Lifestyle interventions for people with, and at risk of type 2 diabetes in Polynesian communities : A systematic review and meta-analysis
Journal article
Ndwiga, Dorothy W., MacMillan, Freya, McBride, Kate A. and Simmons, David. (2018). Lifestyle interventions for people with, and at risk of type 2 diabetes in Polynesian communities : A systematic review and meta-analysis. International Journal of Environmental Research and Public Health. 15(5), p. Article 882. https://doi.org/10.3390/ijerph15050882
Authors | Ndwiga, Dorothy W., MacMillan, Freya, McBride, Kate A. and Simmons, David |
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Abstract | There is evidence that lifestyle intervention among Polynesian people can reduce diabetes incidence and complications, but this evidence has not been systematically reviewed. The aim of this study was to systematically review the efficacy of lifestyle interventions, targeting the prevention and management of type 2 diabetes among Polynesian people. MEDLINE, Web of Science, Cochrane Library, and Embase were searched to find randomised controlled trials (RCTs) and pre-post studies. Eight studies (four RCTs and four pre-post studies) with 1590 participants met the inclusion criteria. The data on health outcomes that was reported in these studies included blood pressure, body mass index, waist circumference, weight, and glycated haemoglobin (HbA1c). The meta-analyses showed that the interventions had resulted in statistically significant reductions in systolic blood pressure (SBP) across four of the studies (WMD, −9.93 mmHg; 95% Cl, −10.77 to −9.09; and p < 0.00001). However, the effects on weight across five of the studies (WMD, −1.15 kg; 95% Cl, −2.80 to 0.51; p = 0.18) and the HbA1c levels across two of the studies (WMD, −0.38%; 95% Cl, −1.15 to 0.39; and p = 0.33) were not statistically significant. This review provides evidence that lifestyle interventions may be effective in achieving modest reductions in SBP in Polynesian people. Further research is needed to fully assess the effectiveness of these interventions in this population long-term. |
Keywords | type 2 diabetes; Polynesian people; diabetes prevention; lifestyle intervention; diet; physical activity |
Year | 2018 |
Journal | International Journal of Environmental Research and Public Health |
Journal citation | 15 (5), p. Article 882 |
Publisher | Multidisciplinary Digital Publishing Institute (MDPI AG) |
ISSN | 1661-7827 |
Digital Object Identifier (DOI) | https://doi.org/10.3390/ijerph15050882 |
PubMed ID | 29710788 |
Scopus EID | 2-s2.0-85046125410 |
PubMed Central ID | PMC5981921 |
Open access | Published as ‘gold’ (paid) open access |
Research or scholarly | Research |
Page range | 1-15 |
Publisher's version | License File Access Level Open |
Output status | Published |
Publication dates | |
Online | 28 Apr 2018 |
Publication process dates | |
Accepted | 26 Apr 2018 |
Deposited | 23 Aug 2022 |
https://acuresearchbank.acu.edu.au/item/8y274/lifestyle-interventions-for-people-with-and-at-risk-of-type-2-diabetes-in-polynesian-communities-a-systematic-review-and-meta-analysis
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Publisher's version
OA_Ndwiga_2018_Lifestyle_interventions_for_people_with_and.pdf | |
License: CC BY 4.0 | |
File access level: Open |
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