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- December 1, 2008 |
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Welcome to the #1 online source of information for Diabetes Specialists! An international online community of more than 10,000 Diabetes Specialists.
CME on Diabetes is a website built to transmit top-level CME conferences given by international experts in endocrinology, insulin resistance, prediabetes, metabolic syndrome and type 2 diabetes. More than 2.6 million slides have been viewed since the website launch. Thank you for your continued support and commitment!
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"Preventing Diabetes in Indigenous Australians" Kerin O'dea (biography)
English - 2006-11-14 - 26 minutes
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Summary :
When Indigenous Australians lived traditionally as hunter-gatherers, diabetes and related chronic diseases were unknown. They were slim and physically active and consumed high quality diets derived from a wide range of undomesticated animals and uncultivated plants. After esternization, poverty and the associated poor quality diets, physical inactivity and psychosocial stress fuel the development of central obesity, which in turn drives the high prevalence of early onset type 2 diabetes. Early life insults (such as diabetes or under-nutrition in pregnancy) amplify the risk of central obesity and diabetes in later life. Lifestyle and nutrition interventions to reduce excessive weight gain throughout life are critical components of diabetes prevention. A life course approach is essential, beginning with maternal and child health. Such interventions will not be successful unless they are driven and controlled by local Indigenous communities. Traditional lifestyle can provide a powerful template/model for such interventions. Temporary reversion to hunter gather lifestyle resulted in striking improvements in metabolic control of diabetes and risk markers for cardiovascular disease (CVD) in a group of diabetic Aborigines in the Kimberley in the early 1980’s. It has subsequently been demonstrated that Indigenous people living in Homelands, and incorporating aspects of traditional lifestyle, have lower diabetes prevalence and reduced risk of CVD. While interventions to reduce risk of vascular disease can produce beneficial outcomes at
any age, interventions for the primary prevention of type 2 diabetes must begin early in life.
Learning objectives :
After viewing this presentation the participant will be able to discuss:
- Diet and lifestyle of Aborigines as hunter gatherers
- Aborigines after westernisation
- Burden of chronic diseases in Indigenous Australians
- Burden of diabetes in Aboriginal and TSI populations
- Therapeutic potential of the hunter-gatherer lifestyle
- Results of the Looma Healthy Lifestyle project
- Interventions to reduce the prevalence of chronic diseases
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