Title:
Physical Activity and Diet in the Management of Individuals with Type 2 Diabetes Mellitus: A review of interventions and policies in Ghana, Sub-Saharan Africa and Lower-Middle Income Countries
Authors:
Agyemang-Benneh, Adwoa F.
Place:
Amsterdam
Publisher:
KIT - Royal Tropical Institute [etc.]
Year:
2017
PAGE:
xii, 52
Language:
En.
Subject:
Health and Nutrition
Keywords:
physical activity, diet, management, type 2 diabetes mellitus, Ghana
Abstract:
Background: Type 2 Diabetes Mellitus (T2DM) is increasing in prevalence, contributing to 6% of total mortality in Africa. Lifestyle changes can help improve health outcomes, yet physical activity and diet in the management of T2DM patients in Ghana appears to be underutilized. Objective: The study examined physical activity and dietary interventions and policies in the management of people with T2DM in Ghana, and in Sub-Saharan Africa (SSA) and lower-middle income countries, in order to make recommendations for improving health outcomes in Ghanaian patients. Methodology: An extensive review of literature was done systematically to identify policies and interventions in Ghana, as well as in SSA and lower middle-income countries, which emphasize physical activity and diet in the management of T2DM. An adapted innovative care for chronic conditions (ICCC) framework was used to analyse findings under the micro, meso and macro levels. Results: Interventions in Ghana are few, but there is focus on development of human resource in health. There is less focus on implementation of policy recommendations, or provision of context-specific guidelines for physical activity and diet. In SSA and lower middle-income countries, education interventions, community-based and culturally appropriate interventions appear to improve health outcomes. Policies exist in most countries but many policies appear to lack implementation, and few provide financing options, legislation and inter-sectorial partnerships. Conclusion and Recommendations: Effective interventions and policies can be applied to the Ghanaian context. The Ministry of Health (MoH) must initiate context specific diet and exercise interventions and adopt culturally appropriate policies with enforced implementation.
Organization:
KIT - Royal Tropical Institute
,
VU - Vrije Universiteit Amsterdam
Institute:
KIT (Royal Tropical Institute)
Country:
Ghana
Region:
Western Africa
Training:
Master of Science, Public Health / International Course in Health Development
Category:
Research
Right:
© 2017 Agyemang-Benneh
Document type:
Thesis/dissertation
File:
6H1TbSGtxV_20180403150827419.pdf