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Lebensstil: Diagnostik und Therapie

Life-style modification

  • leitlinien für die praxis
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Zusammenfassung

Diabetesschulung, Ernährungs- und Bewegungsempfehlungen sowie Raucherberatung zum Rauchstopp bilden die Grundlage für eine Lebensstilbehandlung vor Einleitung einer medikamentösen Therapie. Sowohl die Prävention als auch die Behandlung des manifesten Diabetes werden durch Lebensstilmaßnahmen positiv beeinflusst. Im Weiteren können kardiovaskuläre Risikofaktoren damit verringert werden. Diese Leitlinie gibt in Kurzfassung Empfehlungen für eine möglichst optimale Lebenssilmodifikation basierend auf der derzeit bestehenden Evidenz.

Summary

Diabetes education, nutritional advice, exercise recommendations and training for smoking cessation comprise the mainstay of diabetes treatment before starting drug therapy. Prevention as well as treatment of diabetes mellitus is positively influenced by life-style modification. In addition, cardiovascular risk factors can be reduced by such measures. This guideline gives in brief recommendations towards the approach to life-style modification based on current evidence.

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Literatur

  1. ADA Clinical Practice Recommendations. Diabetes Care. 2012;35(Suppl 1):S11–63.

    Google Scholar 

  2. IDF Clinical Guideline Task Force. Global guideline for Type 2 diabetes – lifestyle management. Brussels: International Diabetes Federation; 2005. S. 22–5.

  3. Kemmer FW, Halle M, Stumvoll M, Thurm U, Zimmer P. Diabetes, Sport und Bewegung/ DDG Praxisleitlinie. Diabetol Stoffwechs. 2008;3(Suppl 2):S191–4.

    Article  Google Scholar 

  4. Stamler J, Vaccaro O, Neaton JD, Wentworth D. Diabetes, other risk factors, and 12-year cardiovascular mortality for men screened in the Multiple Risk Factor Intervention Trial. Diabetes Care. 1993;16:434–44.

    Article  PubMed  CAS  Google Scholar 

  5. Hu FB, Manson JE, Stampfer MJ, Colditz G, Liu S, Solomon CG, Willett WC. Diet, lifestyle and the risk of type 2 diabetes mellitus in women. N Engl J Med. 2001;345:790–7.

    Article  PubMed  CAS  Google Scholar 

  6. Pi-Sunyer X, Blackburn G, Brancati FL, et al. Look AHEAD Research Group. Reduction in weight and cardiovascular disease risk factors in individuals with type 2 diabetes: one-year results of the Look AHEAD trial. Arch Intern Med. 2010;170:1566–75.

    Article  Google Scholar 

  7. Franz MJ, Bantle JP, Beebe CA, Brunzell JD, Chiasson J-L, Garg A, Holzmeister LA, Hoogwerf B, Mayer-Davis E, Mooradian AD, Purnell JQ, Wheeler M. Evidence-based nutrition principles and recommendations for the treatment and prevention of diabetes and related complications (Technical Review). Diabetes Care. 2002;25:148–98.

    Article  PubMed  Google Scholar 

  8. Wheeler ML, Dunbar SA, Jaacks LM, Karmally W, Mayer-Davis EJ, Wylie-Rosett J, Yancy WS Jr. Macronutrients, food groups, and eating patterns in the management of diabetes (A systematic review of the literature, 2010). Diabetes Care. 2012;35:434–45.

    Article  PubMed  CAS  Google Scholar 

  9. Franz MJ, VanWormer JJ, Crain AL, Boucher JL, Histon T, Caplan W, Bowman JD, Pronk NP. Weight loss outcomes: a systematic review and meta-analysis of weight-loss clinical trials with a minimum 1-year follow-up. J Am Diet Assoc. 2007;107:1755–67.

    Article  PubMed  Google Scholar 

  10. Ben-Avraham S, Harman-Boehm I, Schwarzfuchs D, Shai I. Dietary strategies for patients with type 2 diabetes in the era of multi-approaches; review and results from the Dietary Intervention Randomized Controlled Trial (DIRECT). Diabetes Res Clin Pract. 2009;86(Suppl 1):S41–8.

    Article  PubMed  CAS  Google Scholar 

  11. Salas-Salvado J, Bullo M, Babio N, Martinez-Gonzalez MA, Ibarrola-Jurado N, Basora J, Estruch R, Covas MI, Corella D, Aros F, Ruiz-Gutierrez V, Ros E. Reduction in the incidence of type 2 diabetes with the Mediterranean diet: results of the PREDIMED-Reus Nutrition Intervention Randomized Trial. Diabetes Care. 2010;34:14–19.

    Article  PubMed  Google Scholar 

  12. Hauner H, Bechtold A, Boening H, Brönstrup A, Buyken A, Leschik-Bonnet E, Linseisen J, Schulze M, Strohm D, Wolfram G, Germen Nutrition Society. Evidence-based guideline of the German Nutrition Society: carbohydrate intake and prevention of nutrition-related diseases. Ann Nutr Metab. 2012;60(Suppl 1):1–58.

    Article  PubMed  CAS  Google Scholar 

  13. Sigal RJ, Kenny GP, Wassermann DH, Castaneda-Sceppa C, White RD. Physical activity/exercise and type 2 diabetes (Consensus Statement). Diabetes Care. 2006;29:1433–8.

