Assessment of a Multidisciplinary Intervention in Patients With BMI ≥35 kg/m2 and Recently Diagnosed Type 2 Diabetes.
Identifieur interne : 000073 ( Main/Exploration ); précédent : 000072; suivant : 000074Assessment of a Multidisciplinary Intervention in Patients With BMI ≥35 kg/m2 and Recently Diagnosed Type 2 Diabetes.
Auteurs : Ana Cristina García-Ulloa [Mexique] ; Victoria Landa-Anell [Mexique] ; Marco Melgarejo-Hernández [Mexique] ; Andrea Villegas-Narvaez [Mexique] ; Luz Elena Urbina-Arronte [Mexique] ; Sergio Hernández-Jiménez [Mexique]Source :
- The Journal of clinical endocrinology and metabolism [ 1945-7197 ] ; 2019.
Descripteurs français
- KwdFr :
- Adulte d'âge moyen (MeSH), Cholestérol LDL (métabolisme), Dentistes (MeSH), Diabète de type 2 (complications), Diabète de type 2 (métabolisme), Diabète de type 2 (thérapie), Diétothérapie (méthodes), Endocrinologues (MeSH), Femelle (MeSH), Humains (MeSH), Hémoglobine A glycosylée (métabolisme), Kinésithérapeutes (MeSH), Mode de vie (MeSH), Mâle (MeSH), Nutritionnistes (MeSH), Obésité (complications), Obésité (métabolisme), Obésité (thérapie), Ophtalmologistes (MeSH), Pression sanguine (MeSH), Psychiatrie (MeSH), Psychologie (MeSH), Soutien social (MeSH), Sujet âgé (MeSH), Traitement par les exercices physiques (méthodes), Éducation du patient comme sujet (méthodes), Équipe soignante (MeSH), Études de cohortes (MeSH), Études prospectives (MeSH).
- MESH :
- métabolisme : Cholestérol LDL, Diabète de type 2, Hémoglobine A glycosylée, Obésité.
- méthodes : Diétothérapie, Traitement par les exercices physiques, Éducation du patient comme sujet.
- thérapie : Diabète de type 2, Obésité.
- Adulte d'âge moyen, Dentistes, Endocrinologues, Femelle, Humains, Kinésithérapeutes, Mode de vie, Mâle, Nutritionnistes, Ophtalmologistes, Pression sanguine, Psychiatrie, Psychologie, Soutien social, Sujet âgé, Équipe soignante, Études de cohortes, Études prospectives.
English descriptors
- KwdEn :
- Aged (MeSH), Blood Pressure (MeSH), Cholesterol, LDL (metabolism), Cohort Studies (MeSH), Dentists (MeSH), Diabetes Mellitus, Type 2 (complications), Diabetes Mellitus, Type 2 (metabolism), Diabetes Mellitus, Type 2 (therapy), Diet Therapy (methods), Endocrinologists (MeSH), Exercise Therapy (methods), Female (MeSH), Glycated Hemoglobin A (metabolism), Humans (MeSH), Life Style (MeSH), Male (MeSH), Middle Aged (MeSH), Nutritionists (MeSH), Obesity (complications), Obesity (metabolism), Obesity (therapy), Ophthalmologists (MeSH), Patient Care Team (MeSH), Patient Education as Topic (methods), Physical Therapists (MeSH), Prospective Studies (MeSH), Psychiatry (MeSH), Psychology (MeSH), Social Support (MeSH).
- MESH :
- chemical , metabolism : Cholesterol, LDL, Glycated Hemoglobin A.
- complications : Diabetes Mellitus, Type 2, Obesity.
- metabolism : Diabetes Mellitus, Type 2, Obesity.
- methods : Diet Therapy, Exercise Therapy, Patient Education as Topic.
- therapy : Diabetes Mellitus, Type 2, Obesity.
- Aged, Blood Pressure, Cohort Studies, Dentists, Endocrinologists, Female, Humans, Life Style, Male, Middle Aged, Nutritionists, Ophthalmologists, Patient Care Team, Physical Therapists, Prospective Studies, Psychiatry, Psychology, Social Support.
