Impact of School Nurse on Managing Pediatric Type 1 Diabetes with Technological Devices Support: A Systematic Review

Diseases, Journal Year: 2024, Volume and Issue: 12(8), P. 173 - 173

Published: Aug. 1, 2024

Introduction: Type 1 diabetes (T1D) is a disease that primarily occurs in pediatric populations. A school nurse (SN) can provide valuable support the setting for minors affected by this condition. Methods: The main objective of study was to evaluate impact nursing care provided adolescents and children with T1D using technological devices school. Qualitative quantitative outcomes considered included studies were collected discussed. systematic review conducted PubMed, CINAHL, Scopus databases reported thought PRISMA guidelines. Results: Eleven included. results showed SNs need enhance both their skills organization effectively manage young patients technology. response population caregivers management SN has been positive. Conclusions: chronic diseases one most urgent public health issues, especially Western healthcare systems. Proper at level definitely an aspect policymakers managers should consider improve quality life extremely vulnerable population, particularly those T1D.

Language: Английский

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Mediterranean-Type Diet Adherence and Body Mass Index through 20 Years of Follow-Up: Results from the ATTICA Cohort Study (2002–2022)

Nutrients, Journal Year: 2024, Volume and Issue: 16(8), P. 1128 - 1128

Published: April 11, 2024

Evidence of the association between dietary habits and long-term body weight status is scarce. This study aimed to evaluate changes in Mediterranean-type diet (MTD) adherence relation during 20 years follow-up. Data from n = 1582 participants ATTICA cohort (2002–2022) were used. MTD was assessed via MedDietScore, mass index (BMI) by 3 different measurements. We found that this inversely related BMI at mean 20-year In multi-adjusted linear regression models, a 1/55 increase baseline, 10-year, MedDietScore associated with decrease 0.05–0.13 kg/m2 0.08–0.09 BMI. Being consistently close for >90% decreased risk maintaining overweight/obesity period. Strong, protective, long-lasting effects observed, even those who deviated follow-up (41% sample). Our results highlight need focus on overall quality minimize an excessive life-course.

Language: Английский

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Models based on dietary nutrients predicting all-cause and cardiovascular mortality in people with diabetes

Scientific Reports, Journal Year: 2025, Volume and Issue: 15(1)

Published: Feb. 7, 2025

Dietary intervention plays a vital role in improving the prognosis of people with diabetes mellitus (DM). Currently, there is lack systematic analysis relation between dietary nutrients and long-term mortality risk DM. The study aims to establish models predicting explore associated reduced events guide daily decisions retrospective cohort collected 5060 participants DM from National Health Nutrition Examination Survey (NHANES) 1999-2018. least absolute shrinkage selection operator (LASSO) regression random forest (RF) algorithm were applied identify key mortality-related factors, which subsequently incorporated into prediction nomogram models. receiver operating characteristic (ROC) curve, calibration plot decision curve (DCA) utilized evaluate performance association all-cause cardiovascular visualized by restricted cubic spline (RCS) both whole subgroups sex, age, drinking smoking status. overall median age was 62.0 years (interquartile range (IQR) 52.0-70.0), 2564 (50.67%) being male. During follow-up period 56.0 months, 997 (19.70%) deaths recorded, 219 (21.97%) ascribed disease. based on identified LASSO RF demonstrated significant predicative value for mortality. fiber magnesium common predictive two RCS revealed that negatively after adjustment potential confounders. diet closely can predict DM, higher intake risks

Language: Английский

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Assessment of the Risk of Insulin Resistance in Workers Classified as Metabolically Healthy Obese

Nutrients, Journal Year: 2025, Volume and Issue: 17(8), P. 1345 - 1345

Published: April 14, 2025

Introduction and Objectives: Obesity constitutes a significant public health concern is frequently linked to metabolic dysfunctions, particularly insulin resistance (IR). Nevertheless, subset of obese individuals, referred as metabolically healthy (MHO), do not exhibit overt abnormalities. The present study aims assess the risk developing IR among MHO workers explore determinants contributing this risk. Methods: This cross-sectional investigation utilized data from cohort 68,884 across multiple occupational sectors in Spain. classification participants was based on number syndrome components, accordance with criteria established by National Cholesterol Education Program Adult Treatment Panel III (NCEP-ATPIII). Anthropometric, clinical, biochemical parameters—including body mass index (BMI), waist circumference, lipid profile, glycemic levels, blood pressure—were systematically assessed. likelihood estimated through various validated assessment models. Results: analysis indicates that, despite having relatively favorable individuals classified also show signs deterioration, such an increased resistance. Key factors physical inactivity, low adherence Mediterranean diet, socioeconomic disparities were identified contributors transition phenotype unhealthy state. Logistic regression analyses corroborated that insufficient activity suboptimal dietary habits strongly associated elevated IR. Conclusions: findings underscore dynamic potentially transient nature phenotype, emphasizing necessity proactive monitoring early preventive strategies. Encouraging activity, promoting nutritionally balanced implementing workplace initiatives emerge critical measures attenuate deterioration individuals. Future longitudinal studies are warranted enhance stratification formulate tailored interventions.

