The role of diet and physical activity in preventing chronic diseases: a comprehensive review
DOI:
https://doi.org/10.47197/retos.v68.116556Keywords:
chronic diseases, diet, digital health technologies, lifestyle interventions, non-communicable diseases, physical activity, socioeconomic factorsAbstract
Introduction: Non-communicable diseases, which include cardiovascular disease, diabetes mellitus, obesity, and malignancies, cause nearly 70% of deaths worldwide and pose a significant burden in many low- and middle-income countries.
Objective: The present article reviews the various dimensions of dietary and physical activities that may prevent or manage chronic diseases, especially concerning implications regarding morbidity and mortality reduction.
Methodology: This includes an interaction between modifiable lifestyle factors and more distal determinants, including socioeconomic, environmental, and genetic predispositions that all determine health outcomes. Some of the most important findings concern dietary patterns such as Mediterranean and plant-based diets and physical activity in the reduction of inflammation, improvement in metabolic health, and promotion of long-term prevention of diseases. Innovative interventions, such as digital health tools and social prescribing, are considered ways of enhancing self-management and community engagement. Similarly, the review highlights what is implied to be an elimination of barriers against healthy behaviors, such as access to healthy, affordable nutritious food and safe environments for physical activity.
Discussion: Policymakers, health providers, and community organizations are therefore encouraged to collaborate in formulating integrated approaches toward promoting health equity.
Conclusion: With all this in mind, the comprehensive analysis does underscore a need for holistic, multidisciplinary approaches in managing the rising tide of NCDs in maintaining the public health gains globally.
References
A study to evaluate the effectiveness of a structured teaching programme on yogasanas to prevent the risk of cardiovascular diseases among patients having hypertension in selected hospital at man-galuru. International Journal for Multidisciplinary Research, 5(2). https://doi.org/10.36948/ijfmr.2023.v05i02.1863
Agbana, R., Asuzu, M., Fasoro, A., & Owoeye, O. (2016). Awareness and prevalence of cardiovascular risk factors among workers in an agro-allied company in nigeria. Iosr Journal of Dental and Medical Sciences, 15(09), 122-127. https://doi.org/10.9790/0853-150908122127
Aikins, A., Unwin, N., Agyemang, C., Allotey, P., Campbell, C., & Arhinful, D. (2010). Tackling africa's chronic disease burden: from the local to the global. Globalization and Health, 6(1), 5. https://doi.org/10.1186/1744-8603-6-5
Al-Jamimi, H. (2024). Synergistic feature engineering and ensemble learning for early chronic disease prediction. Ieee Access, 12, 62215-62233. https://doi.org/10.1109/access.2024.3395512
Al-Murani, F., Aweko, J., Nordin, I., Delobelle, P., Kasujja, F., Östenson, C., … & Alvesson, H. (2019). Com-munity and stakeholders’ engagement in the prevention and management of type 2 diabetes: a qualitative study in socioeconomically disadvantaged suburbs in region stockholm. Global Health Action, 12(1), 1609313. https://doi.org/10.1080/16549716.2019.1609313
Altana, V., Geretto, M., & Pulliero, A. (2015). Micrornas and physical activity. Microrna, 4(2), 74-85. https://doi.org/10.2174/2211536604666150813152450
Alves, A., Viana, J., Cavalcante, S., Oliveira, N., Duarte, J., Mota, J., … & Ribeiro, F. (2016). Physical activity in primary and secondary prevention of cardiovascular disease: overview updated. World Journal of Cardiology, 8(10), 575. https://doi.org/10.4330/wjc.v8.i10.575
Alzaben, A. (2023). Nutritional knowledge, attitudes, and practices among family physician practition-ers in gulf countries (bahrain, kuwait, saudi arabia, and uae). Healthcare, 11(19), 2633. https://doi.org/10.3390/healthcare11192633
Anderson, E. and Durstine, J. (2019). Physical activity, exercise, and chronic diseases: a brief review. Sports Medicine and Health Science, 1(1), 3-10. https://doi.org/10.1016/j.smhs.2019.08.006
Andrade, A., Peixoto, S., Friche, A., Goston, J., César, C., Xavier, C., … & Caiaffa, W. (2015). Social context of neighborhood and socioeconomic status on leisure-time physical activity in a brazilian urban center: the bh health study. Cadernos De Saúde Pública, 31(suppl 1), 136-147. https://doi.org/10.1590/0102-311x00069514
