Agide Feleke Doyore, Shakibazadeh Elham
Department of Health Education and Promotion, School of Public Health, International Campus, Tehran University of Medical Sciences, Tehran, Iran.
Department of Public Health Officer, College of Medicine and Health Sciences, Wachemo University, Hossana, Ethiopia.
Ethiop J Health Sci. 2018 May;28(3):355-364. doi: 10.4314/ejhs.v28i3.14.
Type 2 Diabetes remains one of the deadliest non-communicable diseases in the world. Systematically articulating the health issues with emerging policies is very important in preventing chronic diseases like diabetes. This article aims to integrate Ottawa Charter frameworks in prevention of Type 2 diabetes and the way the charter's application should bring amicable changes if applied as planned.
We used the aim of the study as a method derivative. Then, we applied the five actions of Ottawa Charter frameworks. We also described and stated the existing scientific literature (knowledge) about the prevention of diabetes. After thoroughly reviewing, possible intervention strategies were included with a brief discussion by comparing different literatures. In our case, diabetes prevention is facilitated by those actions and conditions.
Setting appropriate goals, lifestyle modifications, appropriate self-monitoring of blood glucose, medications, regular monitoring for complications, and laboratory assessment are important factors to be endorsed within Ottawa Charter five actions. Lifestyle interventions and physical activities are the most important factors recommended in different reviews and interventions. However, none of the studies had integrated disease prevention with existing policy.
Type 2 Diabetes directed health promotion interventions implemented in various countries were not integrated into Ottawa charter frameworks. As field experts, we believe that applying all the basic principles of health promotion and the idea of Ottawa Charter articulation is very important in disease prevention and behavioral change. Therefore, field specialists should figure out the problem of policy integration through policy evaluation researches.
2型糖尿病仍然是世界上最致命的非传染性疾病之一。系统地阐述新出现政策中的健康问题对于预防糖尿病等慢性病非常重要。本文旨在将渥太华宪章框架纳入2型糖尿病的预防，并探讨如果按计划应用该宪章，其应用方式应如何带来有益的变化。
我们将研究目的用作方法衍生依据。然后，我们应用了渥太华宪章框架的五项行动。我们还描述并陈述了有关糖尿病预防的现有科学文献（知识）。在全面审查之后，通过比较不同文献纳入了可能的干预策略并进行了简要讨论。在我们的案例中，糖尿病预防受到这些行动和条件的促进。
设定适当目标、改变生活方式、适当的血糖自我监测、药物治疗、定期监测并发症以及实验室评估是渥太华宪章五项行动中应认可的重要因素。生活方式干预和体育活动是不同综述和干预中推荐的最重要因素。然而，没有一项研究将疾病预防与现有政策相结合。
各国实施的针对2型糖尿病的健康促进干预措施未纳入渥太华宪章框架。作为领域专家，我们认为应用健康促进的所有基本原则以及渥太华宪章阐述的理念对于疾病预防和行为改变非常重要。因此，领域专家应通过政策评估研究来解决政策整合问题。