Language: Английский

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Correlation of the Mediterranean–Dietary Approaches to Stop Hypertension diet vs. ultra-processed diet with health outcomes in type 2 diabetes and hypertension: new insights from a 12-month interventional study

Journal of Hypertension, Journal Year: 2025, Volume and Issue: unknown

Published: May 21, 2025

Background and aims: There is ongoing debate about the optimal macronutrient micronutrient proportions for treating type 2 diabetes (T2D) hypertension. The objective of this study was to evaluate dietary composition patients participating in a 12-month interventional with follow-up. Additionally, it aimed interactions correlations between diet components anthropometric markers, laboratory blood pressure (BP). Finally, perform qualitative analysis daily postmeal satiety. Methods: This experimental, analytical, correlational quaternary evaluation within recently published longitudinal research. Eighty-four participants were divided into two groups: intervention: followed Mediterranean-DASH 12 months follow-up at 15 months; control: no changes. Parametric variables compared using two-way ANOVA Tukey post hoc test. Nonparametric Kruskal–Wallis Dwass–Steel–Critchlow–Fligner test Friedman Durbin–Conover data represented as mean ± standard deviation, nonparametric median interquartile range. Linear regression used interaction/relation analysis, Pearson correlation. Significance P less than 0.05. Results: Initially, both groups consumed diets high ultra-processed foods, rich refined carbohydrates, saturated fats, sodium. At 12th visit follow-up, intervention group showed substantial improvement quality requirements ( < 0.05). control maintained or worsened their first, reported hunger low By month, significant improvements, 88.6% reporting fullness 75% experiencing Significant positive negative 0.05) observed groups. In group, low-density lipoprotein cholesterol (LDL-C) correlated trans fats proteins; high-density (HDL-C) polyunsaturated fats; total (TC) proteins monounsaturated glycated hemoglobin (HbA1c) fibers. BMI carbohydrates; HbA1c LDL-C glucose TC HDL-C BP, heart rate, plasma, urinary sodium levels significantly improved over time However, strong intake these markers > contrast, changes 0.05), nor there any Notably, SBP, demonstrated difference from month DBP differed baseline, initially presenting higher values, which reversed by persisted until Conclusion: anthropometric, parameters, BP T2D hypertension whereas some markers. also satiety throughout day. quantity are proportionally No found plasma levels, rate intake; only trends observed. Nonetheless, further clinical trials needed establish causality, findings should be interpreted caution due study's limitations.

Language: Английский

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From Liking to Following: The Role of Food Preferences, Taste Perception, and Lifestyle Factors in Adherence to the Mediterranean Diet Among Young Individuals

Nutrients, Journal Year: 2025, Volume and Issue: 17(3), P. 600 - 600

Published: Feb. 6, 2025

Background and aims: The Mediterranean diet (MedDiet) is a healthy dietary pattern associated with reduced risk of chronic diseases. However, adherence declining, particularly among younger populations. Therefore, it crucial to identify the main aspects that affect its adherence, food preferences sensory function, which have received insufficient attention. Our aims were investigate impact socio-demographic lifestyle factors on MedDiet young individuals; assess association taste liking adherence; evaluate associations between perception modalities, preferences, adherence. Methods: A cross-sectional study adults (aged 20.5 ± 4.7 years) in country (n = 879) was carried out. Demographic characteristics, clinical anthropometric assessed. Taste for bitter, salty, sweet, sour, umami determined by rating different concentrations prototypical tastants. We computed total score three scores combine preferences. Results: identified several MedDiet, as well determinants. Food significantly MedDiet. Higher preference olive oil, oranges, broccoli, fish, legumes higher (p < 0.05 all). Conversely, sweet foods, red meat, butter lower combined positive strongly 1.4 × 10−23) multivariate adjusted model. negative inversely 1.9 10−8). Likewise, (strong inverse direct bitter preference; both p 0.001). Moreover, foods 0.05). In conclusion, future precision nutrition studies should measure are determinants especially people.