Armenian, S., Xu, L., Ky, B., Sun, C., Farol, L., Pal, S., … & Chao, C. (2016). Cardiovascular disease among survivors of adult-onset cancer: a community-based retrospective cohort study. Journal of Clinical Oncology, 34(10), 1122-1130. https://doi.org/10.1200/jco.2015.64.0409
Asogun, D. (2024). Cholesterol distribution among adults in nigeria: a descriptive cross-sectional study in a rural tertiary hospital.. https://doi.org/10.1101/2024.04.23.24306215
Ati-Hellal, M. and Hellal, F. (2022). Food supplementation with vitamins and minerals: an overview.. https://doi.org/10.5772/intechopen.98287
Azeez, S., Mustafa, F., & Ahmed, R. (2023). A meta-analysis of evidence synthesis for a healthy campus built environment by adopting active design approaches to promote physical activity. Build-ings, 13(5), 1224. https://doi.org/10.3390/buildings13051224
Bauer, A., Bonilla, P., Grover, M., Meyer, F., Riselli, C., & White, L. (2010). The role of psychosomatic medicine in global health care. Current Psychiatry Reports, 13(1), 10-17. https://doi.org/10.1007/s11920-010-0162-2
Bennett, J., Stevens, G., Mathers, C., Bonita, R., Rehm, J., Kruk, M., … & Ezzati, M. (2018). Ncd countdown 2030: worldwide trends in non-communicable disease mortality and progress towards sustain-able development goal target 3.4. The Lancet, 392(10152), 1072-1088. https://doi.org/10.1016/s0140-6736(18)31992-5
Bernardes, R., Bresolin, N., & Penido, M. (2020). Prevention of pediatric chronic kidney disease. Urology & Nephrology Open Access Journal, 8(5), 139-146. https://doi.org/10.15406/unoaj.2020.08.00293
Bernier-Jean, A., Wong, G., Saglimbene, V., Ruospo, M., Palmer, S., Natale, P., … & Strippoli, G. (2021). Dietary potassium intake and all-cause mortality in adults treated with hemodialysis. Clinical Journal of the American Society of Nephrology, 16(12), 1851-1861. https://doi.org/10.2215/cjn.08360621
Blacher, J. and Femery, V. (2021). Updating the vivoptim program for the assessment of cardiovascular risk. Vascular Health and Risk Management, Volume 17, 675-678. https://doi.org/10.2147/vhrm.s333542
Boeing, H., Bechthold, A., Bub, A., Ellinger, S., Haller, D., Kroke, A., … & Watzl, B. (2012). Critical review: vegetables and fruit in the prevention of chronic diseases. European Journal of Nutrition, 51(6), 637-663. https://doi.org/10.1007/s00394-012-0380-y
Bonaccio, M., Bonanni, A., Castelnuovo, A., Lucia, F., Donati, M., Gaetano, G., … & Iacoviello, L. (2012). Low income is associated with poor adherence to a mediterranean diet and a higher prevalence of obesity: cross-sectional results from the moli-sani study. BMJ Open, 2(6), e001685. https://doi.org/10.1136/bmjopen-2012-001685
Bopp, M., Peterson, J., & Webb, B. (2012). A comprehensive review of faith-based physical activity in-terventions. American Journal of Lifestyle Medicine, 6(6), 460-478. https://doi.org/10.1177/1559827612439285
Bromage, D. and Yellon, D. (2015). The pleiotropic effects of metformin: time for prospective studies. Cardiovascular Diabetology, 14(1). https://doi.org/10.1186/s12933-015-0273-5
Brown, H., Becker, F., & Antwi, K. (2016). Association between lipid biomarkers, physical activity, and socioeconomic status in a population-based cross-sectional study in the uk. Sports Medicine - Open, 2(1). https://doi.org/10.1186/s40798-016-0049-9
Camerotto, C., Cupisti, A., Muzio, F., & Gallieni, M. (2019). Dietary fiber and gut microbiota in renal di-ets.. https://doi.org/10.20944/preprints201906.0216.v1
Carey, M., Rhee, J., Sanson‐Fisher, R., Norton, G., Oldmeadow, C., Evans, T., … & Nair, K. (2021). Essential components of health assessment for older people in primary care: a cross‐sectional survey of australian general practitioners. Australian and New Zealand Journal of Public Health, 45(5), 506-511. https://doi.org/10.1111/1753-6405.13108
Cena, H. and Calder, P. (2020). Defining a healthy diet: evidence for the role of contemporary dietary patterns in health and disease. Nutrients, 12(2), 334. https://doi.org/10.3390/nu12020334
Chan, A. and Horne, R. (2021). Preventing a post-pandemic double burden of disease in the covid-19 pandemic. Global Advances in Health and Medicine, 10. https://doi.org/10.1177/21649561211010137
