PMID- 23024717
OWN - NLM
STAT- PubMed-not-MEDLINE
DCOM- 20121002
LR  - 20240412
IS  - 1836-1935 (Electronic)
IS  - 1836-1935 (Linking)
VI  - 5
IP  - 8
DP  - 2012
TI  - Exercise intervention in New Zealand Polynesian peoples with type 2 diabetes: 
      Cultural considerations and clinical trial recommendations.
PG  - 429-35
AB  - The Maori and Pacific Islands peoples of New Zealand suffer a greater burden of 
      type 2 diabetes mellitus (T2DM) and associated comorbidities than their European 
      counterparts. Empirical evidence supports the clinical application of aerobic and 
      resistance training for effective diabetes management and potential remission, 
      but few studies have investigated the effectiveness of these interventions in 
      specific ethnic cohorts. We recently conducted the first trial to investigate the 
      effect of prescribed exercise training in Polynesian people with T2DM. This 
      article presents the cultural considerations undertaken to successfully implement 
      the study. The research procedures were accepted and approved by cultural 
      liaisons and potential participants. The approved methodology involved a trial 
      evaluating and comparing the effects of two, 16-week exercise regimens (i.e. 
      aerobic training and resistance training) on glycosylated haemoglobin (HbA1c), 
      related diabetes markers (i.e. insulin resistance, blood lipids, relevant 
      cytokines and anthropometric and hemodynamic indices) and health-related quality 
      of life. Future exercise-related research or implementation strategies in this 
      cohort should focus on cultural awareness and techniques to enhance participation 
      and compliance. Our approach to cultural consultation could be considered by 
      researchers undertaking trials in this and other ethnic populations suffering an 
      extreme burden of T2DM, including indigenous Australians and Americans.
FAU - Sukala, William R
AU  - Sukala WR
AD  - Institute of Food, Nutrition & Human Health, Massey University, Wellington, New 
      Zealand ; School of Health and Human Sciences, Southern Cross University, 
      Lismore, Australia.
FAU - Page, Rachel A
AU  - Page RA
FAU - Rowlands, David S
AU  - Rowlands DS
FAU - Lys, Isabelle
AU  - Lys I
FAU - Krebs, Jeremy D
AU  - Krebs JD
FAU - Leikis, Murray J
AU  - Leikis MJ
FAU - Cheema, Birinder S
AU  - Cheema BS
LA  - eng
PT  - Journal Article
DEP - 20120909
PL  - Canada
TA  - Australas Med J
JT  - The Australasian medical journal
JID - 101558564
PMC - PMC3442187
OTO - NOTNLM
OT  - Aerobic
OT  - Ethnic
OT  - High-Risk
OT  - Maori
OT  - Obesity
OT  - Pacific Islands
OT  - Polynesia
OT  - Resistance
COIS- CONFLICTS OF INTEREST The authors declare that they have no competing interests.
EDAT- 2012/10/02 06:00
MHDA- 2012/10/02 06:01
PMCR- 2012/09/09
CRDT- 2012/10/02 06:00
PHST- 2012/10/02 06:00 [entrez]
PHST- 2012/10/02 06:00 [pubmed]
PHST- 2012/10/02 06:01 [medline]
PHST- 2012/09/09 00:00 [pmc-release]
AID - 20121311 [pii]
AID - 10.4066/AMJ.2012.1311 [doi]
PST - ppublish
SO  - Australas Med J. 2012;5(8):429-35. doi: 10.4066/AMJ.2012.1311. Epub 2012 Sep 9.