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"I Did Not Believe You Could Get Better": Reversal of Diabetes Risk Through Dietary Changes in Older Persons with Prediabetes in Region Stockholm
Department of Public Health Sciences, Karolinska Institute, SE-171 76 Stockholm, Sweden.
Uppsala University, Disciplinary Domain of Humanities and Social Sciences, Faculty of Social Sciences, Department of food studies, nutrition and dietetics. Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Women's and Children's Health, International Maternal and Child Health (IMCH). Department of Public Health Sciences, Karolinska Institute, SE-171 76 Stockholm, Sweden:;.ORCID iD: 0000-0002-9532-6059
Department of Public Health Sciences, Karolinska Institute, SE-171 76 Stockholm, Sweden.
Department of Public Health Sciences, Karolinska Institute, SE-171 76 Stockholm, Sweden.
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2019 (English)In: Nutrients, ISSN 2072-6643, E-ISSN 2072-6643, Vol. 11, no 11, article id E2658Article in journal (Refereed) Published
Abstract [en]

Diabetes risk can be controlled and even reversed by making dietary changes. The aim of this study was to improve the understanding of how older persons with a high risk of developing Type 2 diabetes manage and relate to information about diabetes risk over a ten-year period. Fifteen qualitative interviews were conducted among participants from the Stockholm Diabetes Prevention Program (SDPP). The participants were asked to recall the health examinations conducted by the SDPP related to their prediabetes and to describe their experiences and potential changes related to diet and physical activity. Data were analyzed using qualitative content analysis. The main theme found was that T2D (type 2 diabetes) risk is not perceived as concrete enough to motivate lifestyle modifications, such as changing dietary patterns, without other external triggers. Diagnosis was recognized as a reason to modify diet, and social interactions were found to be important for managing behavior change. Diagnosis was also a contributing factor to lifestyle modification, while prognosis of risk was not associated with efforts to change habits. The results from this study suggest that the potential of reversing prediabetes needs to be highlighted and more clearly defined for older persons to serve as motivators for lifestyle modification.

Place, publisher, year, edition, pages
MDPI, 2019. Vol. 11, no 11, article id E2658
Keywords [en]
T2D, habits, lifestyle modification, prediabetes, reversibility, risk
National Category
Public Health, Global Health, Social Medicine and Epidemiology Gerontology, specialising in Medical and Health Sciences
Identifiers
URN: urn:nbn:se:uu:diva-397533DOI: 10.3390/nu11112658ISI: 000502274600109PubMedID: 31690003OAI: oai:DiVA.org:uu-397533DiVA, id: diva2:1371957
Funder
EU, Horizon 2020, 643692Available from: 2019-11-21 Created: 2019-11-21 Last updated: 2020-01-13Bibliographically approved

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