Title |
Community-Based Physical Activity Interventions for Treatment of Type 2 Diabetes: A Systematic Review with Meta-Analysis
|
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Published in |
Frontiers in endocrinology, January 2013
|
DOI | 10.3389/fendo.2013.00003 |
Pubmed ID | |
Authors |
Ronald C. Plotnikoff, Sarah A. Costigan, Nandini D. Karunamuni, David R. Lubans |
Abstract |
Evidence suggests engaging in regular physical activity (PA) can have beneficial outcomes for adults with type 2 diabetes (TD2), including weight loss, reduction of medication usage and improvements in hemoglobin A1c (HbA1c)/fasting glucose. While a number of clinical-based PA interventions exist, community-based approaches are limited. The objective of this study is to conduct a systematic review with meta-analysis to assess the effectiveness of community-based PA interventions for the treatment of TD2 in adult populations. A search of peer-reviewed publications from 2002 to June 2012 was conducted across several electronic databases to identify interventions evaluated in community settings. Twenty-two studies were identified, and 11 studies reporting HbA1c as an outcome measure were pooled in the meta-analysis. Risk of bias assessment was also conducted. The findings demonstrate community-based PA interventions can be effective in producing increases in PA. Meta-analysis revealed a lowering of HbA1c levels by -0.32% [95% CI -0.65, 0.01], which approached statistical significance (p < 0.06). Our findings can guide future PA community-based interventions in adult populations diagnosed with TD2. |
X Demographics
Geographical breakdown
Country | Count | As % |
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Switzerland | 2 | 33% |
Australia | 1 | 17% |
Norway | 1 | 17% |
Canada | 1 | 17% |
Unknown | 1 | 17% |
Demographic breakdown
Type | Count | As % |
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Members of the public | 5 | 83% |
Practitioners (doctors, other healthcare professionals) | 1 | 17% |
Mendeley readers
Geographical breakdown
Country | Count | As % |
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Mexico | 1 | <1% |
Tunisia | 1 | <1% |
Unknown | 116 | 98% |
Demographic breakdown
Readers by professional status | Count | As % |
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Student > Master | 22 | 19% |
Researcher | 17 | 14% |
Student > Ph. D. Student | 15 | 13% |
Student > Bachelor | 15 | 13% |
Student > Doctoral Student | 5 | 4% |
Other | 17 | 14% |
Unknown | 27 | 23% |
Readers by discipline | Count | As % |
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Medicine and Dentistry | 35 | 30% |
Sports and Recreations | 14 | 12% |
Psychology | 9 | 8% |
Nursing and Health Professions | 8 | 7% |
Agricultural and Biological Sciences | 6 | 5% |
Other | 15 | 13% |
Unknown | 31 | 26% |