Effects of dose and duration of zinc interventions on risk factors for type 2 diabetes and cardiovascular disease: A systematic review and meta-analysis

Responses to classmates must consist of at least 350 words (not including the greeting and the references), do NOT repeat the same thing your classmate is saying, try to add something of value like a resource, educational information to give to patients, possible bad outcomes associated with the medicines discussed in the case, try to include a sample case you've seen at work and discuss how you feel about how that case was handled. Try to use supportive information such as current Tx guidelines, current research related to the treatment, anything that will enhance learning in the online classroom. Cardiovascular disease and diabetes are expensive and contribute to the high mortality rates around the globe. Education is crucial to decrease or eliminate modifiable contributing factors whenever possible. Education is one of the best low-cost means of decreasing the risk and onset of non-communicable diseases (Jeet et al., 2017). One lower-cost means of providing this education in developing countries is through community health workers (Jeet et al., 2017). The community health worker can also perform some screening measures to identify higher-risk individuals and then complete one on one educational sessions. One of the greatest accomplishments noted in literature resulting from screening and education by the community health worker was decreased or cessation of tobacco smoking (Jeet et al., 2017). Jeet et al. (2017) did not note differences in alcohol consumption post education and screening but did report an increase in physical activity and positive diet modifications. These measures combined resulted in a decreased incidence of hypertension, lowered weight, lowered total cholesterol, and improved glycated hemoglobin lab results (Jeet et al., 2017). It was interesting to see several studies reported lowered glycated hemoglobin levels, but fasting blood sugar levels were not modified (Jeet et al., 2017). The overall risk of diagnosis would therefore decline to note the various improvements in the modifiable risk factors for both diabetes and cardiovascular diseases. With a known shortage of high-level healthcare workers, the transfer of some duties to community health workers aids in this deficiency. Misra et al. (2019) agrees and contributes to the literature on the use of non-medically training individuals to perform some minor screenings and education to decrease risk factors. Due to the high costs of some screenings and poor medical treatment in many developing countries it is advisable to only complete full screenings on those with several high-risk factors, mainly the non-modifiable risk factors, to decrease costs associated with screening (Misra et al., 2019). Low dose zinc supplements provided short term produced positive results and indicated it could be a possible breakthrough in terms of lowering the risk for cardiovascular disease without a great cost (Pompano & Boy, 2020). Because nutrition and diet play key roles in both diabetes and cardiovascular disease those living in underdeveloped countries are at increased risk due to malnutrition. Zinc has been found to play a role in lipid metabolism and insulin homeostasis, thus those areas of the world experiencing zinc deficiencies may benefit from supplementation (Pompano & Boy, 2020). Jeet, G., Thakur, J. S., Prinja, S., & Singh, M. (2017). Community health workers for non communicable diseases prevention and control in developing countries: Evidence and implications. PLoS ONE 12(7): e0180640. https://doi.org/10.1371/journal.pone.0180640 Misra, A., Gopalan, H., Jayawardena, R., Hills, A. P., Soares, M., Reza-Albarran, A. A., & Ramaiya, K. L. (2019). Diabetes in developing countries. Journal of Diabetes, 11(7), 522-539. https://doi.org/10.1111/1753-0407.12913 Pompano, L. A., & Boy, E. (2020). Effects of dose and duration of zinc interventions on risk factors for type 2 diabetes and cardiovascular disease: A systematic review and meta-analysis. Advances in Nutrition, nmaa087. https://doi.org/10.1093/advances/nmaa087

ANSWER. PAPER DETAILS
Academic Level	Masters
Subject Area	Nursing
Paper Type	Admission - Application Essay
Number of Pages	1 Page(s)/275 words
Sources	3
Format	APA
Spacing	Double Spacing

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