continuously in the journal (as soon as accepted) and will be listed together on the special issue website. Research articles, review articles as well as short communications are invited. For planned papers, a title and short abstract (about 100 words) can be sent to the Editorial Office for announcement on this website.

Submitted manuscripts should not have been published previously, nor be under consideration for publication elsewhere (except conference proceedings papers). All manuscripts are thoroughly refereed through a single-blind peer-review process. A guide for authors and other relevant information for submission of manuscripts is available on the Instructions for Authors page. Diabetology is an international peer-reviewed open access quarterly journal published by MDPI.

Please visit the Instructions for Authors page before submitting a manuscript. The Article Processing Charge (APC) for publication in this open access journal is 1200 CHF (Swiss Francs). Submitted papers should be well formatted and use good English. Authors may use MDPI's English editing service prior to publication or during author revisions.

Keywords

  • lifestyle program
  • lifestyle intervention
  • implementation science
  • qualitative
  • quantitative
  • mixed methods
  • diabetes prevention
  • diabetes management
  • diet
  • physical activity
  • weight loss
  • weight maintenance

Published Papers (7 papers)

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Editorial

Jump to: Research, Review

3 pages, 205 KiB  
Editorial
Prevention of Type 2 Diabetes with Lifestyle Interventions: Evidence vs. Reality
by Thirunavukkarasu Sathish and Freya MacMillan
Diabetology 2023, 4(4), 427-429; https://doi.org/10.3390/diabetology4040036 - 05 Oct 2023
Viewed by 1038
Abstract
Type 2 diabetes is a serious global public health concern that affects every country in the world [...] Full article
(This article belongs to the Special Issue Lifestyle Behavior Intervention for Diabetes Prevention and Management)