Chartsrisak, K., Vipattawat, K., Assanatham, M., Nongnuch, A., Ingsathit, A., Domrongkitchaiporn, S., … & Disthabanchong, S. (2013). Mineral metabolism and outcomes in chronic kidney disease stage 2–4 patients. BMC Nephrology, 14(1). https://doi.org/10.1186/1471-2369-14-14
Chen, X., Shi, L., & Wang, Y. (2011). Americans with diet-related chronic diseases report higher diet quality than those without these diseases. Journal of Nutrition, 141(8), 1543-1551. https://doi.org/10.3945/jn.111.140038
Claypool, K. and Cj, P. (2018). A transcript-wide association study in physical activity intervention im-plicates molecular pathways in chronic disease.. https://doi.org/10.1101/260398
Dinu, M., Pagliai, G., Casini, A., & Sofi, F. (2017). Mediterranean diet and multiple health outcomes: an umbrella review of meta-analyses of observational studies and randomised trials. European Journal of Clinical Nutrition, 72(1), 30-43. https://doi.org/10.1038/ejcn.2017.58
Dona, S., Angeles, M., Hall, N., Watts, J., Peeters, A., & Hensher, M. (2021). Impacts of chronic disease prevention programs implemented by private health insurers: a systematic review. BMC Health Services Research, 21(1). https://doi.org/10.1186/s12913-021-07212-7
Duda-Sikuła, M. and Kurpas, D. (2023). Barriers and facilitators in the implementation of prevention strategies for chronic disease patients—best practice guidelines and policies’ systematic review. Journal of Personalized Medicine, 13(2), 288. https://doi.org/10.3390/jpm13020288
Dyson, P. (2010). The therapeutics of lifestyle management on obesity. Diabetes Obesity and Metabo-lism, 12(11), 941-946. https://doi.org/10.1111/j.1463-1326.2010.01256.x
Falese, L., Federico, B., Kunst, A., Perelman, J., Richter, M., Rimpelä, A., … & Lorant, V. (2021). The associ-ation between socioeconomic position and vigorous physical activity among adolescents: a cross-sectional study in six european cities. BMC Public Health, 21(1). https://doi.org/10.1186/s12889-021-10791-z
Feng, D., Serrano, R., Ye, T., Tang, S., Duan, L., Xu, Y., … & Zhang, L. (2016). What contributes to the regu-larity of patients with hypertension or diabetes seeking health services? a pilot follow-up, ob-servational study in two sites in hubei province, china. International Journal of Environmental Research and Public Health, 13(12), 1268. https://doi.org/10.3390/ijerph13121268
Frank, L., Bigazzi, A., Hong, A., Minaker, L., Fisher, P., & Raine, K. (2022). Built environment influences on healthy eating and active living: the newpath study. Obesity, 30(2), 424-434. https://doi.org/10.1002/oby.23352
Ganesan, K. and Xu, B. (2017). Polyphenol-rich lentils and their health promoting effects. International Journal of Molecular Sciences, 18(11), 2390. https://doi.org/10.3390/ijms18112390
Gauthier-Beaupré, A., Battistini, B., & Jutai, J. (2023). Evolution of public health policy on healthcare self-management: the case of ontario, canada. BMC Health Services Research, 23(1). https://doi.org/10.1186/s12913-023-09191-3
George, E., Sood, S., Cogan, G., Hickey, M., Chan, W., Sudan, S., … & Nicoll, A. (2021). The association be-tween diet and hepatocellular carcinoma: a systematic review. Nutrients, 13(1), 172. https://doi.org/10.3390/nu13010172
Greenberg, H., Raymond, S., & Leeder, S. (2011). The prevention of global chronic disease: academic public health's new frontier. American Journal of Public Health, 101(8), 1386-1390. https://doi.org/10.2105/ajph.2011.300147
Gutiérrez, O., Muntner, P., Rizk, D., McClellan, W., Warnock, D., Newby, P., … & Judd, S. (2014). Dietary patterns and risk of death and progression to esrd in individuals with ckd: a cohort study. Amer-ican Journal of Kidney Diseases, 64(2), 204-213. https://doi.org/10.1053/j.ajkd.2014.02.013
Hamine, S., Gerth‐Guyette, E., Faulx, D., Green, B., & Ginsburg, A. (2015). Impact of mhealth chronic dis-ease management on treatment adherence and patient outcomes: a systematic review. Journal of Medical Internet Research, 17(2), e52. https://doi.org/10.2196/jmir.3951
Hardison-Moody, A., Edwards, M., Bocarro, J., Stein, A., Kanters, M., Sherman, D., … & Bowen, S. (2017). Shared use of physical activity facilities among north carolina faith communities, 2013. Pre-venting Chronic Disease, 14. https://doi.org/10.5888/pcd14.160393
Hu, F., Liu, Y., & Willett, W. (2011). Preventing chronic diseases by promoting healthy diet and lifestyle: public policy implications for china. Obesity Reviews, 12(7), 552-559. https://doi.org/10.1111/j.1467-789x.2011.00863.x
