Efficacy of lifestyle interventions in patients with type 2 diabetes: A systematic review and meta-analysis

Huang, Xiaoli; Pan, Jiluan; Chen, Dan; Chen, Jing; Chen, Fang; Hu, Taotao

doi:10.1016/j.ejim.2015.11.016

Cited by 82 publications

(58 citation statements)

References 33 publications

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“…Physical activity and healthy diets are recognized as two essential components for treating and managing diabetes. The combined intervention of diet and physical activity can significantly decrease the incidence and consequences of T2D among women with gestational diabetes, and reduce the risk of cardiovascular disease in patients with T2D …”

Section: Introductionmentioning

confidence: 99%

“…The combined intervention of diet and physical activity can significantly decrease the incidence and consequences of T2D among women with gestational diabetes, 19 and reduce the risk of cardiovascular disease in patients with T2D. 20 Following a healthy lifestyle has been suggested and recommended by several national and international guidelines as ways to maintain human well being. 16,21 Overall, healthy lifestyle factors acting jointly can have a synergistic effect and offer substantial advantages over a single factor.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Associations of lifestyle factors (smoking, alcohol consumption, diet and physical activity) with type 2 diabetes among American adults from National Health and Nutrition Examination Survey (NHANES) 2005–2014

Liu

Wang

Maisonet

et al. 2016

Journal of Diabetes

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Associations of lifestyle factors (smoking, alcohol consumption, diet and physical activity) with type 2 diabetes among American adults from National Health and Nutrition Examination Survey (NHANES) 2005–2014

Liu

Wang

Maisonet

et al. 2016

Journal of Diabetes

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“…In addition, preliminary prospective data indicate that the consumption of certain nutrients like red meat [196] and even milk [197] may confer a higher risk of developing depression. The recognition that diet is a key driver of gut health, as well as inflammation and oxidative stress, highlights the likely importance of the gut in mediating the association between diet and MDD [198] and points to the utility of targeting dietary quality to improve gut health and resulting disease states, including MDD [199,200] , IBS [201] , and metabolic disorders [202,203] . For instance, alterations in the abundance of Roseburia , which has been noted in MDD, IBS, CFS, and obesity [10,105,204,205] , can be decreased by low-fat, high-complex carbohydrate diets [206] .…”

Section: The Potential Of Dietary Change To Benefit Gut Permeability mentioning

confidence: 99%

Gut Microbiota, Bacterial Translocation, and Interactions with Diet: Pathophysiological Links between Major Depressive Disorder and Non-Communicable Medical Comorbidities

Slyepchenko

Maes

Jacka

et al. 2016

Psychother Psychosom

193

128

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Background: Persistent low-grade immune-inflammatory processes, oxidative and nitrosative stress (O&NS), and hypothalamic-pituitary-adrenal axis activation are integral to the pathophysiology of major depressive disorder (MDD). The microbiome, intestinal compositional changes, and resultant bacterial translocation add a new element to the bidirectional interactions of the gut-brain axis; new evidence implicates these pathways in the patho-aetiology of MDD. In addition, abnormalities in the gut-brain axis are associated with several chronic non-communicable disorders, which frequently co-occur in individuals with MDD, including but not limited to irritable bowel syndrome (IBS), chronic fatigue syndrome (CFS), obesity, and type 2 diabetes mellitus (T2DM). Methods: We searched the PubMed/MEDLINE database up until May 1, 2016 for studies which investigated intestinal dysbiosis and bacterial translocation (the ‘leaky gut') in the pathophysiology of MDD and co-occurring somatic comorbidities with an emphasis on IBS, CFS, obesity, and T2DM. Results: The composition of the gut microbiota is influenced by several genetic and environmental factors (e.g. diet). Several lines of evidence indicate that gut-microbiota-diet interactions play a significant pathophysiological role in MDD and related medical comorbidities. Gut dysbiosis and the leaky gut may influence several pathways implicated in the biology of MDD, including but not limited to immune activation, O&NS, and neuroplasticity cascades. However, methodological inconsistencies and limitations limit comparisons across studies. Conclusions: Intestinal dysbiosis and the leaky gut may constitute a key pathophysiological link between MDD and its medical comorbidities. This emerging literature opens relevant preventative and therapeutic perspectives.

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“…This may affect their ability to improve self‐management behaviours such as regular exercise, healthy eating or checking blood glucose . Healthy Coping skills can help patients to overcome these hurdles . Therefore, these two principles deserve more attention by both providers and people with DM.…”

Section: Discussionmentioning

confidence: 98%

“…[64][65][66] Healthy Coping skills can help patients to overcome these hurdles. [67][68][69][70][71] Therefore, these two principles deserve more attention by both providers and people with DM.…”

Section: Discussionmentioning

confidence: 99%

Evaluation of provider documentation patterns as a tool to deliver ongoing patient‐centred diabetes education and support

Patel

Khan

et al. 2019

Int J Clin Pract

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Background Diabetes mellitus (DM) is one of the most common chronic diseases in the world. As a disease with long‐term complications requiring changes in management, DM requires not only education at the time of diagnosis, but ongoing diabetes self‐management education and support (DSME/S). In the United States, however, only a small proportion of people with DM receive DSME/S, although evidence supports benefits of ongoing DSME/S. The diabetes education that providers deliver during follow‐up visits may be an important source for DSME/S for many people with DM. Methods We collected 200 clinic notes of follow‐up visits for 100 adults with DM and studied the History of Present Illness (HPI) and Impression and Plan (I&P) sections. Using a codebook based on the seven principles of American Association of Diabetes Educators Self‐Care Behaviors (AADE7), we conducted a multi‐step deductive thematic analysis to determine the patterns of DSME/S information occurrence in clinic notes. Additionally, we used the generalised linear mixed models for investigating whether providers delivered DSME/S to people with DM based on patient characteristics. Results During follow‐up visits, Monitoring was the most common self‐care behaviour mentioned in both HPI and I&P sections. Being Active was the least common self‐care behaviour mentioned in the HPI section and Healthy Coping was the least common self‐care behaviour mentioned in the I&P section. We found providers delivered more information on Healthy Eating to men compared to women in I&P section. Generally, providers delivered DSME/S to people with DM regardless of patient characteristics. Conclusions This study focused on the frequency distribution of information providers delivered to the people with DM during follow‐up clinic visits based on the AADE7. The results may indicate a lack of patient‐centred education when people with DM visit providers for ongoing management. Further studies are needed to identify the underlying reasons why providers have difficulty delivering patient‐centred education.

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Efficacy of lifestyle interventions in patients with type 2 diabetes: A systematic review and meta-analysis

Cited by 82 publications

References 33 publications

Associations of lifestyle factors (smoking, alcohol consumption, diet and physical activity) with type 2 diabetes among American adults from National Health and Nutrition Examination Survey (NHANES) 2005–2014

Associations of lifestyle factors (smoking, alcohol consumption, diet and physical activity) with type 2 diabetes among American adults from National Health and Nutrition Examination Survey (NHANES) 2005–2014

Gut Microbiota, Bacterial Translocation, and Interactions with Diet: Pathophysiological Links between Major Depressive Disorder and Non-Communicable Medical Comorbidities

Evaluation of provider documentation patterns as a tool to deliver ongoing patient‐centred diabetes education and support

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