The Effect of Lifestyle Intervention on Diabetes Prevention by Ethnicity: A Systematic Review of Intervention Characteristics Using the TIDieR Framework
Lifestyle intervention is effective in preventing type 2 diabetes mellitus (T2DM), but the efficacy of intervention components across different ethnic groups is less clear. This systematic review examined the effects of intervention characteristics of lifestyle interventions on diabetes incidence an...
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MDPI AG
2021
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oai:doaj.org-article:83ef39b55894453f9b3fcf1fef3036ba2021-11-25T18:36:53ZThe Effect of Lifestyle Intervention on Diabetes Prevention by Ethnicity: A Systematic Review of Intervention Characteristics Using the TIDieR Framework10.3390/nu131141182072-6643https://doaj.org/article/83ef39b55894453f9b3fcf1fef3036ba2021-11-01T00:00:00Zhttps://www.mdpi.com/2072-6643/13/11/4118https://doaj.org/toc/2072-6643Lifestyle intervention is effective in preventing type 2 diabetes mellitus (T2DM), but the efficacy of intervention components across different ethnic groups is less clear. This systematic review examined the effects of intervention characteristics of lifestyle interventions on diabetes incidence and weight loss by ethnicity using the Template for Intervention Description and Replication (TIDieR) framework. MEDLINE, EMBASE and other databases were searched for randomized and non-randomized controlled trials on lifestyle interventions (diet and/or physical activity) in adults at risk of T2DM. Ethnicity was categorized into European, South Asian, East and Southeast Asian, Middle Eastern, Latin American and African groups. Forty-five studies (18,789 participants) were included in the systematic review and 41 studies in meta-analysis. Meta-analysis showed a high number of intervention sessions was significantly associated with a greater reduction in diabetes incidence (<i>P</i> = 0.043) and weight (<i>P</i> = 0.015), while other intervention characteristics including intervention provider and delivery format did not alter the outcomes (all <i>P</i> > 0.05). Additionally, narrative synthesis showed long-term interventions (≥12 months) were associated with significant diabetes risk reduction for all ethnic groups, while short-term interventions (<12 months) were more effective in weight loss in most ethnic groups. There may be ethnic preferences for the optimal number of intervention sessions.Mingling ChenGebresilasea Gendisha UkkeLisa J. MoranSurbhi SoodChristie J. BennettMahnaz Bahri KhomamiPilvikki AbsetzHelena TeedeCheryce L. HarrisonSiew LimMDPI AGarticleethnicitylifestyle interventionsystematic reviewtype 2 diabetesNutrition. Foods and food supplyTX341-641ENNutrients, Vol 13, Iss 4118, p 4118 (2021) |
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ethnicity lifestyle intervention systematic review type 2 diabetes Nutrition. Foods and food supply TX341-641 |
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ethnicity lifestyle intervention systematic review type 2 diabetes Nutrition. Foods and food supply TX341-641 Mingling Chen Gebresilasea Gendisha Ukke Lisa J. Moran Surbhi Sood Christie J. Bennett Mahnaz Bahri Khomami Pilvikki Absetz Helena Teede Cheryce L. Harrison Siew Lim The Effect of Lifestyle Intervention on Diabetes Prevention by Ethnicity: A Systematic Review of Intervention Characteristics Using the TIDieR Framework |
description |
Lifestyle intervention is effective in preventing type 2 diabetes mellitus (T2DM), but the efficacy of intervention components across different ethnic groups is less clear. This systematic review examined the effects of intervention characteristics of lifestyle interventions on diabetes incidence and weight loss by ethnicity using the Template for Intervention Description and Replication (TIDieR) framework. MEDLINE, EMBASE and other databases were searched for randomized and non-randomized controlled trials on lifestyle interventions (diet and/or physical activity) in adults at risk of T2DM. Ethnicity was categorized into European, South Asian, East and Southeast Asian, Middle Eastern, Latin American and African groups. Forty-five studies (18,789 participants) were included in the systematic review and 41 studies in meta-analysis. Meta-analysis showed a high number of intervention sessions was significantly associated with a greater reduction in diabetes incidence (<i>P</i> = 0.043) and weight (<i>P</i> = 0.015), while other intervention characteristics including intervention provider and delivery format did not alter the outcomes (all <i>P</i> > 0.05). Additionally, narrative synthesis showed long-term interventions (≥12 months) were associated with significant diabetes risk reduction for all ethnic groups, while short-term interventions (<12 months) were more effective in weight loss in most ethnic groups. There may be ethnic preferences for the optimal number of intervention sessions. |
format |
article |
author |
Mingling Chen Gebresilasea Gendisha Ukke Lisa J. Moran Surbhi Sood Christie J. Bennett Mahnaz Bahri Khomami Pilvikki Absetz Helena Teede Cheryce L. Harrison Siew Lim |
author_facet |
Mingling Chen Gebresilasea Gendisha Ukke Lisa J. Moran Surbhi Sood Christie J. Bennett Mahnaz Bahri Khomami Pilvikki Absetz Helena Teede Cheryce L. Harrison Siew Lim |
author_sort |
Mingling Chen |
title |
The Effect of Lifestyle Intervention on Diabetes Prevention by Ethnicity: A Systematic Review of Intervention Characteristics Using the TIDieR Framework |
title_short |
The Effect of Lifestyle Intervention on Diabetes Prevention by Ethnicity: A Systematic Review of Intervention Characteristics Using the TIDieR Framework |
title_full |
The Effect of Lifestyle Intervention on Diabetes Prevention by Ethnicity: A Systematic Review of Intervention Characteristics Using the TIDieR Framework |
title_fullStr |
The Effect of Lifestyle Intervention on Diabetes Prevention by Ethnicity: A Systematic Review of Intervention Characteristics Using the TIDieR Framework |
title_full_unstemmed |
The Effect of Lifestyle Intervention on Diabetes Prevention by Ethnicity: A Systematic Review of Intervention Characteristics Using the TIDieR Framework |
title_sort |
effect of lifestyle intervention on diabetes prevention by ethnicity: a systematic review of intervention characteristics using the tidier framework |
publisher |
MDPI AG |
publishDate |
2021 |
url |
https://doaj.org/article/83ef39b55894453f9b3fcf1fef3036ba |
work_keys_str_mv |
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