Jakobsen, M., Dethlefsen, C., Joensen, A., Stegger, J., Tjønneland, A., Schmidt, E., … & Overvad, K. (2010). Intake of carbohydrates compared with intake of saturated fatty acids and risk of myocardial infarction: importance of the glycemic index. American Journal of Clinical Nutrition, 91(6), 1764-1768. https://doi.org/10.3945/ajcn.2009.29099
Jayedi, A., Soltani, S., Abdolshahi, A., & Shab‐Bidar, S. (2020). Healthy and unhealthy dietary patterns and the risk of chronic disease: an umbrella review of meta-analyses of prospective cohort studies. British Journal of Nutrition, 124(11), 1133-1144. https://doi.org/10.1017/s0007114520002330
Ji, G., Oh, C., Jung, N., An, S., & Choi, W. (2013). Interference of detection rate of lumbar disc herniation by socioeconomic status. Asian Spine Journal, 7(1), 14. https://doi.org/10.4184/asj.2013.7.1.14
Jiao, K., Zhang, J., Li, M., & Xu, M. (2023). The interplay of socioeconomic status, gender, and age in de-termining physical activity: evidence from the china family panel studies.. https://doi.org/10.21203/rs.3.rs-3136589/v1
Khalid, A., White, D., Sharp, M., Duff, E., MacDonald, S., Fry, A., … & Thomas, W. (2021). Investigation of platelet function in patients with chronic kidney disease stages iv‐v. International Journal of La-boratory Hematology, 43(6), 1606-1611. https://doi.org/10.1111/ijlh.13664
Knai, C., Nolte, E., Brunn, M., Elissen, A., Conklin, A., Pedersen, J., … & Soennichsen, A. (2013). Reported barriers to evaluation in chronic care: experiences in six european countries. Health Policy, 110(2-3), 220-228. https://doi.org/10.1016/j.healthpol.2013.01.019
Knai, C., Nolte, E., Conklin, A., Pedersen, J., & Brereton, L. (2014). The underlying challenges of coordina-tion of chronic care across europe. International Journal of Care Coordination, 17(3-4), 83-92. https://doi.org/10.1177/2053434514556686
Labonté, R., Mohindra, K., & Lencucha, R. (2011). Framing international trade and chronic disease. Globalization and Health, 7(1), 21. https://doi.org/10.1186/1744-8603-7-21
Lahiri, A., Jha, S., Dobe, M., & Taklikar, C. (2022). Perceived behavioral control regarding regular physi-cal activity and healthy diet. Journal of Education and Health Promotion, 11(1), 261. https://doi.org/10.4103/jehp.jehp_1414_21
Lascaris, B., Pouwels, S., Houthuizen, P., Dekker, L., Nienhuijs, S., Bouwman, R., … & Buise, M. (2018). Cardiac structure and function before and after bariatric surgery: a clinical overview. Clinical Obesity, 8(6), 434-443. https://doi.org/10.1111/cob.12278
Leening, M., Ferket, B., Steyerberg, E., Kavousi, M., Deckers, J., Nieboer, D., … & Roos‐Hesselink, J. (2014). Sex differences in lifetime risk and first manifestation of cardiovascular disease: prospective population based cohort study. BMJ, 349(nov17 9), g5992-g5992. https://doi.org/10.1136/bmj.g5992
Lefferts, W., Davis, M., & Valentine, R. (2022). Exercise as an aging mimetic: a new perspective on the mechanisms behind exercise as preventive medicine against age-related chronic disease. Fron-tiers in Physiology, 13. https://doi.org/10.3389/fphys.2022.866792
Leong, L., Chua, H., & Khatri, P. (2018). Contribution of hypertension to chronic kidney disease. Hyper-tension Journal, 4(2), 119-124. https://doi.org/10.15713/ins.johtn.0116
Leong, S., Lei, W., & Chan, U. (2020). The six-month and one-year outcome of a chronic disease self-management program among older adults in macao: a quasi-experimental study. Sage Open Nursing, 6. https://doi.org/10.1177/2377960820958231
Liu, J. (2024). The association between diet–exercise patterns and cirrhosis: a cross-sectional study from nhanes 2017-march 2020. Nutrients, 16(11), 1617. https://doi.org/10.3390/nu16111617
Liu, X., Gong, X., Gao, X., Wang, Z., Lu, S., Chen, C., … & Shi, J. (2022). Impact of contextual factors on the attendance and role in the evidence-based chronic disease prevention programs among prima-ry care practitioners in shanghai, china. Frontiers in Public Health, 9. https://doi.org/10.3389/fpubh.2021.666135
Love, R., Adams, J., & Sluijs, E. (2019). Are school‐based physical activity interventions effective and equitable? a meta‐analysis of cluster randomized controlled trials with accelerometer‐assessed activity. Obesity Reviews, 20(6), 859-870. https://doi.org/10.1111/obr.12823
Luquis, R. and Paz, H. (2014). Attitudes about and practices of health promotion and prevention among primary care providers. Health Promotion Practice, 16(5), 745-755. https://doi.org/10.1177/1524839914561516