Abstract
CONTEXT
Patients with a body mass index (BMI) ≥35 kg/m2 have lower benefits with intensive treatments and metabolic control goals are more difficult to reach.
OBJECTIVE
Evaluate the effect of a comprehensive care program in patients with a BMI ≥35 kg/m2.
DESIGN
Prospective cohort study.
SETTING
Comprehensive Care Center in a National Institute of Health.
PATIENTS
Patients with type 2 diabetes, ≤5 years of diagnosis, without disabling complications, nonsmokers, and a BMI <45 kg/m2.
INTERVENTIONS
Exercise and nutritional interventions are modified for patients with a higher BMI to achieve metabolic control.
MAIN OUTCOME MEASURES
Main outcome is achievement of treatment goals defined as HbA1c <7%, low-density lipoprotein cholesterol (LDL-c) <100 mg/dL, and blood pressure <130/80 mm Hg. Secondary measures were the percentage of patients achieving three metabolic goals.
RESULTS
A total of 587 patients with annual evaluation were included. Mean age was 55.3 ± 9.5 years, 56.6% women, time since diagnosis of 1 year (0 to 5). BMI <35 kg/m2 group included 521 patients and BMI ≥35 kg/m2 group included 66 patients. In the BMI ≥35 kg/m2 group, we observed a greater decrease in weight and fat mass at 3 months compared with <35 kg/m2 group, but the HbA1c, LDL-c, or blood pressure goals were similar at 3 months and 1 year between groups.
CONCLUSIONS
Comprehensive interventions are equally effective in patients with recently diagnosed type 2 diabetes with BMI ≥35 kg/m2 compared with patients with a lower BMI.
DOI: 10.1210/jc.2018-01148
PubMed: 30912810
Affiliations:
Links toward previous steps (curation, corpus...)
Le document en format XML
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<author><name sortKey="Garcia Ulloa, Ana Cristina" sort="Garcia Ulloa, Ana Cristina" uniqKey="Garcia Ulloa A" first="Ana Cristina" last="García-Ulloa">Ana Cristina García-Ulloa</name>
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<author><name sortKey="Landa Anell, Victoria" sort="Landa Anell, Victoria" uniqKey="Landa Anell V" first="Victoria" last="Landa-Anell">Victoria Landa-Anell</name>
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<author><name sortKey="Melgarejo Hernandez, Marco" sort="Melgarejo Hernandez, Marco" uniqKey="Melgarejo Hernandez M" first="Marco" last="Melgarejo-Hernández">Marco Melgarejo-Hernández</name>
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<author><name sortKey="Hernandez Jimenez, Sergio" sort="Hernandez Jimenez, Sergio" uniqKey="Hernandez Jimenez S" first="Sergio" last="Hernández-Jiménez">Sergio Hernández-Jiménez</name>
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<author><name sortKey="Landa Anell, Victoria" sort="Landa Anell, Victoria" uniqKey="Landa Anell V" first="Victoria" last="Landa-Anell">Victoria Landa-Anell</name>
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<author><name sortKey="Villegas Narvaez, Andrea" sort="Villegas Narvaez, Andrea" uniqKey="Villegas Narvaez A" first="Andrea" last="Villegas-Narvaez">Andrea Villegas-Narvaez</name>
<affiliation wicri:level="1"><nlm:affiliation>Centro de Atención Integral del Paciente con Diabetes (CAIPaDi), Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán, Mexico City, Mexico.</nlm:affiliation>
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<author><name sortKey="Urbina Arronte, Luz Elena" sort="Urbina Arronte, Luz Elena" uniqKey="Urbina Arronte L" first="Luz Elena" last="Urbina-Arronte">Luz Elena Urbina-Arronte</name>
<affiliation wicri:level="1"><nlm:affiliation>Centro de Atención Integral del Paciente con Diabetes (CAIPaDi), Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán, Mexico City, Mexico.</nlm:affiliation>
<country xml:lang="fr">Mexique</country>
