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Lifestyle is an expression of individual choices and their interaction with the environment and is closely associated with risks for obesity, diabetes, and cardiovascular disorders. If taken cumulatively this syndrome may be referred to as "diabesity." The escalating prevalence of obesity among both children and adults is one modifiable dominant risk factor in this triad. An increase in body weight of approximately 2.2 pounds (1 kg) has been shown to increase risk for diabetes by 4.5%. Alternatively, a 5% to 10% decrease in body weight improves diabetes control. The metabolic syndrome of diabetes has been described as a consortium of conditions including dyslipidemia, hypertension, and abdominal obesity. In randomized controlled clinical trials, dietary and physical activity interventions have been shown to be effective in decreasing risk for, as well as delaying conversion to, these disorders. Since 1977, 4 hallmark multisite clinical trials have been conducted in the United States, the United Kingdom, and Finland confirming that improved glycemic and hypertensive control of patients through lifestyle interventions can have positive effects on associated complications and longitudinal outcomes. A fifth robust and well-controlled study is currently being conducted in multiple sites in the United States. Dietary behaviors are modulating factors not only in these metabolic and systemic conditions but also in risk for oral diseases such as dental caries. The association between obesity, diabetes, cardiovascular diseases, and oral health status may be linked by these lifestyle behaviors. Promotion of weight management involves approaches that include diet, physical activity, and behavior modification. Established effective guidelines within these domains may be applicable to current practice and future studies designed to examine the associations between diabesity and oral health status.
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PMID:Lifestyle interventions for "diabesity": the state of the science. 1564 26

Highly added sugar diets have been associated with various health problems such as dental caries, dyslipidemia, obesity and poor quality of life. Unfortunately, sugar consumption, especially sucrose, has increased continuously worldwide. The purpose of the study was to examine sources of sugar consumption and amount of added sucrose consumed in Thai undergraduate students. This study was carried out at Khon Kaen University, Thailand, between the years 2004-2005. A complete 3-day record of items and amounts of sweet consumption were obtained from 202 individuals--38 male and 164 female students. Added sucrose content of each sweetened food and drinks referred to in the record was determined by an enzymatic method. Mean intakes of sucrose were calculated from the sucrose content. The average of sucrose consumption in all subjects was 69+/-38 g/day, ranged from 4 to 182 g/day or 17 teaspoons of added sucrose per day. This amount accounted for 13.8% of total daily energy intake. There was a record of 337 kinds of sweetened foods and drinks found. The major source of added sucrose consumption was sweetened beverage, which was consumed 118 g/day averagely, or 60% of daily sugar consumption. Intake of sucrose per day in both male and female was not statistically difference, neither among different BMI groups. Intake of added sugar in the students was higher than the recommendation of the World Health Organization. These data would be helpful in a health promotion campaign aimed at a reduction of sugar consumption in Thai undergraduate students.
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PMID:Sucrose consumption in Thai undergraduate students. 1739 71

Good nutrition is vital to overall health, and poor diet and a sedentary lifestyle are major causes of morbidity and mortality worldwide. Nutritional factors are implicated in many oral and systemic diseases and conditions, including obesity, hypertension, dyslipidemia, type II diabetes, cardiovascular disease, osteoporosis, dental caries and some cancers including oral cancers. This review focuses on the evidence for the relations between key nutritional factors and health. Energy intake is related to body weight and obesity, highlighting the importance of lower-energy diets and regular physical activity for body weight maintenance and for preventing obesity. Evidence is presented for the health benefits of high quality carbohydrates, such as whole grain products, and fruits and vegetables, in reducing the risk of cardiovascular disease and cancer. The adverse effects of sugar, sweetened beverages, and trans and saturated fats on several diseases including caries, diabetes and cardiovascular disease are described. The health benefits of unsaturated fats, antioxidants, B vitamins and vitamin D in cardiovascular disease, periodontitis, cancer, and other conditions are documented. Both benefits and harmful effects of dairy product intake on health are discussed. Based on the evidence, nutritional guidelines are provided, as well as key recommendations for preventing obesity. Dentists can play a critical role in motivating and enabling healthy food choices.
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PMID:Nutrition and health: guidelines for dental practitioners. 1946 51

Diabetes mellitus (DM) is associated with several microvascular and macrovascular complications, such as retinopathy, nephropathy, neuropathy, and cardiovascular diseases. The pathogenesis of these complications is complex, and involves metabolic and hemodynamic disturbances, including hyperglycemia, insulin resistance, dyslipidemia, hypertension, and immune dysfunction. These disturbances initiate several damaging processes, such as increased reactive oxygen species (ROS) production, inflammation, and ischemia. These processes mainly exert their damaging effect on endothelial and nerve cells, hence the susceptibility of densely vascularized and innervated sites, such as the eyes, kidneys, and nerves. Since the oral cavity is also highly vascularized and innervated, oral complications can be expected as well. The relationship between DM and oral diseases has received considerable attention in the past few decades. However, most studies only focus on periodontitis, and still approach DM from the limited perspective of elevated blood glucose levels only. In this review, we will assess other potential oral complications as well, including: dental caries, dry mouth, oral mucosal lesions, oral cancer, taste disturbances, temporomandibular disorders, burning mouth syndrome, apical periodontitis, and peri-implant diseases. Each oral complication will be briefly introduced, followed by an assessment of the literature studying epidemiological associations with DM. We will also elaborate on pathogenic mechanisms that might explain associations between DM and oral complications. To do so, we aim to expand our perspective of DM by not only considering elevated blood glucose levels, but also including literature about the other important pathogenic mechanisms, such as insulin resistance, dyslipidemia, hypertension, and immune dysfunction.
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PMID:Evaluating All Potential Oral Complications of Diabetes Mellitus. 3096