Texas Diabetes, Winter 2004 Page: 3
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Weight control and nutrition
r-
IWalking appears to be linked with
lower death rates among adults with
diabetes, according to an article in
the The Archives of Internal
Medicine, one of the
JAMA/Archives journals.
R esearchers examined data on 2,896
adults aged 18 years and older
(average age, 58.7 years) with diabetes
(average time since diagnosis of diabetes,
11 years) who participated in the 1990 and
1991 National Health Interview Survey. Of
the participants, 39.2 percent also were
considered overweight (body mass index,
or BMI, of 25-29) and 32.4 percent were
obese (BMI of 30 or higher).
Compared with inactive adults, those
who walked at least 2 hours per week had a
39 percent lower all-cause death rate (2.8
percent vs. 4.4 percent per year) and a 34
percent lower cardiovascular disease death
rate (1.4 percent vs. 2.1 percent
per year). The mortality rates were
lowest for people who walked 3 to
4 hours per week and for those
who reported that their walking
included moderate increases in
heart rate and breathing rate.
"Walking was associated with
lower mortality across a diverse
spectrum of adults with diabetes,"
write the authors. "One death per
year may be preventable for every 61
people who could be persuaded to walk at
least 2 hours per week."
(Arch Intern Med. 2003;163:1440-1447. http://archinte.ama-
assn.org/cgi/reprint/163/12/1440.pdf)The National Heart, Lung, and Blood
Institute (NHLBI) is conducting a
major study that could help solve
one of the hardest aspects of weight
loss - keeping off lost pounds. The
study, called the "Weight Loss
Maintenance Trial," includes two
- phases at four clinical sites.Phase I is a 5-month weight loss
program. Phase II will try to help those
who lose 9 or more pounds in phase I keep
the weight off for 2% years.
In phase II, participants will be
randomly assigned to one of three weight-
maintenance strategies: self-directed/usual
care (SD/UC), personal contact (PC), and
interactive technology (IT).
The SD/UC group will meet once with a
health counselor for advice on how to
maintain their weight loss and to discuss
their own weight loss plans. They also will
receive educational materials about diet
and physical activity.
Those in the PC group will receive
personal guidance and counseling on how
to maintain their weight loss through
monthly telephone calls and occasional
visits with a health counselor.
Participants in the IT group will use an
Internet-based, individually tailored,
interactive computer program to helpthem keep their weight
off. They can use the
program as often as
they wish and can log
on anywhere they have
Internet access: at
home, work, a school,
or a public library.
They also will receive
weekly e-mails with
tailored messages ontheir progress that include links to the Web
site. Further, they will receive reminders by
an interactive voice phone system to log
onto the study's Web site and respond to e-
mail.International
Diabetes Federation
focuses on kidney
disease
M ore than half of the clients of the
Texas Department of Health Bureau
of Kidney Health have a primary diagnosis
of diabetes. But the problem is not limited
to Texas. The International Diabetes
Federation (IDF) says diabetes is the mostcommon cause
worldwide of kidney
failure requiring
dialysis or kidney
transplantation.
In response to these
grim statistics, the IDF
has developed an
information campaign
to raise public
awareness and
recommends that:L
everyone with
diabetes be helped to achieve optimal
blood glucose and blood pressure
control to reduce their risk of
developing kidney failure due to
diabetes;
+annual urine testing to identify
individuals with early kidney disease
be offered to everyone with diabetes;
* those with signs of kidney damage be
offered appropriate treatment,
including specific blood-pressure
lowering drugs;
* individuals with developing kidney
failure be referred in a timely fashion
to kidney specialists; and
+ everyone with kidney failure due to
diabetes have access to dialysis or a
kidney transplant.
For more information on the International
Diabetes Federation, visit
www.idf.org or e-mail info@idf.org.3
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Texas Diabetes Program. Texas Diabetes, Winter 2004, periodical, 2004; Austin, Texas. (https://texashistory.unt.edu/ark:/67531/metapth575887/m1/3/: accessed April 25, 2024), University of North Texas Libraries, The Portal to Texas History, https://texashistory.unt.edu; crediting UNT Libraries Government Documents Department.