The Effectiveness of Lifestyle Adaptation for the Prevention of Prediabetes in Adults: A Systematic Review

Diabetes prevalence is increasing exceptionally worldwide and with this come associated healthcare costs. The primary outcome of this systematic review was to assess glycaemic control and incidence of Type 2 diabetes mellitus (T2DM) diagnosis after exercise and dietary intervention (measured with an...

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Main Authors: George Kerrison, Richard B. Gillis, Shahwar I. Jiwani, Qushmua Alzahrani, Samil Kok, Stephen E. Harding, Ian Shaw, Gary G. Adams
Format: Article
Language:English
Published: Wiley 2017-01-01
Series:Journal of Diabetes Research
Online Access:http://dx.doi.org/10.1155/2017/8493145
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author George Kerrison
Richard B. Gillis
Shahwar I. Jiwani
Qushmua Alzahrani
Samil Kok
Stephen E. Harding
Ian Shaw
Gary G. Adams
author_facet George Kerrison
Richard B. Gillis
Shahwar I. Jiwani
Qushmua Alzahrani
Samil Kok
Stephen E. Harding
Ian Shaw
Gary G. Adams
author_sort George Kerrison
collection DOAJ
description Diabetes prevalence is increasing exceptionally worldwide and with this come associated healthcare costs. The primary outcome of this systematic review was to assess glycaemic control and incidence of Type 2 diabetes mellitus (T2DM) diagnosis after exercise and dietary intervention (measured with any validated scale). The secondary outcome assessed body mass index change, weight change, and physical exercise capacity after diet and exercise intervention (measured with any validated scale). 1,780 studies were identified from searching electronic databases. Relevant studies went through a selection process. The inclusion criteria for all studies were people with prediabetes diagnosed by either impaired glucose tolerance (IGT) or impaired fasting glucose (IFG). Lifestyle adaptation reduced the incidence of diabetes development more than standard treatment. Furthermore, better glycaemic control, improved physical exercise capacity, and increased weight reduction were observed with lifestyle intervention over standard treatment. Finally, improvements over the long term deteriorated, highlighting problems with long-term adherence to lifestyle changes. Overall, cumulative incidence of diabetes is drastically reduced in the intervention groups compared to control groups (standard care). Furthermore, glycaemic control was improved in the short term, with many participants reverting to normoglycaemia.
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series Journal of Diabetes Research
spelling doaj-art-99160720a02545a9901ea2f56e1ec5732025-08-20T03:37:05ZengWileyJournal of Diabetes Research2314-67452314-67532017-01-01201710.1155/2017/84931458493145The Effectiveness of Lifestyle Adaptation for the Prevention of Prediabetes in Adults: A Systematic ReviewGeorge Kerrison0Richard B. Gillis1Shahwar I. Jiwani2Qushmua Alzahrani3Samil Kok4Stephen E. Harding5Ian Shaw6Gary G. Adams7School of Health Sciences, Faculty of Medicine South Block, Queen’s Medical Centre, University of Nottingham, Nottingham NG7 2HA, UKSchool of Health Sciences, Faculty of Medicine South Block, Queen’s Medical Centre, University of Nottingham, Nottingham NG7 2HA, UKSchool of Health Sciences, Faculty of Medicine South Block, Queen’s Medical Centre, University of Nottingham, Nottingham NG7 2HA, UKSchool of Health Sciences, Faculty of Medicine South Block, Queen’s Medical Centre, University of Nottingham, Nottingham NG7 2HA, UKUniversity of Nottingham, Sutton Bonington Campus, NCMH Building, Sutton Bonington, Leicestershire LE12 5RD, UKUniversity of Nottingham, Sutton Bonington Campus, NCMH Building, Sutton Bonington, Leicestershire LE12 5RD, UKFaculty of Medicine and Health Sciences, University Park, University of Nottingham, Nottingham NG7 2RD, UKSchool of Health Sciences, Faculty of Medicine South Block, Queen’s Medical Centre, University of Nottingham, Nottingham NG7 2HA, UKDiabetes prevalence is increasing exceptionally worldwide and with this come associated healthcare costs. The primary outcome of this systematic review was to assess glycaemic control and incidence of Type 2 diabetes mellitus (T2DM) diagnosis after exercise and dietary intervention (measured with any validated scale). The secondary outcome assessed body mass index change, weight change, and physical exercise capacity after diet and exercise intervention (measured with any validated scale). 1,780 studies were identified from searching electronic databases. Relevant studies went through a selection process. The inclusion criteria for all studies were people with prediabetes diagnosed by either impaired glucose tolerance (IGT) or impaired fasting glucose (IFG). Lifestyle adaptation reduced the incidence of diabetes development more than standard treatment. Furthermore, better glycaemic control, improved physical exercise capacity, and increased weight reduction were observed with lifestyle intervention over standard treatment. Finally, improvements over the long term deteriorated, highlighting problems with long-term adherence to lifestyle changes. Overall, cumulative incidence of diabetes is drastically reduced in the intervention groups compared to control groups (standard care). Furthermore, glycaemic control was improved in the short term, with many participants reverting to normoglycaemia.http://dx.doi.org/10.1155/2017/8493145
spellingShingle George Kerrison
Richard B. Gillis
Shahwar I. Jiwani
Qushmua Alzahrani
Samil Kok
Stephen E. Harding
Ian Shaw
Gary G. Adams
The Effectiveness of Lifestyle Adaptation for the Prevention of Prediabetes in Adults: A Systematic Review
Journal of Diabetes Research
title The Effectiveness of Lifestyle Adaptation for the Prevention of Prediabetes in Adults: A Systematic Review
title_full The Effectiveness of Lifestyle Adaptation for the Prevention of Prediabetes in Adults: A Systematic Review
title_fullStr The Effectiveness of Lifestyle Adaptation for the Prevention of Prediabetes in Adults: A Systematic Review
title_full_unstemmed The Effectiveness of Lifestyle Adaptation for the Prevention of Prediabetes in Adults: A Systematic Review
title_short The Effectiveness of Lifestyle Adaptation for the Prevention of Prediabetes in Adults: A Systematic Review
title_sort effectiveness of lifestyle adaptation for the prevention of prediabetes in adults a systematic review
url http://dx.doi.org/10.1155/2017/8493145
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