THE INFLUENCE OF CERTAIN LEADING FACTORS ON THE DEVELOPMENT OF INSULIN RESISTANCE AND PROPOSED DIETARY MODELS AS NUTRITION THERAPY

Eleonora Delinikolova, V. Jankuloska
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Abstract

People’s way of life is being formed under influence of the geographical, ecological, political, culturaland religious environment and it is about the characteristics of the population in certain region, place and time. Thehealth of one’s person, the physical, social and mental well - being are under influenced by the lifestyle. The way ofliving, working and functioning can be a reason for development of a certain conditions called illness of thelifestyle. They include: obesity, heart diseases, diabetes, cancer etc. These illnesses usually develop slowly and iftimely intervention is made, through changing the habits that decrease the exposure of potential risk factors, canprevent or delay the beginning of the disease. Main risk factors for development of insulin resistance and diabetesare nutrition and lifestyle habits. On the other hand, they are also main tools that can help in prevention andimprovement of the condition.This research assesses the influence of certain risk factors and quality of the lifestyle in people with insulinresistance that have increased body mass. It is chosen a group of 175 people, from which 103 are women and 73men, aged above 25 years, and have increased body mass index (BMI) (BMI>25 kg/m2) and have hyperinsulinemia.A statistically significant difference was determined (p˂0,028), between BMI and HOMA-IR. Most of them have asedentary lifestyle. From the group that is in employment (69 people), the work isn’t related to physical activity.Most often, they practice walking as an additional physical activity, once or twice a week, in duration of 30 to 45minutes. Biggest part of the people in the selected group (118 people), have regular sleep-in duration of one day.Professional support with instructions for a hygienic-diet regimen that would reduce body mass, education fornutrition and changing of lifestyle habits are needed, to achieve timely prevention and decrease of the insulinresistance, and with that to stop or to delay its progression towards diabetes.
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某些主要因素对胰岛素抵抗发展的影响及提出的饮食模式作为营养治疗
人们的生活方式是在地理环境、生态环境、政治环境、文化环境和宗教环境的影响下形成的,是一定地域、地点和时间内人口的特征。一个人的身体、社会和精神健康都受到生活方式的影响。生活、工作和功能的方式可能是发展某种被称为生活方式疾病的条件的原因。它们包括:肥胖、心脏病、糖尿病、癌症等。这些疾病通常发展缓慢,如果及时干预,通过改变习惯,减少潜在危险因素的暴露,可以预防或延迟疾病的开始。胰岛素抵抗和糖尿病发生的主要危险因素是营养和生活习惯。另一方面,它们也是可以帮助预防和改善病情的主要工具。这项研究评估了某些风险因素和生活方式质量对体重增加的胰岛素抵抗患者的影响。选取175人,其中女性103人,男性73人,年龄在25岁以上,身体质量指数(BMI)增高(BMI>25 kg/m2),高胰岛素血症。BMI和HOMA-IR之间的差异有统计学意义(p小于0,028)。他们中的大多数人都有久坐的生活方式。在有工作的群体中(69人),工作与体育活动无关。大多数情况下,他们把散步作为一项额外的体育活动,每周一到两次,每次30到45分钟。在被选中的人群中,大部分人(118人)每天都有规律的睡眠时间。需要专业支持,指导卫生饮食方案,以减少体重,营养教育和改变生活习惯,及时预防和减少胰岛素抵抗,从而阻止或延缓其向糖尿病的发展。
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