Diabetes Type 2 Including Obesity: Final Assessment 3 Answer
Final Assessment 3
DIABETES TYPE 2 INCLUDING OBESITY
The disease burden accounted for due to diabetes and an increased incidence of obesity that has risen in every country. There has been a high level of incidences that have given a global rise due to the prevalence of obesity along with experiencing an unhealthy lifestyle. From the global prevalence of the 382 million people having diabetes cases in 2013, there is an expected to rise to 592 million by 2035 (Zatterale, 2020). The earlier indication of diabetes and the obesity onset can also affect the productive life-years along with the long-term burden within the Nepal healthcare system. Nepal as per the Health 2014 has reported a remarkable 62% of new cases that fall in the aged ≥40 years (Shim, 2018). There has been a population based study focused on obesity in Nepal, which shows a high prevalence of diabetes (19%) who also have an obesity. There has been a rapid Nepal Diabetes, Obesity along Lifestyle cases which have grown to 4.6% of participants that are grouped at the age of 25–34 years which have shown an abnormal glucose tolerance. So far, the changes which have occurred over time have represented the frequency of diabetes and the obesity within the Nepal that fall in the age group of 18–39 years (Spurr, 2019).
Epidemiology; Incidence and Prevalence
Globally, the global prevalence of diabetes along with the obesity has increased in the adult population that has nearly doubled from 4.7% in 1980 to 8.5% in 2014 (An, 2020). Similarly, the obesity with the diabetes is widely seen in the low- and middle-income countries
Globally diabetes and obesity has risen in Middle East and Western country, Source (An, 2020)
In Nepal, from the past 2017-18, there has been one in twenty Nepal ( estimated to be the 4.9%) that have diabetes (Sheikhpour, 2020).
Over the period, there has been an increase in diabetes that has seen more instances of female than males (7.89% in comparison to the female 17.4%) (Forslund, 2018).
(Source Karki, 2019), Diabetes statics observed in obese people in male to female
Type 2 diabetes has risen since common than Type 1 diabetes which has accounted for 4.1% people that has given Type 2 diabetes as shown within the 145,000 people (0.6%) from Type 1 diabetes in 2017-18. Since the rise in the proportion of people has been to 3.5% for Type 2 diabetes in 2007-08 (Dhungana, 2016). Subsequently, there is a prevalence of high stable cases that have grown from 2014-15 (4.4%), while in comparison to it (Pulgaron, 2020), Type 1 diabetes has remained fairly to 0.4% as per 2007-08.
There has been a high risk of Type 2 diabetes that has been on account of overweight or obese. It is due to the high risk of the excess body weight that can cause the body's production of and how there can be low instances of insulin absorption. It is recommended for obese people to have a high healthy diet along with the balance of the blood glucose levels and exercise that can help to control, combat and work effectively.
In 2017-18, the Adults higher than the 18 years who were also obese have shown five times likely cases of the normal weight showing the Type 2 diabetes (9.8% to the compare of 2.0%) (Khanal, 2019). Comparing with the adults, who were overweight have shown an increased likeliness to twice cases of Type 2 diabetes (showing the 4.6% concerning 2.0%) having the adults that can represent the normal weight (Li, 2020).
(Source Karki, 2019), Obese and the Diabetes population
Cohort most at risk
The main population at risk is the age group below 40 who are overweight and obese and even have to overcome the excess body weight. The people need to shed their overweight or obese which is along with the diabetes is due to the low exercise, high sedentary life and having a bad lifestyle.
The other factors are the poor diet having an inadequate physical activity, facing an increased energy intake due to the high sugary diet and without any adequate supporting energy expenditure which can lead to lower physical activity and consistently leading to the fat store along with the weight gai (Kacířová, 2018).
The population of less then 40 has been facing higher instances of overweight and obesity due to the rising work pressure, lack of opportunity to exercise and even attributed to the collecting information that can represent the associated health problems (Pant, 2017). As observed, there have been increased statistics of overweight and obesity and the age group of less than 40, show the more instances of chronic disease. There has been a more monitor trends that have shown a higher instance of overweight and obesity groups having a high BMI is due to the lack of physical activities (Guo, 2018).
Health Promotion strategies
The important strategy is to learn some of the ways of an efficient intervention that has occurred consistently at the community level.
- It is important to follow the ways of the intervention that can be permanent or for the longer period and this continuing education and guidance done by the community health workers can help for the constant interference within the population covered (Giagulli, 2020).
- The main targets of the studies should be the office going crowd, youngsters and even the children and adolescents, who would be greatly be influenced due to the educational activities of prevention, which has resulted in the family and to society.
- The group dynamics, showing the physical activity practices nutritional education, questionnaires, interviews, employment of new technologies, people training and workshops that would have an intervention strategy used.
- The workshops would be conducted to have a better aim in promoting health, by sponsoring sports activities, recreational exercises, yoga, meditation activities and even forming the groups to reconnect with each other.
- Distributing pamphlets, sharing free equipment and discounts and showing the basic health reports, can help to create awareness and regenerate interests (Fukuda, 2019).
To conclude, how the diabetes and the obese can be notably seen in the cohort risk of below 40 aged population. It is important to have the awareness campaigning and the health promotional strategies to create impact on the overall improvement. The earlier indication of diabetes and the obesity onset can also affect the productive life-years along with the long-term burden within the Nepal healthcare system.