Healthy lifestyles as a preventive strategy against type 2 diabetes mellitus in adults from a rural Ecuadorian community: a descriptive study
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https://doi.org/10.47606/ACVEN/MV0324Keywords:
Type 2 diabetes mellitus, lifestyle, prevention, public health, risk factors.Abstract
Introduction: Type 2 diabetes mellitus (T2DM) represents one of the main causes of morbidity and mortality worldwide, closely associated with modifiable risk factors such as poor diet, sedentary lifestyle, and overweight. Its increase is particularly significant in rural populations, where inequalities in access to health services and health education persist. Objective: To analyze the relationship between healthy lifestyles and the prevention of type 2 diabetes mellitus in adults from a rural Ecuadorian community. Materials and methods: A quantitative, descriptive, cross-sectional study was conducted. The sample consisted of 20 adults selected through non-probabilistic sampling. A structured instrument was applied to assess eating habits, consumption of sugary beverages, and physical activity. Data were analyzed using descriptive statistics. Results: It was found that 60 percent of participants consume fruits three times per week and more than 50 percent consume vegetables at least five days per week. However, 30 percent reported high consumption of sugary beverages (four or more days per week), representing a significant risk factor. Fish consumption was moderate (two to three times per week). The results show a coexistence of protective behaviors and risk factors. Conclusion: Healthy lifestyles play a key role in the prevention of T2DM; however, the persistence of risk behaviors highlights the need for comprehensive educational interventions in rural communities.
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References
International Diabetes Federation. IDF Diabetes Atlas. 10th ed. Brussels: IDF; 2021.
Zheng Y, Ley SH, Hu FB. Global aetiology and epidemiology of type 2 diabetes mellitus and its complications. Nat Rev Endocrinol. 2018;14(2):88–98.
DeFronzo RA, Ferrannini E, Groop L, Henry RR, Herman WH, Holst JJ, et al. Type 2 diabetes mellitus. Nat Rev Dis Primers. 2015;1:15019.
Popkin BM, Adair LS, Ng SW. Global nutrition transition and the pandemic of obesity in developing countries. Nutr Rev. 2012;70(1):3–21.
Pan American Health Organization. Diabetes in the Americas. Washington: PAHO; 2023.
Ministerio de Salud Pública del Ecuador. Situación epidemiológica de la diabetes en el Ecuador. Quito: MSP; 2024.
World Health Organization. Global report on diabetes. Geneva: WHO; 2016.
Marmot M, Wilkinson RG. Social determinants of health. 2nd ed. Oxford: Oxford University Press; 2005.
Knowler WC, Barrett-Connor E, Fowler SE, Hamman RF, Lachin JM, Walker EA, et al. Reduction in the incidence of type 2 diabetes with lifestyle intervention. N Engl J Med. 2002;346(6):393–403.
Tuomilehto J, Lindström J, Eriksson JG, Valle TT, Hämäläinen H, Ilanne-Parikka P, et al. Prevention of type 2 diabetes mellitus by changes in lifestyle among subjects with impaired glucose tolerance. N Engl J Med. 2001;344(18):1343–50.
Mozaffarian D. Dietary and policy priorities for cardiovascular disease, diabetes, and obesity: a comprehensive review. Circulation. 2016;133(2):187–225.
Afshin A, Sur PJ, Fay KA, Cornaby L, Ferrara G, Salama JS, et al. Health effects of dietary risks in 195 countries. Lancet. 2019;393(10184):1958–72.
Schwingshackl L, Hoffmann G, Lampousi AM, Knüppel S, Iqbal K, Schwedhelm C, et al. Food groups and risk of type 2 diabetes mellitus: systematic review and meta-analysis. Eur J Epidemiol. 2017;32(5):363–75.
Qian F, Liu G, Hu FB, Bhupathiraju SN, Sun Q. Association between plant-based dietary patterns and risk of type 2 diabetes. JAMA Intern Med. 2019;179(10):1335–44.
Calder PC. Omega-3 fatty acids and inflammatory processes. Nutrients. 2010;2(3):355–74.
Wu JH, Micha R, Imamura F, Pan A, Biggs ML, Ajaz O, et al. Omega-3 fatty acids and incident type 2 diabetes. BMJ. 2012;345:e6698.
Malik VS, Popkin BM, Bray GA, Després JP, Willett WC, Hu FB. Sugar-sweetened beverages and risk of metabolic syndrome and type 2 diabetes. Diabetes Care. 2010;33(11):2477–83.
Imamura F, O’Connor L, Ye Z, Mursu J, Hayashino Y, Bhupathiraju SN, et al. Consumption of sugar sweetened beverages and type 2 diabetes. BMJ. 2015;351:h3576.
Solar O, Irwin A. A conceptual framework for action on the social determinants of health. Geneva: WHO; 2010.
Haw JS, Galaviz KI, Straus AN, Kowalski AJ, Magee MJ, Weber MB, et al. Long-term sustainability of diabetes prevention approaches. Lancet Diabetes Endocrinol. 2017;5(12):915–26.
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Copyright (c) 2026 Jimmy Steeven Cedeño-Pacheco , Erick Andrés Valdospino-Méndez , Jordy Abraham Hernández-Palomeque

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