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<wicri:noRegion>Mexico City</wicri:noRegion>
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<author><name sortKey="Hernandez Jimenez, Sergio" sort="Hernandez Jimenez, Sergio" uniqKey="Hernandez Jimenez S" first="Sergio" last="Hernández-Jiménez">Sergio Hernández-Jiménez</name>
<affiliation wicri:level="1"><nlm:affiliation>Centro de Atención Integral del Paciente con Diabetes (CAIPaDi), Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán, Mexico City, Mexico.</nlm:affiliation>
<country xml:lang="fr">Mexique</country>
<wicri:regionArea>Centro de Atención Integral del Paciente con Diabetes (CAIPaDi), Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán, Mexico City</wicri:regionArea>
<wicri:noRegion>Mexico City</wicri:noRegion>
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<series><title level="j">The Journal of clinical endocrinology and metabolism</title>
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<imprint><date when="2019" type="published">2019</date>
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<profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Aged (MeSH)</term>
<term>Blood Pressure (MeSH)</term>
<term>Cholesterol, LDL (metabolism)</term>
<term>Cohort Studies (MeSH)</term>
<term>Dentists (MeSH)</term>
<term>Diabetes Mellitus, Type 2 (complications)</term>
<term>Diabetes Mellitus, Type 2 (metabolism)</term>
<term>Diabetes Mellitus, Type 2 (therapy)</term>
<term>Diet Therapy (methods)</term>
<term>Endocrinologists (MeSH)</term>
<term>Exercise Therapy (methods)</term>
<term>Female (MeSH)</term>
<term>Glycated Hemoglobin A (metabolism)</term>
<term>Humans (MeSH)</term>
<term>Life Style (MeSH)</term>
<term>Male (MeSH)</term>
<term>Middle Aged (MeSH)</term>
<term>Nutritionists (MeSH)</term>
<term>Obesity (complications)</term>
<term>Obesity (metabolism)</term>
<term>Obesity (therapy)</term>
<term>Ophthalmologists (MeSH)</term>
<term>Patient Care Team (MeSH)</term>
<term>Patient Education as Topic (methods)</term>
<term>Physical Therapists (MeSH)</term>
<term>Prospective Studies (MeSH)</term>
<term>Psychiatry (MeSH)</term>
<term>Psychology (MeSH)</term>
<term>Social Support (MeSH)</term>
</keywords>
<keywords scheme="KwdFr" xml:lang="fr"><term>Adulte d'âge moyen (MeSH)</term>
<term>Cholestérol LDL (métabolisme)</term>
<term>Dentistes (MeSH)</term>
<term>Diabète de type 2 (complications)</term>
<term>Diabète de type 2 (métabolisme)</term>
<term>Diabète de type 2 (thérapie)</term>
<term>Diétothérapie (méthodes)</term>
<term>Endocrinologues (MeSH)</term>
<term>Femelle (MeSH)</term>
<term>Humains (MeSH)</term>
<term>Hémoglobine A glycosylée (métabolisme)</term>
<term>Kinésithérapeutes (MeSH)</term>
<term>Mode de vie (MeSH)</term>
<term>Mâle (MeSH)</term>
<term>Nutritionnistes (MeSH)</term>
<term>Obésité (complications)</term>
<term>Obésité (métabolisme)</term>
<term>Obésité (thérapie)</term>
<term>Ophtalmologistes (MeSH)</term>
<term>Pression sanguine (MeSH)</term>
<term>Psychiatrie (MeSH)</term>
<term>Psychologie (MeSH)</term>
<term>Soutien social (MeSH)</term>
<term>Sujet âgé (MeSH)</term>
<term>Traitement par les exercices physiques (méthodes)</term>
<term>Éducation du patient comme sujet (méthodes)</term>
<term>Équipe soignante (MeSH)</term>
<term>Études de cohortes (MeSH)</term>
<term>Études prospectives (MeSH)</term>
</keywords>
<keywords scheme="MESH" type="chemical" qualifier="metabolism" xml:lang="en"><term>Cholesterol, LDL</term>
<term>Glycated Hemoglobin A</term>
</keywords>
<keywords scheme="MESH" qualifier="complications" xml:lang="en"><term>Diabetes Mellitus, Type 2</term>
<term>Obesity</term>
</keywords>
<keywords scheme="MESH" qualifier="metabolism" xml:lang="en"><term>Diabetes Mellitus, Type 2</term>