Language: Английский

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Precision calories: A promising strategy for personalized health interventions in the precision nutrition framework

Trends in Food Science & Technology, Journal Year: 2024, Volume and Issue: unknown, P. 104727 - 104727

Published: Sept. 1, 2024

Language: Английский

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Epidemiological Features of Obesity and Type 2 Diabetes Mellitus in the Russian Federation

Epidemiology and Vaccinal Prevention, Journal Year: 2024, Volume and Issue: 23(4), P. 71 - 86

Published: Sept. 6, 2024

Relevance. Obesity is associated with the risk of developing insulin resistance and type 2 diabetes mellitus (type DM). Over past 40 years, no country in world has seen a decrease incidence either obesity or diabetes. The epidemic growth rates DM world, including Russian Federation, emphasize close relationship these endocrinopathies identify as one determinants development. Aim. To study intensity, dynamics features formation primary morbidity among various population groups, well to correlations between studied parameters groups. Materials methods . A retrospective analysis Russia 2010–2021 was carried out. source analyzed information statistical collections Ministry Health Federation «Morbidity population». parameters, correlation performed calculation Pearson coefficient (r). interpretation closeness on Chaddock scale. Results. number cases amounted 4 428 975, – 3 839 772 2010–2021. entire 253,61 per 100 ths, 220,47 ths population. Siberian FD (377,29 ths) should be singled out an epidemiologically significant district, for Southern (249,34 ths). adults 274,22 while leading positions were taken by Ural (313,56 (308,94 In terms adults, it noted that 359,21 (the excess rate 1,68 times). Among elderly, 1,15 times higher than (247,15 ths), 1,23 (440,9 elderly group, maximum 591,11 ths. children from 0 14 years 370,99 most unfavorable situation North-Western (476,86 exceeding level 1,29 15 17, 697,67 (869,1 (866,43 parallel, also (3,16 teenagers 15–17 old. Positive established 2020 (r = 0,364 weak level) 2021 0,260 very level). Conclusion. association development been confirmed. Russia, parallel obesity, there increase DM. Special attention paid child population, since pronounced trend towards 0–14 old increasing teenagers. statistically obtained

Language: Английский

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The dual challenge of diabesity: pathophysiology, management, and future directions

Naunyn-Schmiedeberg s Archives of Pharmacology, Journal Year: 2024, Volume and Issue: unknown

Published: Dec. 16, 2024

Language: Английский

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Quantitative analysis of the caloric restriction versus isocaloric diets models based on macronutrients composition: impacts on body weight regulation, anthropometric, and bioimpedance parameters in women with obesity

Frontiers in Nutrition, Journal Year: 2024, Volume and Issue: 11

Published: Dec. 12, 2024

Introduction Obesity is a growing public health issue, especially among young adults, with long-term management strategies still under debate. This prospective study compares the effects of caloric restriction and isocaloric diets different macronutrient distributions on body composition anthropometric parameters in obese women during 12-week weight loss program, aiming to identify most effective dietary for managing obesity-related outcomes. Methods A certified clinical nutritionist assigned specific over period 150 participants, distributed as follows: hypocaloric diets—low-energy diet (LED, 31 subjects) very low-energy (VLED, 13 subjects); distribution—low-carbohydrate (LCD, 48 subjects), ketogenic (KD, 23 high-protein (HPD, 24 without distribution—time-restricted eating (TRE, 11 subjects). Participants were dynamically monitored using parameters: mass index (BMI), waist circumference (WC), hip ratio (WHR) bioelectrical impedance analysis (BIA) TANITA Body Composition Analyzer BC-418 MA III (T5896, Tokyo, Japan) at three key intervals—baseline, 6 weeks, 12 weeks. The following evaluated: weight, basal metabolic rate (BMR), percentage total fat, trunk muscle mass, fat-free hydration status. Results All led loss, but differences emerged time. TRE model resulted significantly less compared LED final follow-up (6.30 kg, p &lt; 0.001), similar VLED (4.69 0.001). Isocaloric varied showed significant ( KD reduced both weeks (−4.08 cm, while waist-to-hip reduction observed across groups = 0.01). Post-hoc revealed fat HPD outperforming IF 0.01) 0.003). LCD (−2.36%, 0.001) (−3.79%, increased (2.95%, decreased it (−2.02%, 0.031). smaller BMR LED. Conclusion highlights superior benefits macronutrients distribution calorie-restrictive optimizing BMI, composition, central adiposity.

Language: Английский

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