Lynch, B. (2010). Sedentary behavior and cancer: a systematic review of the literature and proposed biological mechanisms. Cancer Epidemiology Biomarkers & Prevention, 19(11), 2691-2709. https://doi.org/10.1158/1055-9965.epi-10-0815
Mache, S., Jensen, S., Linnig, S., Jahn, R., Steudtner, M., Ochsmann, E., … & Preuß, G. (2015). Do over-weight workers profit by workplace health promotion, more than their normal-weight peers? evaluation of a worksite intervention. Journal of Occupational Medicine and Toxicology, 10(1). https://doi.org/10.1186/s12995-015-0068-3
Maher, D., Waswa, L., Baisley, K., Karabarinde, A., Unwin, N., & Grosskurth, H. (2010). Distribution of hyperglycaemia and related cardiovascular disease risk factors in low-income countries: a cross-sectional population-based survey in rural uganda. International Journal of Epidemiology, 40(1), 160-171. https://doi.org/10.1093/ije/dyq156
Mandili, I., Balobaid, A., Alzahrani, H., Almalki, M., Alghamdi, A., Alaradi, R., … & Eid, S. (2022). Types of chronic diseases associated with sedentary behaviour and physical inactivity. International Journal of Community Medicine and Public Health, 9(10), 3965. https://doi.org/10.18203/2394-6040.ijcmph20222388
Mantimane, A. (2019). Assessment of risk factors associated with hypertension in adult population in letlhakane, botswana. Texila International Journal of Public Health, 7(3), 1-8. https://doi.org/10.21522/tijph.2013.07.03.art001
Marešová, P., Javanmardi, E., Baraković, S., Husić, J., Tomsone, S., Krejcar, O., … & Kuča, K. (2019). Con-sequences of chronic diseases and other limitations associated with old age – a scoping review. BMC Public Health, 19(1). https://doi.org/10.1186/s12889-019-7762-5
Megari, K. (2013). Quality of life in chronic disease patients. Health Psychology Research, 1(3), 27. https://doi.org/10.4081/hpr.2013.e27
Mehmas, A. (2022). The power of nutrition: how a healthy diet can shield against chronic diseases. Eph - International Journal of Medical and Health Science, 8(2), 14-21. https://doi.org/10.53555/eijmhs.v8i2.176
Mehta, A., Chokka, D., Shreesha, N., Seshu, A., Padmakumar, R., & M., M. (2022). Correlation of vitamin d level and severity of coronary artery disease. Biomedicine, 42(5), 943-948. https://doi.org/10.51248/.v42i5.1911
Mendez, I., Fasano, M., & Orden, A. (2023). Exploring factors associated with obesity in argentinian chil-dren using structural equation modeling. Cadernos De Saúde Pública, 39(7). https://doi.org/10.1590/0102-311xen087822
Mijatovic, J., Capling, L., Cheng, S., Stamatakis, E., Louie, J., Cheung, N., … & Flood, V. (2018). Associations of diet and physical activity with risk for gestational diabetes mellitus: a systematic review and meta-analysis. Nutrients, 10(6), 698. https://doi.org/10.3390/nu10060698
Mingou, J. (2019). Frequency and distribution of cardiovascular disease risk factor in coronary pa-tients. Journal of Cardiology and Vascular Medicine, 1(1), 1-5. https://doi.org/10.17303/jcvm.2018.4.104
Miranda-Bautista, J., Verdejo, C., Díaz-Redondo, A., Bretón, I., Bellón, J., Pérez-Valderas, M., … & Menchén, L. (2019). Metabolic bone disease in patients diagnosed with inflammatory bowel disease from spain. Therapeutic Advances in Gastroenterology, 12. https://doi.org/10.1177/1756284819862152
Mitchell, C., Cowburn, G., & Foster, C. (2011). Assessing the options for local government to use legal approaches to combat obesity in the uk: putting theory into practice. Obesity Reviews, 12(8), 660-667. https://doi.org/10.1111/j.1467-789x.2011.00872.x
Mohammed-Ali, Z., Cruz, G., Lu, C., Carlisle, R., Werner, K., Ask, K., … & Dickhout, J. (2015). Development of a model of chronic kidney disease in the c57bl/6 mouse with properties of progressive hu-man ckd. Biomed Research International, 2015, 1-10. https://doi.org/10.1155/2015/172302
Moreira, G., Cipullo, J., Ciorlia, L., Cesarino, C., & Vilela-Martin, J. (2014). Prevalence of metabolic syn-drome: association with risk factors and cardiovascular complications in an urban population. Plos One, 9(9), e105056. https://doi.org/10.1371/journal.pone.0105056
Mozaffari, H., Hosseini, Z., Lafrenière, J., & Conklin, A. (2021). The role of dietary diversity in preventing metabolic‐related outcomes: findings from a systematic review. Obesity Reviews, 22(6). https://doi.org/10.1111/obr.13174
