Abstract

Background: Eating Disorders (ED) are complex mental health problems requiring early recognition and treatment. Exercise Professionals (EP) are in close contact with people who suffer from ED and/or Excessive Exercise (EE) and play a role in early intervention and ensuring safe behaviors. We examined the ability of EP to identify eating and exercise issues and to intervene if appropriate. Methods: Participants were recruited via anonymous online survey advertised through industry channels. A chi-square test of independence examined the associations between socio-demographic characteristics and responses to specific questions (significance level alpha=0.05). Results: Of 414 respondents, 80.4% were female, mean age 44.8 years, with 13.3 years’ work experience in the fitness sector. More than half (57.2%) did not receive any ED/EE instruction during training and the vast majority (93.0%) indicated a need of further ED/ EE education. While more than three quarters (76.3%) of respondents had suspected an ED/EE in a client, only 25.1% felt confident to address the client about this matter. Approximately one third (30.7%) of respondents reported having a personal experience of an ED and/or EE. Conclusions: These results highlight a need for better education concerning ED and EE among EP to facilitate early identification and safe industry practice.

Highlights

  • Diabetes mellitus (DM) is a global public health problem with a majority in developing countries [1]

  • The majority of people with diabetes are affected by type 2 diabetes mellitus (T2DM) [1]

  • After adjustment for potential confounders, patients in the lowest quartile of HEI-2010 had the highest risk of (High blood pressure and heart problems), (OR =1.361, 95% confidence interval (CI) = [1.145-1.618]), (OR = 1.469, 95% CI = [1.148-1.878]), respectively, (P value < 0.005 for all), compared with those in the upper quartile

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Summary

Introduction

Diabetes mellitus (DM) is a global public health problem with a majority in developing countries [1]. The World Health Organization estimates that, 422 million adults were living with DM in 2014, and projects that DM will be the seventh leading cause of death in 2030 [1]. The majority of people with diabetes are affected by type 2 diabetes mellitus (T2DM) [1]. Abu Rmeileh et al, [5] estimated the prevalence of DM in Palestine at 20.8% and 23.4% in 2020 and 2030, respectively. When DM is uncontrolled, it has dire consequences for health and well-being [1]. The prevalence of diabetes mellitus is rising worldwide. It has dire consequences for health and well-being. The aim of this study was to determine the association between Healthy Eating Index-2010 (HEI-2010) score with diabetes complications among type 2 diabetes patients

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