<term>Obesity</term>
</keywords>
<keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Diet Therapy</term>
<term>Exercise Therapy</term>
<term>Patient Education as Topic</term>
</keywords>
<keywords scheme="MESH" qualifier="métabolisme" xml:lang="fr"><term>Cholestérol LDL</term>
<term>Diabète de type 2</term>
<term>Hémoglobine A glycosylée</term>
<term>Obésité</term>
</keywords>
<keywords scheme="MESH" qualifier="méthodes" xml:lang="fr"><term>Diétothérapie</term>
<term>Traitement par les exercices physiques</term>
<term>Éducation du patient comme sujet</term>
</keywords>
<keywords scheme="MESH" qualifier="therapy" xml:lang="en"><term>Diabetes Mellitus, Type 2</term>
<term>Obesity</term>
</keywords>
<keywords scheme="MESH" qualifier="thérapie" xml:lang="fr"><term>Diabète de type 2</term>
<term>Obésité</term>
</keywords>
<keywords scheme="MESH" xml:lang="en"><term>Aged</term>
<term>Blood Pressure</term>
<term>Cohort Studies</term>
<term>Dentists</term>
<term>Endocrinologists</term>
<term>Female</term>
<term>Humans</term>
<term>Life Style</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Nutritionists</term>
<term>Ophthalmologists</term>
<term>Patient Care Team</term>
<term>Physical Therapists</term>
<term>Prospective Studies</term>
<term>Psychiatry</term>
<term>Psychology</term>
<term>Social Support</term>
</keywords>
<keywords scheme="MESH" xml:lang="fr"><term>Adulte d'âge moyen</term>
<term>Dentistes</term>
<term>Endocrinologues</term>
<term>Femelle</term>
<term>Humains</term>
<term>Kinésithérapeutes</term>
<term>Mode de vie</term>
<term>Mâle</term>
<term>Nutritionnistes</term>
<term>Ophtalmologistes</term>
<term>Pression sanguine</term>
<term>Psychiatrie</term>
<term>Psychologie</term>
<term>Soutien social</term>
<term>Sujet âgé</term>
<term>Équipe soignante</term>
<term>Études de cohortes</term>
<term>Études prospectives</term>
</keywords>
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<front><div type="abstract" xml:lang="en"><p><b>CONTEXT</b>
</p>
<p>Patients with a body mass index (BMI) ≥35 kg/m2 have lower benefits with intensive treatments and metabolic control goals are more difficult to reach.</p>
</div>
<div type="abstract" xml:lang="en"><p><b>OBJECTIVE</b>
</p>
<p>Evaluate the effect of a comprehensive care program in patients with a BMI ≥35 kg/m2.</p>
</div>
<div type="abstract" xml:lang="en"><p><b>DESIGN</b>
</p>
<p>Prospective cohort study.</p>
</div>
<div type="abstract" xml:lang="en"><p><b>SETTING</b>
</p>
<p>Comprehensive Care Center in a National Institute of Health.</p>
</div>
<div type="abstract" xml:lang="en"><p><b>PATIENTS</b>
</p>
<p>Patients with type 2 diabetes, ≤5 years of diagnosis, without disabling complications, nonsmokers, and a BMI <45 kg/m2.</p>
</div>
<div type="abstract" xml:lang="en"><p><b>INTERVENTIONS</b>
</p>
<p>Exercise and nutritional interventions are modified for patients with a higher BMI to achieve metabolic control.</p>
</div>
<div type="abstract" xml:lang="en"><p><b>MAIN OUTCOME MEASURES</b>
</p>
<p>Main outcome is achievement of treatment goals defined as HbA1c <7%, low-density lipoprotein cholesterol (LDL-c) <100 mg/dL, and blood pressure <130/80 mm Hg. Secondary measures were the percentage of patients achieving three metabolic goals.</p>
</div>
<div type="abstract" xml:lang="en"><p><b>RESULTS</b>
</p>
<p>A total of 587 patients with annual evaluation were included. Mean age was 55.3 ± 9.5 years, 56.6% women, time since diagnosis of 1 year (0 to 5). BMI <35 kg/m2 group included 521 patients and BMI ≥35 kg/m2 group included 66 patients. In the BMI ≥35 kg/m2 group, we observed a greater decrease in weight and fat mass at 3 months compared with <35 kg/m2 group, but the HbA1c, LDL-c, or blood pressure goals were similar at 3 months and 1 year between groups.</p>