Muneshwar, S., Shafee, M., Giri, P., Gangwal, P., & Doctor, S. (2017). Prevalence of cardiovascular risk factors amongst teaching staff of iimsr medical college, badnapur, jalna, maharashtra. Interna-tional Journal of Community Medicine and Public Health, 4(10), 3877. https://doi.org/10.18203/2394-6040.ijcmph20174267
Muros, J., Cabrera–Vique, C., Briones, M., & Seiquer, I. (2019). Assessing the dietary intake of calcium, magnesium, iron, zinc and copper in institutionalised children and adolescents from guatemala. contribution of nutritional supplements. Journal of Trace Elements in Medicine and Biology, 53, 91-97. https://doi.org/10.1016/j.jtemb.2019.02.009
Musinguzi, G. and Nuwaha, F. (2013). Prevalence, awareness and control of hypertension in uganda. Plos One, 8(4), e62236. https://doi.org/10.1371/journal.pone.0062236
Nasiłowska-Barud, A. and Barud, M. (2020). Psychological risk factors for cardiovascular diseases. Wi-adomości Lekarskie, 73(9), 1829-1834. https://doi.org/10.36740/wlek202009104
Nobili, V., Carter–Kent, C., & Feldstein, A. (2011). The role of lifestyle changes in the management of chronic liver disease. BMC Medicine, 9(1). https://doi.org/10.1186/1741-7015-9-70
Nock, A., Metzing, S., Jürgensen, I., & Petersen-Ewert, C. (2023). Health literacy in adults with chronic diseases in the context of community health nursing: a scoping review. Nursing Reports, 13(2), 823-834. https://doi.org/10.3390/nursrep13020072
Novak, D., Štefan, L., Prosoli, R., Emeljanovas, A., Miežienė, B., Milanović, I., … & Radisavljević-Janić, S. (2017). Mediterranean diet and its correlates among adolescents in non-mediterranean europe-an countries: a population-based study. Nutrients, 9(2), 177. https://doi.org/10.3390/nu9020177
Ogedegbe, G., Gyamfi, J., Plange‐Rhule, J., Surkis, A., Rosenthal, D., Airhihenbuwa, C., … & Cooper, R. (2014). Task shifting interventions for cardiovascular risk reduction in low-income and mid-dle-income countries: a systematic review of randomised controlled trials. BMJ Open, 4(10), e005983. https://doi.org/10.1136/bmjopen-2014-005983
Olza, J., Aranceta-Bartrina, J., González‐Gross, M., Ortega, R., Serra‐Majem, L., Varela‐Moreiras, G., … & Gil, Á. (2017). Reported dietary intake and food sources of zinc, selenium, and vitamins a, e and c in the spanish population: findings from the anibes study. Nutrients, 9(7), 697. https://doi.org/10.3390/nu9070697
Pedersen, B. and Saltin, B. (2015). Exercise as medicine – evidence for prescribing exercise as therapy in 26 different chronic diseases. Scandinavian Journal of Medicine and Science in Sports, 25(S3), 1-72. https://doi.org/10.1111/sms.12581
Philbrook, L. and El‐Sheikh, M. (2016). Associations between neighborhood context, physical activity, and sleep in adolescents. Sleep Health, 2(3), 205-210. https://doi.org/10.1016/j.sleh.2016.05.008
Pinter‐Wollman, N., Jelić, A., & Wells, N. (2018). The impact of the built environment on health behav-iours and disease transmission in social systems. Philosophical Transactions of the Royal Socie-ty B Biological Sciences, 373(1753), 20170245. https://doi.org/10.1098/rstb.2017.0245
Piras, D., Żołędziewska, M., Cucca, F., & Pani, A. (2017). Genome-wide analysis studies and chronic kid-ney disease. Kidney Diseases, 3(3), 106-110. https://doi.org/10.1159/000481886
Politis, C., Halligan, M., Keen, D., & Kerner, J. (2014). Supporting the diffusion of healthy public policy in canada: the prevention policies directory. Online Journal of Public Health Informatics, 6(2). https://doi.org/10.5210/ojphi.v6i2.5372
Port, J., Adney, D., Schwarz, B., Schulz, J., Sturdevant, D., Smith, B., … & Munster, V. (2021). Western diet increases covid-19 disease severity in the syrian hamster.. https://doi.org/10.1101/2021.06.17.448814
Raeside, R. (2024). Accelerating implementation of adolescent digital health prevention programs: analysis of insights from australian stakeholders. Frontiers in Public Health, 12. https://doi.org/10.3389/fpubh.2024.1389739
Rashid, I., Katravath, P., Tiwari, P., D’Cruz, S., Jaswal, S., & Sahu, G. (2022). Hyperuricemia—a serious complication among patients with chronic kidney disease: a systematic review and meta-analysis. Exploration of Medicine, 249-259. https://doi.org/10.37349/emed.2022.00089
Ratajczak, A., Rychter, A., Zawada, A., Dobrowolska, A., & Krela‐Kaźmierczak, I. (2020). Nutrients in the prevention of osteoporosis in patients with inflammatory bowel diseases. Nutrients, 12(6), 1702. https://doi.org/10.3390/nu12061702
