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Nutrients 2015, 7(9), 7358-7380; doi:10.3390/nu7095342

Transcultural Diabetes Nutrition Algorithm: Brazilian Application

1
Endocrinology and Metabolism Department, University of Pernambuco, Recife, Pernambuco 50100-130, Brazil
2
Endocrine Unit, Department of Internal Medicine, Santa de Sao Paulo Medical School, Sao Paulo 04119-010, Brazil
3
Joslin Diabetes Center, Harvard University, Boston, MA 02215, USA
4
Department of Endocrinology, Catholic University, Rio de Janeiro 22211-340, Brazil
5
Department of Nutrition, Federal University of Parana, Curitiba, Parana 04566-905, Brazil
6
State Institute of Diabetes and Endocrinology, Rua Moncorvo Filho, 90, Centro, Rio de Janeiro 20211-340, Brazil
7
Department of Preventive Medicine and Community Health, Rutgers New Jersey Medical School, Newark, NJ 07101, USA
8
Research and Development, Abbott Nutrition, Columbus, OH 43219, USA
9
Division of Endocrinology, Diabetes and Bone Disease, Icahn School of Medicine at Mount Sinai, New York, NY 10029, USA
*
Author to whom correspondence should be addressed.
Received: 10 March 2015 / Revised: 16 July 2015 / Accepted: 17 July 2015 / Published: 1 September 2015
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Abstract

The prevalence of obesity, pre-diabetes, and type 2 diabetes (T2D) is increasing worldwide, especially in the developing nations of South America. Brazil has experienced an exponential increase in the prevalence of these chronic non-communicable diseases. The rising prevalence is probably due to changing eating patterns, sedentary living, and a progressive aging of the population. These trends and their underlying causes carry untoward consequences for all Brazilians and the future of Brazilian public health and the healthcare system. Lifestyle changes that include healthy eating (nutrition therapy) and regular physical activity (structured exercise) represent efficient inexpensive measures to prevent and/or treat the aforementioned disorders and are recommended for all afflicted patients. Regrettably, the implementation of lifestyle changes is fraught with clinical and personal challenges in real life. The transcultural Diabetes Nutrition Algorithm (tDNA) is a therapeutic tool intended to foster implementation of lifestyle recommendations and to improve disease-related outcomes in common clinical settings. It is evidence-based and amenable to cultural adaptation. The Brazilian Diabetes Association, Society of Cardiology and Ministry of Health guidelines for nutrition therapy and physical exercise were considered for the Brazilian adaptation. The resultant tDNA-Brazil and its underlying recommendations are presented and explained. View Full-Text
Keywords: diabetes; prediabetes; obesity; nutrition therapy; physical exercise; algorithm; transcultural; Brazil; chronic non-communicable disease diabetes; prediabetes; obesity; nutrition therapy; physical exercise; algorithm; transcultural; Brazil; chronic non-communicable disease
This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. (CC BY 4.0).

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MDPI and ACS Style

Moura, F.; Salles, J.; Hamdy, O.; Coutinho, W.; Baptista, D.R.; Benchimol, A.; Marchetti, A.; Hegazi, R.A.; Mechanick, J.I. Transcultural Diabetes Nutrition Algorithm: Brazilian Application. Nutrients 2015, 7, 7358-7380.

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