</div>
<div type="abstract" xml:lang="en"><p><b>CONCLUSIONS</b>
</p>
<p>Comprehensive interventions are equally effective in patients with recently diagnosed type 2 diabetes with BMI ≥35 kg/m2 compared with patients with a lower BMI.</p>
</div>
</front>
</TEI>
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<Month>06</Month>
<Day>01</Day>
</DateCompleted>
<DateRevised><Year>2020</Year>
<Month>06</Month>
<Day>01</Day>
</DateRevised>
<Article PubModel="Print"><Journal><ISSN IssnType="Electronic">1945-7197</ISSN>
<JournalIssue CitedMedium="Internet"><Volume>104</Volume>
<Issue>7</Issue>
<PubDate><Year>2019</Year>
<Month>07</Month>
<Day>01</Day>
</PubDate>
</JournalIssue>
<Title>The Journal of clinical endocrinology and metabolism</Title>
<ISOAbbreviation>J Clin Endocrinol Metab</ISOAbbreviation>
</Journal>
<ArticleTitle>Assessment of a Multidisciplinary Intervention in Patients With BMI ≥35 kg/m2 and Recently Diagnosed Type 2 Diabetes.</ArticleTitle>
<Pagination><MedlinePgn>2994-3002</MedlinePgn>
</Pagination>
<ELocationID EIdType="doi" ValidYN="Y">10.1210/jc.2018-01148</ELocationID>
<Abstract><AbstractText Label="CONTEXT">Patients with a body mass index (BMI) ≥35 kg/m2 have lower benefits with intensive treatments and metabolic control goals are more difficult to reach.</AbstractText>
<AbstractText Label="OBJECTIVE">Evaluate the effect of a comprehensive care program in patients with a BMI ≥35 kg/m2.</AbstractText>
<AbstractText Label="DESIGN">Prospective cohort study.</AbstractText>
<AbstractText Label="SETTING">Comprehensive Care Center in a National Institute of Health.</AbstractText>
<AbstractText Label="PATIENTS">Patients with type 2 diabetes, ≤5 years of diagnosis, without disabling complications, nonsmokers, and a BMI <45 kg/m2.</AbstractText>
<AbstractText Label="INTERVENTIONS">Exercise and nutritional interventions are modified for patients with a higher BMI to achieve metabolic control.</AbstractText>
<AbstractText Label="MAIN OUTCOME MEASURES">Main outcome is achievement of treatment goals defined as HbA1c <7%, low-density lipoprotein cholesterol (LDL-c) <100 mg/dL, and blood pressure <130/80 mm Hg. Secondary measures were the percentage of patients achieving three metabolic goals.</AbstractText>
<AbstractText Label="RESULTS">A total of 587 patients with annual evaluation were included. Mean age was 55.3 ± 9.5 years, 56.6% women, time since diagnosis of 1 year (0 to 5). BMI <35 kg/m2 group included 521 patients and BMI ≥35 kg/m2 group included 66 patients. In the BMI ≥35 kg/m2 group, we observed a greater decrease in weight and fat mass at 3 months compared with <35 kg/m2 group, but the HbA1c, LDL-c, or blood pressure goals were similar at 3 months and 1 year between groups.</AbstractText>
<AbstractText Label="CONCLUSIONS">Comprehensive interventions are equally effective in patients with recently diagnosed type 2 diabetes with BMI ≥35 kg/m2 compared with patients with a lower BMI.</AbstractText>
<CopyrightInformation>Copyright © 2019 Endocrine Society.</CopyrightInformation>
</Abstract>
<AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>García-Ulloa</LastName>
<ForeName>Ana Cristina</ForeName>
<Initials>AC</Initials>
<AffiliationInfo><Affiliation>Centro de Atención Integral del Paciente con Diabetes (CAIPaDi), Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán, Mexico City, Mexico.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Landa-Anell</LastName>
<ForeName>Victoria</ForeName>
<Initials>V</Initials>
<AffiliationInfo><Affiliation>Centro de Atención Integral del Paciente con Diabetes (CAIPaDi), Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán, Mexico City, Mexico.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Melgarejo-Hernández</LastName>
