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2011, Number 1

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Arch Med Fam 2011; 13 (1)

Adoption of Healthy Behaviors in a Prospective Cohort of Sons and Daughters of a Group of Patients with Type 2 Diabetes

Gil AI, Contreras CM, Pérez HC, Bustos VMM, Arenas AR, Galindo MCE

Language: Spanish
References: 25
Page: 22-29
PDF size: 194.45 Kb.


ABSTRACT

Objective: To evaluate the adoption of healthy behaviors in nutrition and physical activity and its impact on the risk factors in sons and daughters of patients with type 2 diabetes. Material and Methods: Our prospective cohort was followed up for 1 year and comprised the children of both parents with type 2 diabetes who were patients at three Family Medicine units in Xalapa, Mexico, aged between 20 and 45 years, nondiabetic, excluding pregnant women, breastfeeding women, and those who used drugs that could modify the variables to be studied. We removed from the study participants who withdrew from follow-up and those who became pregnant during the study. Risk factors for type 2 diabetes were detected and we developed a nutritional plan and physical activity. At 1 year of follow-up, we evaluated changes in risk factors. We performed exploratory analysis and inference at a 95% Confidence level (95% CI). Results: We included 66 subjects, predominantly women, with maternal diabetes, central obesity, sedentary lifestyle, poor eating habits, who were normoglycemic, with hypercholesterolemia (32%), hypertriglyceridemia (35%), and hyperinsulinemia (28%). The youngest subjects had the lowest Body mass index (BMI) (p ‹0.05) and the eldest, the highest mean blood glucose (p ‹0.01). Thirty nine percent of subjects complied with the proposed program, reducing BMI (p ‹0.05), cholesterol (p ‹0.01), and triglycerides (p ‹0.01). Subjects who did not comply with the program increased their BMI (p ‹0.05) and glucose (p ‹0.005). Two women, with both parents with diabetes, developed diabetes mellitus. Prognostic parameters related with the onset of diabetes were BMI (p ‹0.05) and initial blood glucose (p ‹0.05). Conclusions: The adoption of eating habits and physical activity in children with diabetes is effective in reducing some risk factors for developing type 2 diabetes mellitus.


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