Author:
Cao Yingting,Shrestha Abha,Janiczak Amy,Li Xia,Lu Yang,Haregu Tilahun
Abstract
Abstract
Purpose of Review
To update the evidence of lifestyle interventions for the prevention of type 2 diabetes mellites (T2DM) in adults, particularly in the Asia Pacific region. The key questions to ask are: 1) How effective are lifestyle interventions in preventing T2DM among at-risk adults in the Asia Pacific Region? 2)What are the key characteristics of the implementation of lifestyle interventions for diabetes prevention?
Recent Findings
Lifestyle interventions for the prevention of T2DM have been suggested to be effective. There is evidence of ethnic differences in some glycaemic and anthropometric outcomes.
Summary
The meta-analysis suggested a significant result in reducing waist circumference (standardised mean difference − 019, 95%CI ( -0.31, -0.06)), and no significant effects in other outcomes. However, the implementation outcomes suggested lifestyle intervention might be a cost-effective and sustainable approach in T2DM particularly in countries in the Asia Pacific Region. The focus of lifestyle intervention in the Asia Pacific Region should not only lie in the effectiveness of the trial but a thorough evaluation of the implementation outcomes, as well as cultural adaptations, with the support of all stakeholders through all stages of the implementation.
Publisher
Springer Science and Business Media LLC
Reference48 articles.
1. Khan MAB, et al. Epidemiology of type 2 diabetes - global burden of Disease and Forecasted trends. J Epidemiol Glob Health. 2020;10(1):107–11.
2. Sun H, et al. IDF Diabetes Atlas: Global, regional and country-level diabetes prevalence estimates for 2021 and projections for 2045. Diabetes Res Clin Pract. 2022;183:109119.
3. Magliano DJ, Boyko EJ, I.D.F. D.A.t.e.s. committee, IDF Diabetes Atlas, in Idf diabetes atlas. 2021, International Diabetes Federation © International Diabetes Federation, 2021.: Brussels.
4. Nanditha A, et al. Diabetes in Asia and the Pacific: implications for the global epidemic. Diabetes Care. 2016;39(3):472–85.
5. Federal Aviation Administration https://www.faa.gov/