Reiner, M., Niermann, C., Jekauc, D., & Wöll, A. (2013). Long-term health benefits of physical activity – a systematic review of longitudinal studies. BMC Public Health, 13(1). https://doi.org/10.1186/1471-2458-13-813
Rekia, B. (2017). Prevalence of cardiovascular risk factors in elderly from an agricultural area of mo-rocco. Advances in Obesity Weight Management & Control, 6(4). https://doi.org/10.15406/aowmc.2017.06.00161
Rollings, K. and Bollo, C. (2021). Permanent supportive housing design characteristics associated with the mental health of formerly homeless adults in the u.s. and canada: an integrative review. In-ternational Journal of Environmental Research and Public Health, 18(18), 9588. https://doi.org/10.3390/ijerph18189588
Romeo, A., Edney, S., Plotnikoff, R., Curtis, R., Ryan, J., Sanders, I., … & Maher, C. (2019). Can smartphone apps increase physical activity? systematic review and meta-analysis. Journal of Medical Inter-net Research, 21(3), e12053. https://doi.org/10.2196/12053
Roubal, A., Jovaag, A., Park, H., & Gennuso, K. (2015). Development of a nationally representative built environment measure of access to exercise opportunities. Preventing Chronic Disease, 12. https://doi.org/10.5888/pcd12.140378
Ruiz-Ramírez, J., Olarte-Arias, Y., & Morales, L. (2021). Educational processes for health and disease self-management in public health: a systematic review. International Journal of Environmental Research and Public Health, 18(12), 6448. https://doi.org/10.3390/ijerph18126448
Running, C. and Mattes, R. (2016). A review of the evidence supporting the taste of non‐esterified fatty acids in humans. Journal of the American Oil Chemists Society, 93(10), 1325-1336. https://doi.org/10.1007/s11746-016-2885-7
Samitz, G., Egger, M., & Zwahlen, M. (2011). Domains of physical activity and all-cause mortality: sys-tematic review and dose–response meta-analysis of cohort studies. International Journal of Ep-idemiology, 40(5), 1382-1400. https://doi.org/10.1093/ije/dyr112
Samuel, B., Adedamola, A., Oladayo, A., & Temitope, I. (2020). Role of exercise and physical activity in prevention and management of chronic diseases. GSC Biological and Pharmaceutical Sciences, 12(3), 090-097. https://doi.org/10.30574/gscbps.2020.12.3.0277
Sanavi, F., Mohammadi, M., Seraji, M., & Okati–Aliabad, H. (2021). The effect of health promotion edu-cational interventions on self-care behaviors of nutrition and physical activity among universi-ties staff in southeastern iran. Health Scope, 10(4). https://doi.org/10.5812/jhealthscope.117953
Santis, K., Jahnel, T., Matthias, K., Mergenthal, L., Khayyal, H., & Zeeb, H. (2022). Evaluation of digital interventions for physical activity promotion: scoping review. Jmir Public Health and Surveil-lance, 8(5), e37820. https://doi.org/10.2196/37820
Sato, M., Inoue, Y., Du, J., & Funk, D. (2019). Access to parks and recreational facilities, physical activity, and health care costs for older adults: evidence from u.s. counties. Journal of Leisure Research, 50(3), 220-238. https://doi.org/10.1080/00222216.2019.1583048
Shiroma, E., Sesso, H., Moorthy, M., Buring, J., & Lee, I. (2014). Do moderate‐intensity and vigorous‐intensity physical activities reduce mortality rates to the same extent?. Journal of the American Heart Association, 3(5). https://doi.org/10.1161/jaha.114.000802
Shivappa, N., Steck, S., Hurley, T., Hussey, J., & Hébert, J. (2013). Designing and developing a literature-derived, population-based dietary inflammatory index. Public Health Nutrition, 17(8), 1689-1696. https://doi.org/10.1017/s1368980013002115
Sibbald, S., Graham, R., & Gilliland, J. (2015). The public health response to ‘do-it-yourself’ urbanism. Global Health Promotion, 24(3), 68-70. https://doi.org/10.1177/1757975915602632
Singh, S., Varayil, J., Devanna, S., Murad, M., & Iyer, P. (2013). Physical activity is associated with re-duced risk of esophageal cancer, particularly esophageal adenocarcinoma: a systematic review and meta-analysis. The American Journal of Gastroenterology, 108, S8-S9. https://doi.org/10.14309/00000434-201310001-00023
Slivšek, G. (2024). Javno zdravstvo i primarna zdravstvena zaštita. Medicina Fluminensis, 60(2), 164-175. https://doi.org/10.21860/medflum2024_316197
Snyder, S. and Dougall, A. (2018). Assessment of nutrition topics for education in college-aged adults. Journal of Food and Nutrition Research, 6(8), 525-530. https://doi.org/10.12691/jfnr-6-8-7
