Download PDF
Diabetes aktuell 2012; 10(1): 28-31
DOI: 10.1055/s-0032-1307410
Schwerpunkt
© Georg Thieme Verlag Stuttgart · New York

Lebensstiländerung – Ein effektiver Ansatz in der Prävention und Therapie des Typ-2-Diabetes

Lifestyle Change – Effectiv Approach in Prevention and Therapy of Diabetes
Berthold Maier
1   FIDAM Forschungsinstitut Diabetes-Akademie Bad Mergentheim
› Author Affiliations
Further Information

Publication History

Publication Date:
28 February 2012 (online)

Also available at
    Permissions and Reprints

Mittlerweile belegen eine ganze Reihe methodisch gut kontrollierter Interventionsstudien den Nutzen und die Effektivität einer nachhaltigen Lebensstiländerung bei Menschen mit Übergewicht. Eine moderate Gewichts-abnahme mithilfe einer gesteigerten körperlichen Aktivität und einer verminderten Kalorienzufuhr kann dazu beitragen, das Risiko für den Ausbruch eines Typ-2-Diabetes zu vermindern. Gleichzeitig kann damit auch der Verlauf eines bestehenden Typ-2-Diabetes günstig beeinflusst werden.

The effects of a long term lifestyle change for persons with a higher risk as well as for people with diagnosed type 2 diabetes are proven by numerous clinical intervention trials. Even 10 years later the risk reduction can be verified although the person has gained weight again.

Key words

lifestyle change - diabetes type 2 - weight loss
 

  • Literatur

  • 1 Diabetes Prevention Program Research Group. Reduction in the Incidence of Type 2 Diabetes with Lifestyle Intervention or Metformin. N Engl J Med 2002; 346: 393-403
    CrossrefGoogle Scholar
  • 2 Diabetes Prevention Program Research Group. 10-year follow-up of diabetes incidence and weight loss in the Diabetes Prevention Program Outcomes Study. Lancet 2009; 374: 1677-1686
    CrossrefGoogle Scholar
  • 3 The Look AHEAD Research Group. Reduction in weight and cardiovascular disease risk factors in individuals with type 2 diabetes. Diabetes Care 2008; 30: 1374-1383
    Google Scholar
  • 4 Norris SL. The Effectiveness of Self-Management Training in Type 2 Diabetes. Diabetes Care 2001; 24: 561-587
    CrossrefPubMedGoogle Scholar
  • 5 Tuomilehto J. Primary prevention of type 2 diabetes: lifestyle intervention works and saves money, but what should be done with smokers?. Ann Intern Med 2005; 142: 381-382
    Google Scholar
  • 6 Di Loreto et al. Validation of a Counseling Strategy to Promote the Adoption and the Maintenance of Physical Activity by Type 2 Diabetic Subjects. Diabetes Care 2003; 26: 404-408
    CrossrefGoogle Scholar
  • 7 Sacks FM, Bray GA, Carey VJ et al. Comparison of weight-loss diets with different compositions of fat, protein and carbohydrates. N Engl J Med 2009; 360: 859-873
    CrossrefPubMedGoogle Scholar
  • 8 Hooper L et al. Dietary fat intake and prevention of cardiovascular disease. BMJ 2001; 322: 757-763
    CrossrefGoogle Scholar
  • 9 Heidemann C, Hoffmann K, Spranger J et al. A dietary pattern protective against type 2 diabetes in the European Prospective Investigation into Cancer and Nutrition (EPIC)-Potsdam Study cohort. Diabetologia 2005; 48: 1126-1134
    CrossrefGoogle Scholar
  • 10 Wen CP, Wai JP, Tsai MK et al. Minimum amount of physical activity for reduced mortality and extended life expectancy: a prospective cohort study. Lancet 2011; 378: 1244-1253
    CrossrefGoogle Scholar
  • 11 The IMAGE Study Group. Systematic review of reviews of intervention components associated with increased effectiveness in dietary and physical activity interventions. BMC Public Health 2011; 11: 119-119
    CrossrefGoogle Scholar
  • 12 Lindström J, Ilanne-Parikka P, Peltonen M et al. Sustained reduction in the incidence of type 2 diabetes by lifestyle intervention: The follow-up results of the Finnish Diabetes Prevention Study. Lancet 2006; 368: 1673-1679
    CrossrefGoogle Scholar