Literature Review: Exercise and Bariatric Surgery as Interventions for Type 2 Diabetes and Obesity
Overview
This literature review examines the relationship between obesity and type 2 diabetes mellitus, comparing exercise interventions with bariatric surgery as treatment approaches. Using the PICO framework, the review synthesizes evidence from five peer-reviewed articles to evaluate the effectiveness of physical activity and surgical interventions in achieving weight loss and improving metabolic outcomes.
What this literature review covers
- Search methodology using PubMed with PICO approach and keyword selection
- Examination of obesity-diabetes relationship and metabolomics in insulin resistance
- Analysis of exercise role in obesity and diabetes management with cardiovascular benefits
- Evaluation of bariatric surgery as weight loss treatment with safety considerations
- Discussion of epidemiology, metabolic syndrome, and prevention strategies
Preview
Nursing Clinical Question Assignment Part 2
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PubMed was the primary search engine used to access the articles. The search was limited to article reviews. PICO approach of the literature search was used to obtain the keywords where;
Problem | Obese, diabetes type 2 |
Intervention | Exercise |
Comparison | Bariatric surgery |
Outcome | Weight loss |
The key words included; Type 2 diabetes mellitus- 152,976 results,Exercise And Diabetes-29,764 results, Obesity OR Diabetes- 1,048,162 results,obese* -131,645 results, and bariatric surgery And Obesity-24,611 results.
Rupérez FJ, Martos-Moreno GÁ, Chamoso-Sánchez D, Barbas C, Argente J. Insulin Resistance in Obese Children: What Can Metabolomics and Adipokine Modelling Contribute? Nutrients. 2020 Oct 29;12(11):E3310. doi: 10.3390/nu12113310. PMID: 33137934.
Abstract
The article highlights how obesity and its effects differ depending on the age of the subject. Furthermore, it summarizes the advances in the particular medical field while emphasizing the different techniques incorporated.
Malone JI, Hansen BC. Does obesity cause type 2 diabetes mellitus (T2DM)? Or is it the opposite? Pediatr Diabetes. 2019 Feb;20(1):5-9. doi: 10.1111/pedi.12787. Epub 2018 Nov 5. PMID: 30311716.
Abstract
This article establishes specific observations and provides evidence that dismisses obesity as the cause of T2DM. Furthermore, it indicates that insulin resistance of T2DM occurs mostly in lean people’s muscles predisposed to diabetes before they are obese.
Melmer A, Kempf P, Laimer M. The Role of Physical Exercise in Obesity and Diabetes. Praxis (Bern, 1994). 2018 Aug;107(17-18):971-976. doi: 10.1024/1661-8157/a003065. PMID: 30131033.
Abstract
The review outlines the role of physical exercise in obesity and diabetes. It emphasizes regular physical activity and its beneficial impact on body composition, cardiovascular integrity, insulin sensitivity, and life quality.
Wolfe BM, Kvach E, Eckel RH.