DB 2 HLTH 644

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Western Governors University *

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644

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Health Science

Date

Jan 9, 2024

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docx

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1. Using evidence-based information, discuss 1-2 factors that contribute to Type 2 diabetes in adults (e.g., obesity, sedentary lifestyle, dysbiosis of gut microbiota). From a public health or nutrition standpoint, what has been done to reduce or reverse this risk? Numerous studies have established a strong association between obesity and Type 2 diabetes. 1,2,3 Current public health initiatives focus on the importance of a balanced and nutritious diet. They included recommendations like reducing the intake of refined sugars and carbohydrates and increasing the consumption of fruits, vegetables, and whole grains. 1,2,3 Additionally, public health campaigns aim to educate individuals about the impact of dietary choices on health by raising awareness about portion control, the importance of nutrient-dense foods, and the risks associated with excessive calorie intake. 1 Lack of physical activity is a well-established risk factor for Type 2 diabetes. 1,2,3 Regular physical activity helps improve insulin sensitivity and glucose metabolism, reducing the risk of developing diabetes. 3 Public health goals seek to boost regular physical activity through campaigns, community programs, and policy changes. Examples include creating more walkable neighborhoods, promoting workplace wellness programs, and integrating physical activity into daily routines. For education, public health campaigns the importance of an active lifestyle is highlighted. This includes recommendations for the amount and intensity of physical activity needed for overall health and diabetes prevention. 2 2. Using evidence-based information, discuss 1-2 risk factors for Type 2 diabetes in children. From a public health or nutrition standpoint, what has been done to reduce or reverse this risk? There is a well-established link between childhood obesity and the risk of developing Type 2 diabetes. Excess body weight, particularly when concentrated around the abdomen, can lead to insulin resistance, a key factor in the development of Type 2 diabetes. Additionally, having a lack of physical activity also increases the risk. 2,3 Public health initiatives often target schools to promote healthy eating habits and physical activity. 4 This may include implementing nutrition education programs, providing healthier school meals, and encouraging physical education. 4 3. Based on the risk factors and complications associated with the increasing incidence of type 2 diabetes in children and adolescents, present five evidence-based lifestyle targets that could be implemented in type 2 diabetes prevention programs for youth (e.g., limit screen time to 2-3 hours per day). The CDC offers many evidence-based lifestyle changes that are simple to implement in the home and target the whole family. This approach makes a larger impact than on adolescents alone but also increases the effect on adolescents because they have an example to follow when the parent joins in and models the behavior for them. 1. Limit Screen Time: Restrict screen time to 2 hours or less per day for recreational activities. 5
2. Promote Regular Physical Activity: Aim for at least 60 minutes of moderate-to-vigorous physical activity on most days of the week. 4,5 3. Encourage a Balanced Diet: Emphasize a diet rich in fruits, vegetables, whole grains, and lean proteins while minimizing sugary drinks, high-fat snacks, and fast food. 4,5 4. Address Sleep Hygiene: Ensure 9–11 hours of sleep per night for children aged 6–12 and 8–10 hours for adolescents aged 13–18. 5 5. Family-Based Interventions: Involve parents and caregivers in educational programs that promote a healthy lifestyle for the entire family. 5 Resources 1.Gruss SM, Nhim K, Gregg E, Bell M, Luman E, Albright A. Public Health Approaches to Type 2 Diabetes Prevention: the US National Diabetes Prevention Program and Beyond. Current Diabetes Reports . 2019;19(9). doi: https://doi.org/10.1007/s11892-019-1200-z 2.CDC. Prevent Type 2 Diabetes in Kids. Centers for Disease Control and Prevention. Published December 30, 2020. https://www.cdc.gov/diabetes/prevent-type-2/type-2- kids.html#takecharge 3.Mayo Clinic. Type 2 diabetes in children - Symptoms and causes. Mayo Clinic. Published March 31, 2022. https://www.mayoclinic.org/diseases-conditions/type-2-diabetes-in-children/ symptoms-causes/syc-20355318 4.Karamanakos G, Costa-Pinel B, Gilis-Januszewska A, et al. The effectiveness of a community- based, type 2 diabetes prevention programme on health-related quality of life. The DE-PLAN study. PLoS ONE . 2019;14(10). doi: https://doi.org/10.1371/journal.pone.0221467 5.Centers for Disease Control and Prevention. Tips for Parents–Ideas to Help Children Maintain a Healthy Weight . Centers for Disease Control and Prevention. Published July 22, 2023. https://www.cdc.gov/healthyweight/children/index.html
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