    Article  PubMed  Google Scholar 

  14. Chudyk A, Petrella RJ. Effects of exercise on cardiovascular risk factors in type 2 diabetes: a meta-analysis. Diabetes Care. 2011;34:1228–37.

    Google Scholar 

  15. Piepoli MF, Corra U, Adamopoulos S, Benzer W, Bjarnason-Wehrens B, Cupples M, Dendale P, Doherty P, Gaita D, Hofer S, McGee H, Mendes M, Niebauer J, Pogosova N, Porrero E, Rauch B, Schmid JP, Giannuzzi P Cardiovascular secondary prevention and rehabilitation in clinical practice. Core components, standards and outcome measures for referral, implementation and delivery. A policy statement from the European Association of Cardiovascular Prevention and Rehabilitation. Eur J Prev Cardiolog. 2012 Juni 20.

  16. Egger A, Niederseer D, Diem G, Finkenzeller T, Steidle E, Ledl-Kurkowski E, Forstner R, Pirich C, Patsch W, Weitgasser R, Niebauer J. Different types of resistance training in patients with type 2 diabetes mellitus: Effects on glycemic control, muscle mass and strength. Eur J Prev Cardiolog. 2012 epub May 25.

  17. Funnell MM, Nwankwo R, Gillard ML, Anderson RM, Tang TS. Implementing an empowerment-based diabetes self-management education program. Diabetes Educ. 2005;31:53–61.

    Article  PubMed  Google Scholar 

  18. Morrison F, Shubina M, Turchin A. Lifestyle counseling in routine care and long-term glucose, blood pressure, and cholesterol control in patients with diabetes. Diabetes Care. 2012;35:334–41.

    Article  PubMed  Google Scholar 

  19. Diabetes Prevention Program Research Group. Reduction in the incidence of type 2 diabetes with lifestyle intervention or metformin. N Engl J Med. 2003;346:393–403.

    Google Scholar 

  20. Tuomilehto J, Lindstrom J, Eriksson JG, Valle TT, Hamalainen H, Ilanne-Parikka P, Keinanen-Kiukaanniemi S, Laakso M, Louheranta A, Rastas M, Salminen V, Uusitupa M, Finnish Diabetes Prevention Study Group. Prevention of type 2 diabetes mellitus by changes in lifestyle among subjects with impaired glucose tolerance. N Engl J Med. 2001;344:1343–50.

    Google Scholar 

  21. Lindström J, Ilanne-Parikka P, Peltonen M, Aunola S, Eriksson JG, Hemiö K, Hämäläinen H, Härkönen P, Keinänen-Kiukaanniemi S, Laakso M, Louheranta A, Mannelin M, Paturi M, Sundvall J, Valle TT, Uusitupa M, Tuomilehto J, Finnish Diabetes Prevention Study Group. Sustained reduction in the incidence of type 2 diabetes by lifestyle intervention: follow-up of the Finnish Diabetes Prevention Study. Lancet 2006;368:1673–9.

    Google Scholar 

  22. Torgerson JS, Hauptman J, Boldrin MN, Sjostrom L. Xenical in the prevention of diabetes in obese subjects (XENDOS) study: a randomized study of orlistat as an adjunct to lifestyle changes for the prevention of type 2 diabetes in obese patients. Diabetes Care. 2004;27:155–61.

    Article  PubMed  CAS  Google Scholar 

  23. Yamaoka K, Tango T. Efficacy of lifestyle education to prevent type 2 diabetes. Diabetes Care. 2005;28:2780–6.

    Article  PubMed  Google Scholar 

  24. Dong JY, Zhang L, Zhang YH, Qin LQ. Dietary glycaemic index and glycaemic load in relation to the risk of type 2 diabetes: a meta-analysis of prospective cohort studies. Br J Nutr. 2011;106:1649–54.

    Article  PubMed  CAS  Google Scholar 

  25. Saaristo T, Moilanen L, Korpi-Hyövälti E, Vanhala M, Saltevo J, Niskanen L, Jokelainen J, Peltonen M, Oksa H, Tuomilehto J, Uusitupa M, Keinänen-Kiukaanniemi S. Lifestyle intervention for prevention of type 2 diabetes in primary health care: one-year follow-up of the Finnish National Diabetes Prevention Program (FIN-D2D). Diabetes Care. 2010;33:2146–51.

    Article  PubMed  Google Scholar 

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Authors and Affiliations

  1. Abteilung für Innere Medizin, Diakonissen-Krankenhaus Salzburg, Salzburg, Österreich

    Raimund Weitgasser

  2. Universitätsklinik für Innere Medizin I, LKH Salzburg – Universitätsklinikum, Paracelsus Medizinische Privatuniversität, Salzburg, Österreich

    Raimund Weitgasser

  3. Universitätsinstitut für Präventive und Rehabilitative Sportmedizin der Paracelsus Medizinischen Privatuniversität, Salzburg, Österreich

    Josef Niebauer

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  1. Raimund Weitgasser
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  2. Josef Niebauer
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Correspondence to Raimund Weitgasser.

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Weitgasser, R., Niebauer, J. Lebensstil: Diagnostik und Therapie. Wien Klin Wochenschr 124 (Suppl 2), 7–9 (2012). https://doi.org/10.1007/s00508-012-0275-1

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  • DOI: https://doi.org/10.1007/s00508-012-0275-1

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