Stalsberg, R. and Pedersen, A. (2010). Effects of socioeconomic status on the physical activity in ado-lescents: a systematic review of the evidence. Scandinavian Journal of Medicine and Science in Sports, 20(3), 368-383. https://doi.org/10.1111/j.1600-0838.2009.01047.x
Tama, T. and Astutik, E. (2022). Physical inactivity and chronic diseases among disabled adults in indo-nesia. Journal of Public Health in Africa, 13(2), 4. https://doi.org/10.4081/jphia.2022.2421
Travert, A., Annerstedt, K., & Daivadanam, M. (2019). Built environment and health behaviors: decon-structing the black box of interactions—a review of reviews. International Journal of Environ-mental Research and Public Health, 16(8), 1454. https://doi.org/10.3390/ijerph16081454
Tsunoda, K., Tsuji, T., Kitano, N., Mitsuishi, Y., Yoon, J., Yoon, J., … & Okura, T. (2012). Associations of physical activity with neighborhood environments and transportation modes in older japanese adults. Preventive Medicine, 55(2), 113-118. https://doi.org/10.1016/j.ypmed.2012.05.013
Undela, K. and Gopal, M. (2014). Saroglitazar: the world’s first drug for treating diabetic dyslipidemia. Journal of Comprehensive Pharmacy, 01(01), 11-14. https://doi.org/10.37483/jcp.2014.1102
Us, E., Dc, O., & CD, A. (2013). High blood pressure in a semi-urban community in south-south nigeria: a community - based study. African Health Sciences, 13(1). https://doi.org/10.4314/ahs.v13i1.8
Vachon, B., Gaboury, I., Menear, M., Pomey, M., Roy, D., Houle, L., … & Vanasse, A. (2020). Evaluating implementation and impact of a provincial quality improvement collaborative for the man-agement of chronic diseases in primary care: the compas+ study protocol. BMC Family Prac-tice, 21(1). https://doi.org/10.1186/s12875-019-1072-y
Walzik, D., Joisten, N., Zacher, J., & Zimmer, P. (2021). Transferring clinically established immune in-flammation markers into exercise physiology: focus on neutrophil-to-lymphocyte ratio, plate-let-to-lymphocyte ratio and systemic immune-inflammation index. European Journal of Ap-plied Physiology, 121(7), 1803-1814. https://doi.org/10.1007/s00421-021-04668-7
Wang, C., Kane, R., Xu, D., & Meng, Q. (2015). Health literacy as a moderator of health-related quality of life responses to chronic disease among chinese rural women. BMC Women S Health, 15(1). https://doi.org/10.1186/s12905-015-0190-5
Wang, H., Deng, F., Qu, M., Yang, P., & Yang, B. (2014). Association between dietary patterns and chronic diseases among chinese adults in baoji. International Journal of Chronic Diseases, 2014, 1-7. https://doi.org/10.1155/2014/548269
Waziri, B., Duarte, R., & Naicker, S. (2019). <p>chronic kidney disease–mineral and bone disorder (ckd-mbd): current perspectives</p>. International Journal of Nephrology and Renovas-cular Disease, Volume 12, 263-276.
https://doi.org/10.2147/ijnrd.s191156
White, S., Alva-Ruiz, R., Chen, L., Conger, J., Kuang, C., Murphy, C., … & Ansa, B. (2016). The eating and cooking healthy (teach) kitchen: a research protocol. Journal of the Georgia Public Health Asso-ciation, 6(5). https://doi.org/10.21633/jgpha.6.2s20
Xu, Z., Yu, D., Yin, X., Zheng, F., & Li, H. (2017). Socioeconomic status is associated with global diabetes prevalence. Oncotarget, 8(27), 44434-44439. https://doi.org/10.18632/oncotarget.17902
Yamashita, R., Sato, S., Akase, R., Doi, T., Tsuzuku, S., Yokoi, T., … & Harada, E. (2021). Effects of social network incentives and financial incentives on physical activity and social capital among older women: a randomized controlled trial. BMC Public Health, 21(1). https://doi.org/10.1186/s12889-021-10175-3
Zadeh, S., Mansoori, A., & Hosseinzadeh, M. (2020). Relationship between dietary patterns and non‐alcoholic fatty liver disease: a systematic review and meta‐analysis. Journal of Gastroenterolo-gy and Hepatology, 36(6), 1470-1478. https://doi.org/10.1111/jgh.15363
Zheng, T., He, J., LI, Y., Zhang, Z., Zhang, N., & Wang, L. (2023). Dietary patterns and common diseases in chinese elderly: exploring associations and providing guidance for personalized interventions.. https://doi.org/10.21203/rs.3.rs-3151506/v1
Zouhal, H., Granacher, U., Hackney, A., Li, S., & Laher, I. (2022). Editor
ial: exercise physiology and its role in chronic disease prevention and treatment—mechanisms and insights. Frontiers in Physiology, 13. https://doi.org/10.3389/fphys.2022.1038119
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