<ForeName>Marco</ForeName>
<Initials>M</Initials>
<AffiliationInfo><Affiliation>Centro de Atención Integral del Paciente con Diabetes (CAIPaDi), Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán, Mexico City, Mexico.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Villegas-Narvaez</LastName>
<ForeName>Andrea</ForeName>
<Initials>A</Initials>
<AffiliationInfo><Affiliation>Centro de Atención Integral del Paciente con Diabetes (CAIPaDi), Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán, Mexico City, Mexico.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Urbina-Arronte</LastName>
<ForeName>Luz Elena</ForeName>
<Initials>LE</Initials>
<AffiliationInfo><Affiliation>Centro de Atención Integral del Paciente con Diabetes (CAIPaDi), Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán, Mexico City, Mexico.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Hernández-Jiménez</LastName>
<ForeName>Sergio</ForeName>
<Initials>S</Initials>
<AffiliationInfo><Affiliation>Centro de Atención Integral del Paciente con Diabetes (CAIPaDi), Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán, Mexico City, Mexico.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><CollectiveName>CAIPaDi Study Group</CollectiveName>
</Author>
</AuthorList>
<Language>eng</Language>
<PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType>
<PublicationType UI="D013485">Research Support, Non-U.S. Gov't</PublicationType>
</PublicationTypeList>
</Article>
<MedlineJournalInfo><Country>United States</Country>
<MedlineTA>J Clin Endocrinol Metab</MedlineTA>
<NlmUniqueID>0375362</NlmUniqueID>
<ISSNLinking>0021-972X</ISSNLinking>
</MedlineJournalInfo>
<ChemicalList><Chemical><RegistryNumber>0</RegistryNumber>
<NameOfSubstance UI="D008078">Cholesterol, LDL</NameOfSubstance>
</Chemical>
<Chemical><RegistryNumber>0</RegistryNumber>
<NameOfSubstance UI="D006442">Glycated Hemoglobin A</NameOfSubstance>
</Chemical>
<Chemical><RegistryNumber>0</RegistryNumber>
<NameOfSubstance UI="C517652">hemoglobin A1c protein, human</NameOfSubstance>
</Chemical>
</ChemicalList>
<CitationSubset>AIM</CitationSubset>
<CitationSubset>IM</CitationSubset>
<MeshHeadingList><MeshHeading><DescriptorName UI="D000368" MajorTopicYN="N">Aged</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D001794" MajorTopicYN="N">Blood Pressure</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D008078" MajorTopicYN="N">Cholesterol, LDL</DescriptorName>
<QualifierName UI="Q000378" MajorTopicYN="N">metabolism</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D015331" MajorTopicYN="N">Cohort Studies</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D003815" MajorTopicYN="N">Dentists</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D003924" MajorTopicYN="N">Diabetes Mellitus, Type 2</DescriptorName>
<QualifierName UI="Q000150" MajorTopicYN="N">complications</QualifierName>
<QualifierName UI="Q000378" MajorTopicYN="N">metabolism</QualifierName>
<QualifierName UI="Q000628" MajorTopicYN="Y">therapy</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D004035" MajorTopicYN="N">Diet Therapy</DescriptorName>
<QualifierName UI="Q000379" MajorTopicYN="Y">methods</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D000072097" MajorTopicYN="N">Endocrinologists</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D005081" MajorTopicYN="N">Exercise Therapy</DescriptorName>
<QualifierName UI="Q000379" MajorTopicYN="Y">methods</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D006442" MajorTopicYN="N">Glycated Hemoglobin A</DescriptorName>
