Exercise intervention in New Zealand Polynesian peoples with type 2 diabetes: Cultural considerations and clinical trial recommendations

Journal article


Sukala, William R., Page, Rachel A., Rowlands, David S., Lys, Isabelle, Krebs, Jeremy D., Leikis, Murray J. and Cheema, Birinder S.. (2012) Exercise intervention in New Zealand Polynesian peoples with type 2 diabetes: Cultural considerations and clinical trial recommendations. Australasian Medical Journal. 5(8), pp. 429 - 435. https://doi.org/10.4066/AMJ.2012.1311
AuthorsSukala, William R., Page, Rachel A., Rowlands, David S., Lys, Isabelle, Krebs, Jeremy D., Leikis, Murray J. and Cheema, Birinder S.
Abstract

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.

Keywordsresistance; aerobic; obesity; Maori; Pacific Islands; polynesia; ethnic; high-risk
Year2012
JournalAustralasian Medical Journal
Journal citation5 (8), pp. 429 - 435
PublisherThe Australasian Medical Publishing Company Proprietary Limited (AMPCo)
ISSN1836-1935
Digital Object Identifier (DOI)https://doi.org/10.4066/AMJ.2012.1311
Scopus EID2-s2.0-84865831111
Open accessOpen access
Page range429 - 435
Research GroupSchool of Behavioural and Health Sciences
Publisher's version
Place of publicationAustralia
Permalink -

https://acuresearchbank.acu.edu.au/item/89313/exercise-intervention-in-new-zealand-polynesian-peoples-with-type-2-diabetes-cultural-considerations-and-clinical-trial-recommendations

  • 1
    total views
  • 1
    total downloads
  • 0
    views this month
  • 1
    downloads this month
These values are for the period from 19th October 2020, when this repository was created.

Export as

Related outputs

Possible hormone predictors of physical performance in adolescent team sport athletes
Martin, Alanna C., Heazlewood, Ian, Kitic, Cecilia M., Lys, Isabelle and Johnson, Liam. (2019) Possible hormone predictors of physical performance in adolescent team sport athletes. Journal of Strength and Conditioning Research. 33(2), pp. 417 - 425. https://doi.org/10.1519/JSC.0000000000002014
Progesterone and estradiol levels are predictors of performance in a test of anaerobic capacity in young female netball athletes
Heazlewood, Ian, Martin, Alanna, Johnson, Liam, Lys, Isabelle and Kitic, Cecilia M.. (2016) Progesterone and estradiol levels are predictors of performance in a test of anaerobic capacity in young female netball athletes. Australia: Exercise & Sports Science Australia. pp. 167 - 167
Testosterone levels are predictors of multistage fitness test performance in young male and female hockey athletes
Heazlewood, Ian, Martin, Alanna, Johnson, Liam, Lys, Isabelle Yoke Yien and Kitic, Cecilia M.. (2016) Testosterone levels are predictors of multistage fitness test performance in young male and female hockey athletes. 7th Exercise and Sports Science Australia (ESSA) Research to Practice Conference, Melbourne, Australia, 14th - 16th April, 2016. Australia: Exercise & Sports Science Australia.
An exploratory analysis of possible hormone predictors of physical performance in male and female adolescent basketball athletes
Martin, Alanna, Heazlewood, Ian, Kitic, Cecilia M., Lys, Isabelle Yoke Yien and Johnson, Liam. (2016) An exploratory analysis of possible hormone predictors of physical performance in male and female adolescent basketball athletes. Australia: Australian Strength and Conditioning Association. pp. 1 - 1
Progesterone and estradiol levels predict planned agility, 10M and 20M sprint performance in young male Australian football athletes
Martin, Alanna C., Heazlewood, Ian T., Lys, Isabelle, Kitic, Cecilia M. and Johnson, Liam. (2015) Progesterone and estradiol levels predict planned agility, 10M and 20M sprint performance in young male Australian football athletes. Journal of Australian Strength and Conditioning. 23(6), pp. 43 - 46.
The complete mitogenome of the New Zealand freshwater crayfish Paranephrops planifrons White 1842 (crustacean: Decapoda: Parastacidae)
Lee, Yin Peng, Gan, Han Ming, Tan, Mun Hua, Lys, Isabelle Yoke Yien, Page, Rachel, Wanigasekera, Beatrice Dias and Christopher, Austin M.. (2015) The complete mitogenome of the New Zealand freshwater crayfish Paranephrops planifrons White 1842 (crustacean: Decapoda: Parastacidae). Mitochondrial DNA. 27(Early Online 1-2), pp. 3333 - 3334. https://doi.org/10.3109/19401736.2015.1018209
Multi-omic integrated networks connect DNA methylation and miRNA with skeletal muscle plasticity to chronic exercise in Type 2 diabetic obesity
Rowlands, David S., Page, Rachel A., Sukala, William R., Giri, Mamta, Ghimbovschi, Svetlana D., Hayat, Irum, Cheema, Birinder S., Lys, Isabelle, Leikis, Murray, Sheard, Phillip W., Wakefield, John, Breier, Bernard, Hathout, Yetrib, Brown, Kristy, Marathi, Ramya, Orkunoglu-Suer, Funda E., Devaney, Joseph M., Leiken, Benjamin, Many, Gina, ... Hoffman, Eric P.. (2014) Multi-omic integrated networks connect DNA methylation and miRNA with skeletal muscle plasticity to chronic exercise in Type 2 diabetic obesity. Physiological Genomics. 46(20), pp. 747 - 765. https://doi.org/10.1152/physiolgenomics.00024.2014
Exercise improves quality of life in indigenous polynesian peoples with type 2 diabetes and visceral obesity
Sukala, William R., Page, Rachel, Lonsdale, Chris, Lys, Isabelle, Rowlands, David, Krebs, Jeremy, Leikis, Murray and Cheema, Birinder Singh. (2013) Exercise improves quality of life in indigenous polynesian peoples with type 2 diabetes and visceral obesity. Journal of Physical Activity and Health. https://doi.org/10.1123/jpah.10.5.699
South Pacific Islanders resist type 2 diabetes: Comparison of aerobic and resistance training
Sukala, William R., Page, Rachel, Rowlands, David S., Krebs, Jeremy, Lys, Isabelle, Leikis, Murray, Pearce, Jan and Cheema, Birinder S.. (2012) South Pacific Islanders resist type 2 diabetes: Comparison of aerobic and resistance training. European Journal of Applied Physiology. 112, pp. 317 - 325. https://doi.org/10.1007/s00421-011-1978-0