Research

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12 pages, 247 KiB  
Article
Enrollment, Engagement, and Effectiveness of a Large-Scale Diabetes Prevention Program Using Synchronous Distance Technology
by Casey Collins, Erin McCallum, Kelly Nordby, Surabhi Aggarwal, Emily Griffith, Cathy Thomas and Carolyn Dunn
Diabetology 2023, 4(4), 574-585; https://doi.org/10.3390/diabetology4040051 - 11 Dec 2023
Viewed by 1167
Abstract
The Centers for Disease Control and Prevention (CDC) indicates that individuals with prediabetes are significantly less likely to develop type 2 diabetes if they participate in a lifestyle change program that results in at least 5% weight loss and 150 min of physical [...] Read more.
The Centers for Disease Control and Prevention (CDC) indicates that individuals with prediabetes are significantly less likely to develop type 2 diabetes if they participate in a lifestyle change program that results in at least 5% weight loss and 150 min of physical activity per week. The CDC recognizes distance learning as an effective delivery mode for lifestyle change programs to prevent type 2 diabetes. The purpose of this study was to assess enrollment, engagement, and effectiveness of a type 2 diabetes prevention program (DPP) using synchronous distance technology. Eat Smart, Move More, Prevent Diabetes (ESMMPD) is an intensive 12-month DPP delivered using synchronous distance technology. Throughout 26 lessons, participants focused on healthy eating, physical activity, and mindfulness behaviors. Study findings showed a significant decrease in A1C (−0.24 p < 0.0001). Weight loss averaged 5.66% for those who completed the program. Based on the Wilcoxon signed-rank test, participants demonstrated statistically significant changes in self-reported confidence in their ability to perform all 18 health-promoting behaviors assessed (p < 0.0001). Participation in the program also resulted in the adoption of health promoting behaviors. A DPP using synchronous distance technology is an effective delivery mode to help participants adopt healthy behaviors, increase physical activity, and achieve the weight loss necessary to prevent or delay the onset of type 2 diabetes. Full article
(This article belongs to the Special Issue Lifestyle Behavior Intervention for Diabetes Prevention and Management)
12 pages, 1243 KiB  
Article
Association between Altered Thyroid Function and Prediabetes in Diet-Induced Prediabetic Male Sprague Dawley Rats
by Malishca Pillay, Palesa Mosili, Akinjide Akinnuga, Ntethelelo Sibiya, Phikelelani Ngubane and Andile Khathi
Diabetology 2023, 4(3), 406-417; https://doi.org/10.3390/diabetology4030034 - 12 Sep 2023
Viewed by 1575
Abstract
There is a correlation between the existence of type 2 diabetes mellitus (T2DM) and the development of thyroid disorders. Prediabetes is a progressive state of moderate insulin resistance that often precedes the onset of T2DM. However, the association between prediabetes and thyroid function [...] Read more.
There is a correlation between the existence of type 2 diabetes mellitus (T2DM) and the development of thyroid disorders. Prediabetes is a progressive state of moderate insulin resistance that often precedes the onset of T2DM. However, the association between prediabetes and thyroid function is unknown. This study assessed changes in markers of thyroid function in diet-induced prediabetes. Twelve male Sprague Dawley rats (n = 12) were randomly assigned into two groups. Rats in the non-prediabetic (NPD) group were fed a standard rat diet, while rats in the prediabetic (PD) were fed a high-fat high-carbohydrate diet for 20 weeks to induce prediabetes. Thereafter, fasting blood glucose levels were measured. Plasma samples were assessed for triiodothyronine (T3), thyroxine (T4), thyroxine peroxidase (TPO) antibody, insulin, and glycated hemoglobin (HbA1c) concentrations. The elevated blood glucose, HbA1c, and plasma insulin levels coincided with increased T3 and reduced T4 levels in the PD group when compared to the NPD group. There was also an increase in the concentration of TPO antibodies in the PD group. Additionally, there was a significant correlation between the thyroid hormone concentrations and HbA1c levels. In conclusion, these results indicated that there is a positive association between thyroid dysfunction and diet-induced prediabetes in rats. Full article
(This article belongs to the Special Issue Lifestyle Behavior Intervention for Diabetes Prevention and Management)
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12 pages, 234 KiB  
Article
Implementing a Produce Prescription Program at Three Federally Qualified Health Centers to Help Patients Manage Their Diabetes or Prediabetes: A Qualitative Assessment of Clinic Staff Experiences in Los Angeles County, California, USA
by Victoria Ayala, Julia I. Caldwell, Fatinah Darwish-Elsherbiny, Dipa Shah and Tony Kuo
Diabetology 2023, 4(3), 282-293; https://doi.org/10.3390/diabetology4030025 - 21 Jul 2023
Viewed by 1315
Abstract
Through a partnership with three Federally Qualified Health Centers (FQHCs), the local health department in Los Angeles County implemented a produce prescription program (PPR) to increase fresh fruit and vegetable purchases among patients with diabetes or prediabetes. The PPR, which began in 2020, [...] Read more.
Through a partnership with three Federally Qualified Health Centers (FQHCs), the local health department in Los Angeles County implemented a produce prescription program (PPR) to increase fresh fruit and vegetable purchases among patients with diabetes or prediabetes. The PPR, which began in 2020, provided eligible patients with a USD 40 voucher every month for 6 months to promote the purchase of fresh produce at large-chain grocery stores. To address gaps in current practice and program delivery, this qualitative assessment describes staff experiences with the PPR, documenting the facilitators and barriers they encountered while implementing the program. Fifteen clinic staff (i.e., PPR implementers) were interviewed for this assessment. Thematic analysis and coding were conducted using the ATLAS.ti software; the coding was carried out by two separate coders. Interviewees discussed the importance of having preexisting partnerships and programs to support the PPR at their clinic site. Hidden costs related to implementing the program included a large and unexpected amount of staff time devoted to enrolling patients into the program. Collecting quality data and having limited expertise to rigorously evaluate the program were other challenges. Because patients often share their food with their family, the monthly USD 40 incentive was generally not enough to support their needs; interviewees suggested giving a higher inventive amount to those with a larger household. Future PPR efforts and similar food incentive programs should consider these and other facilitators and barriers to implementation and sustainability, especially when making adjustments to these programs to improve services and access to food resources. Full article
(This article belongs to the Special Issue Lifestyle Behavior Intervention for Diabetes Prevention and Management)
11 pages, 552 KiB  
Article
Diabetes Management in Danish Primary School: A Survey of Experiences of Parents of Children with Type 1 Diabetes
by Mia K. Iken, Nuri C. Mateu, Lise B. Johansen, Kasper A. Pilgaard, Annette K. Mouritsen, Anders J. Schou, Line S. Høst, Anne Ø. Nannsen, Kurt Kristensen, Stine Hangaard, Mette Madsen and Dan Grabowski
Diabetology 2023, 4(1), 108-118; https://doi.org/10.3390/diabetology4010012 - 02 Mar 2023
Cited by 2 | Viewed by 2318
Abstract
Supporting diabetes self-care in school is important for optimal glycemic control and mental health. The aim of this study was to investigate parental experiences of diabetes management in Danish schools, with an emphasis on the importance of school staff support in self-care. This [...] Read more.
Supporting diabetes self-care in school is important for optimal glycemic control and mental health. The aim of this study was to investigate parental experiences of diabetes management in Danish schools, with an emphasis on the importance of school staff support in self-care. This cross-sectional study surveyed parents of schoolchildren with type 1 diabetes aged 6 to 16 years in Denmark. The parents were identified among members of the Danish Diabetes Association and were invited to complete an online questionnaire. A total of 252 parents of schoolchildren with type 1 diabetes answered the questionnaire. Only 28% of the children had a designated staff member responsible for support in diabetes self-care during school hours. Having a designated staff member responsible for support in self-care was positively associated with parental experiences of better school–parent cooperation (p < 0.001), better experience of diabetes management in school (p < 0.001), and larger proportions of children and parents feeling comfortable in school (p = 0.022 and p = 0.049, respectively). School staff support was positively associated with better parental experience of diabetes management and with some parameters of mental health in schoolchildren with type 1 diabetes and their parents in Denmark. Full article
(This article belongs to the Special Issue Lifestyle Behavior Intervention for Diabetes Prevention and Management)
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Review