<QualifierName UI="Q000378" MajorTopicYN="N">metabolism</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D008019" MajorTopicYN="N">Life Style</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D008297" MajorTopicYN="N">Male</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D008875" MajorTopicYN="N">Middle Aged</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D064686" MajorTopicYN="N">Nutritionists</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D009765" MajorTopicYN="N">Obesity</DescriptorName>
<QualifierName UI="Q000150" MajorTopicYN="N">complications</QualifierName>
<QualifierName UI="Q000378" MajorTopicYN="N">metabolism</QualifierName>
<QualifierName UI="Q000628" MajorTopicYN="Y">therapy</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D000072163" MajorTopicYN="N">Ophthalmologists</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D010348" MajorTopicYN="N">Patient Care Team</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D010353" MajorTopicYN="N">Patient Education as Topic</DescriptorName>
<QualifierName UI="Q000379" MajorTopicYN="N">methods</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D059825" MajorTopicYN="N">Physical Therapists</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D011446" MajorTopicYN="N">Prospective Studies</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D011570" MajorTopicYN="N">Psychiatry</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D011584" MajorTopicYN="N">Psychology</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D012944" MajorTopicYN="N">Social Support</DescriptorName>
</MeshHeading>
</MeshHeadingList>
</MedlineCitation>
<PubmedData><History><PubMedPubDate PubStatus="received"><Year>2018</Year>
<Month>05</Month>
<Day>25</Day>
</PubMedPubDate>
<PubMedPubDate PubStatus="accepted"><Year>2019</Year>
<Month>03</Month>
<Day>20</Day>
</PubMedPubDate>
<PubMedPubDate PubStatus="pubmed"><Year>2019</Year>
<Month>3</Month>
<Day>27</Day>
<Hour>6</Hour>
<Minute>0</Minute>
</PubMedPubDate>
<PubMedPubDate PubStatus="medline"><Year>2020</Year>
<Month>6</Month>
<Day>2</Day>
<Hour>6</Hour>
<Minute>0</Minute>
</PubMedPubDate>
<PubMedPubDate PubStatus="entrez"><Year>2019</Year>
<Month>3</Month>
<Day>27</Day>
<Hour>6</Hour>
<Minute>0</Minute>
</PubMedPubDate>
</History>
<PublicationStatus>ppublish</PublicationStatus>
<ArticleIdList><ArticleId IdType="pubmed">30912810</ArticleId>
<ArticleId IdType="pii">5419223</ArticleId>
<ArticleId IdType="doi">10.1210/jc.2018-01148</ArticleId>
</ArticleIdList>
</PubmedData>
</pubmed>
<affiliations><list><country><li>Mexique</li>
</country>
</list>
<tree><country name="Mexique"><noRegion><name sortKey="Garcia Ulloa, Ana Cristina" sort="Garcia Ulloa, Ana Cristina" uniqKey="Garcia Ulloa A" first="Ana Cristina" last="García-Ulloa">Ana Cristina García-Ulloa</name>
</noRegion>
<name sortKey="Hernandez Jimenez, Sergio" sort="Hernandez Jimenez, Sergio" uniqKey="Hernandez Jimenez S" first="Sergio" last="Hernández-Jiménez">Sergio Hernández-Jiménez</name>
<name sortKey="Landa Anell, Victoria" sort="Landa Anell, Victoria" uniqKey="Landa Anell V" first="Victoria" last="Landa-Anell">Victoria Landa-Anell</name>
<name sortKey="Melgarejo Hernandez, Marco" sort="Melgarejo Hernandez, Marco" uniqKey="Melgarejo Hernandez M" first="Marco" last="Melgarejo-Hernández">Marco Melgarejo-Hernández</name>
<name sortKey="Urbina Arronte, Luz Elena" sort="Urbina Arronte, Luz Elena" uniqKey="Urbina Arronte L" first="Luz Elena" last="Urbina-Arronte">Luz Elena Urbina-Arronte</name>
<name sortKey="Villegas Narvaez, Andrea" sort="Villegas Narvaez, Andrea" uniqKey="Villegas Narvaez A" first="Andrea" last="Villegas-Narvaez">Andrea Villegas-Narvaez</name>
</country>
</tree>
</affiliations>
</record>
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