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Behaviour change techniques targeting both diet and physical activity in type 2 diabetes: A systematic review and meta-analysis

Overview of attention for article published in International Journal of Behavioral Nutrition and Physical Activity, February 2017
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About this Attention Score

  • In the top 5% of all research outputs scored by Altmetric
  • High Attention Score compared to outputs of the same age (96th percentile)
  • High Attention Score compared to outputs of the same age and source (92nd percentile)

Mentioned by

twitter
88 tweeters
facebook
2 Facebook pages

Citations

dimensions_citation
75 Dimensions

Readers on

mendeley
255 Mendeley
citeulike
1 CiteULike
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Title
Behaviour change techniques targeting both diet and physical activity in type 2 diabetes: A systematic review and meta-analysis
Published in
International Journal of Behavioral Nutrition and Physical Activity, February 2017
DOI 10.1186/s12966-016-0436-0
Pubmed ID
Authors

Kevin A. Cradock, Gearóid ÓLaighin, Francis M. Finucane, Heather L. Gainforth, Leo R. Quinlan, Kathleen A. Martin Ginis

Abstract

Changing diet and physical activity behaviour is one of the cornerstones of type 2 diabetes treatment, but changing behaviour is challenging. The objective of this study was to identify behaviour change techniques (BCTs) and intervention features of dietary and physical activity interventions for patients with type 2 diabetes that are associated with changes in HbA1c and body weight. We performed a systematic review of papers published between 1975-2015 describing randomised controlled trials (RCTs) that focused exclusively on both diet and physical activity. The constituent BCTs, intervention features and methodological rigour of these interventions were evaluated. Changes in HbA1c and body weight were meta-analysed and examined in relation to use of BCTs. Thirteen RCTs were identified. Meta-analyses revealed reductions in HbA1c at 3, 6, 12 and 24 months of -1.11 % (12 mmol/mol), -0.67 % (7 mmol/mol), -0.28 % (3 mmol/mol) and -0.26 % (2 mmol/mol) with an overall reduction of -0.53 % (6 mmol/mol [95 % CI -0.74 to -0.32, P < 0.00001]) in intervention groups compared to control groups. Meta-analyses also showed a reduction in body weight of -2.7 kg, -3.64 kg, -3.77 kg and -3.18 kg at 3, 6, 12 and 24 months, overall reduction was -3.73 kg (95 % CI -6.09 to -1.37 kg, P = 0.002). Four of 46 BCTs identified were associated with >0.3 % reduction in HbA1c: 'instruction on how to perform a behaviour', 'behavioural practice/rehearsal', 'demonstration of the behaviour' and 'action planning', as were intervention features 'supervised physical activity', 'group sessions', 'contact with an exercise physiologist', 'contact with an exercise physiologist and a dietitian', 'baseline HbA1c >8 %' and interventions of greater frequency and intensity. Diet and physical activity interventions achieved clinically significant reductions in HbA1c at three and six months, but not at 12 and 24 months. Specific BCTs and intervention features identified may inform more effective structured lifestyle intervention treatment strategies for type 2 diabetes.

Twitter Demographics

The data shown below were collected from the profiles of 88 tweeters who shared this research output. Click here to find out more about how the information was compiled.

Mendeley readers

The data shown below were compiled from readership statistics for 255 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Spain 2 <1%
Indonesia 1 <1%
Unknown 252 99%

Demographic breakdown

Readers by professional status Count As %
Student > Master 44 17%
Student > Bachelor 43 17%
Student > Ph. D. Student 32 13%
Researcher 18 7%
Student > Postgraduate 17 7%
Other 52 20%
Unknown 49 19%
Readers by discipline Count As %
Medicine and Dentistry 49 19%
Nursing and Health Professions 42 16%
Psychology 29 11%
Sports and Recreations 19 7%
Social Sciences 13 5%
Other 42 16%
Unknown 61 24%

Attention Score in Context

This research output has an Altmetric Attention Score of 59. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 08 February 2018.
All research outputs
#348,846
of 15,097,478 outputs
Outputs from International Journal of Behavioral Nutrition and Physical Activity
#116
of 1,508 outputs
Outputs of similar age
#12,934
of 353,710 outputs
Outputs of similar age from International Journal of Behavioral Nutrition and Physical Activity
#1
of 13 outputs
Altmetric has tracked 15,097,478 research outputs across all sources so far. Compared to these this one has done particularly well and is in the 97th percentile: it's in the top 5% of all research outputs ever tracked by Altmetric.
So far Altmetric has tracked 1,508 research outputs from this source. They typically receive a lot more attention than average, with a mean Attention Score of 23.1. This one has done particularly well, scoring higher than 92% of its peers.
Older research outputs will score higher simply because they've had more time to accumulate mentions. To account for age we can compare this Altmetric Attention Score to the 353,710 tracked outputs that were published within six weeks on either side of this one in any source. This one has done particularly well, scoring higher than 96% of its contemporaries.
We're also able to compare this research output to 13 others from the same source and published within six weeks on either side of this one. This one has done particularly well, scoring higher than 92% of its contemporaries.