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19 pages, 618 KiB  
Review
Preventive Epigenetic Mechanisms of Functional Foods for Type 2 Diabetes
by Bilyaminu Abubakar, Dawoud Usman, Kamaldeen Olalekan Sanusi, Nur Hanisah Azmi and Mustapha Umar Imam
Diabetology 2023, 4(3), 259-277; https://doi.org/10.3390/diabetology4030023 - 04 Jul 2023
Cited by 1 | Viewed by 2906
Abstract
Type 2 diabetes (T2D) is a growing global health problem that requires new and effective prevention and management strategies. Recent research has highlighted the role of epigenetic changes in the development and progression of T2D, and the potential of functional foods as a [...] Read more.
Type 2 diabetes (T2D) is a growing global health problem that requires new and effective prevention and management strategies. Recent research has highlighted the role of epigenetic changes in the development and progression of T2D, and the potential of functional foods as a complementary therapy for the disease. This review aims to provide an overview of the current state of knowledge on the preventive epigenetic mechanisms of functional foods in T2D. We provide background information on T2D and its current treatment approaches, an explanation of the concept of epigenetics, and an overview of the different functional foods with demonstrated preventive epigenetic effects in T2D. We also discuss the epigenetic mechanisms by which these functional foods prevent or manage T2D, and the studies that have investigated their preventive epigenetic effects. In addition, we revisit works on the beneficial influence of functional foods against the programming and complications of parentally-triggered offspring diabetes. We also suggest, albeit based on scarce data, that epigenetic inheritance mechanistically mediates the impacts of functional nutrition against the metabolic risk of diabetes in offspring. Finally, our review highlights the importance of considering the preventive epigenetic mechanisms of functional foods as a potential avenue for the development of new prevention and management strategies for T2D. Full article
(This article belongs to the Special Issue Lifestyle Behavior Intervention for Diabetes Prevention and Management)
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12 pages, 419 KiB  
Review
The Lipids and Volume in Satiation and Satiety (LIVES) Hypothesis: A Proposed Alternative Model for the Pathogenesis of Obesity
by Andrew Warrilow, Kate Pumpa, Shawn Somerset and Nenad Naumovski
Diabetology 2023, 4(1), 64-75; https://doi.org/10.3390/diabetology4010008 - 14 Feb 2023
Cited by 1 | Viewed by 2488
Abstract
Obesity is one of the most important factors responsible for the marked increase in both the incidence and prevalence of type 2 diabetes mellitus (T2DM) in recent decades. Addressing the lifestyle factors associated with the progression to T2DM would present a potential rational [...] Read more.
Obesity is one of the most important factors responsible for the marked increase in both the incidence and prevalence of type 2 diabetes mellitus (T2DM) in recent decades. Addressing the lifestyle factors associated with the progression to T2DM would present a potential rational early prevention strategy. The current evidence suggests that excessive energy intake is mediated via dietary fat. Biochemical signals released in response to the ingestion of food require supportive signalling from the presence of food in the stomach. The degree of supportive volume signalling emanating from the stomach influences both the satiation and satiety phases. The Lipids and Volume in Satiation and Satiety (LIVES) Hypothesis proposes that the biological feedback from fat intake appears to be influenced by the other macronutrients with which it is consumed. By identifying the various possible macronutrient combinations with fat, it is possible to construct a matrix of food composition/volume scenarios, which may help elucidate dysfunction in the human food energy regulation system within the context of the modern food environment. Full article
(This article belongs to the Special Issue Lifestyle Behavior Intervention for Diabetes Prevention and Management)
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