Abstract:OBJECTIVE To evaluate the effectiveness of interventions aimed at the prevention of risk factors and incidence of type 2 diabetes in the workers population.METHODS Systematic review of interventions aimed at adult workers at risk of type 2 diabetes published in Medline, Embase, Web of Science, Central Cochrane Registry of Controlled Trials, and Lilacs. Randomized trials, quasi-experimental research and cohort studies were selected; in English, Spanish and Portuguese; published from 2000 to 2017. Intervention e… Show more
“…Moreover, the dietary interventions based on JDS/ADA guidelines influenced calorie intake and lowering of the 2-h postprandial blood glucose among the employees (1 study). Two of the included studies were aimed at management and treatment of the previously diagnosed diabetes had not shown influence on the analyzed outcomes [ 13 •].…”
Section: Resultsmentioning
confidence: 99%
“…Wellness programs comprising programs B, C, G, I components do not influence lowering the non-fat body-weight (kg) = 1.01 [95% CI: (−0.82; 2.83); 4 RCT; N = 437]. Inolopú 2019 [ 13 ] (SR) Instituto de Evaluación de Tecnologías en Salud e Investigación Fogarty International Center of the US National Institutes of Health 6 RCT, 4 quasi-experimental Adult employees in the T2DM risk group or prediabetic [ N = 2536] Pharmaceutical company; IT firm, college; municipal offices, airline company; finance firm; nursing technicians; not specified (3 studies) Interventions aimed at preventing risk factors and T2DM occurrence in the workplace: • Conventional lifestyle changing interventions (7); • Lifestyle changes coaching online (2); • Dietary coaching (1). 9 out of 10 included studies based their programs on: • Diabetes Prevention Program DPP ( n = 3); • Finnish Diabetes Prevention Study (FDPS) ( n = 2); • Life Style Modification Program for Physical Activity and Nutrition Program (LiSM10!)…”
Purpose of review
Type 2 diabetes mellitus (T2DM) is a chronic disease that may lead to severe complications. The main methods of preventing or delaying the onset of T2DM include lifestyle changes. The purpose of this study is to identify and evaluate the effectiveness of workplace interventions aimed at preventing type 2 diabetes. An umbrella review was conducted in accordance with the Cochrane Collaboration guidelines. Searches were performed in Medline (via PubMed), Embase (via OVID), and Cochrane Library databases. The quality assessment of the included studies was performed using the AMSTAR2 tool.
Recent findings
The final analysis included 7 studies. The majority (4 of 7) of the studies included in the review focused on workplace interventions based on the guidelines of the US Diabetes Prevention Program (DPP) or other similar programs. The method of decreasing the risk of type 2 diabetes among employees are programs consisting of multiple approaches aimed at improving parameters associated with diabetes, i.e., body weight, and therefore BMI, reduction, and reducing blood glucose levels, as well as HbA1c levels through educational approach and lifestyle changes. The results of those studies point to multicomponent interventions as more effective than single-component interventions.
Summary
An effective workplace intervention aimed to reduce the risk of type 2 diabetes among employees is a multicomponent program consisting of elements such as educational activities, interventions targeting dietary changes and increased physical activity.
“…Moreover, the dietary interventions based on JDS/ADA guidelines influenced calorie intake and lowering of the 2-h postprandial blood glucose among the employees (1 study). Two of the included studies were aimed at management and treatment of the previously diagnosed diabetes had not shown influence on the analyzed outcomes [ 13 •].…”
Section: Resultsmentioning
confidence: 99%
“…Wellness programs comprising programs B, C, G, I components do not influence lowering the non-fat body-weight (kg) = 1.01 [95% CI: (−0.82; 2.83); 4 RCT; N = 437]. Inolopú 2019 [ 13 ] (SR) Instituto de Evaluación de Tecnologías en Salud e Investigación Fogarty International Center of the US National Institutes of Health 6 RCT, 4 quasi-experimental Adult employees in the T2DM risk group or prediabetic [ N = 2536] Pharmaceutical company; IT firm, college; municipal offices, airline company; finance firm; nursing technicians; not specified (3 studies) Interventions aimed at preventing risk factors and T2DM occurrence in the workplace: • Conventional lifestyle changing interventions (7); • Lifestyle changes coaching online (2); • Dietary coaching (1). 9 out of 10 included studies based their programs on: • Diabetes Prevention Program DPP ( n = 3); • Finnish Diabetes Prevention Study (FDPS) ( n = 2); • Life Style Modification Program for Physical Activity and Nutrition Program (LiSM10!)…”
Purpose of review
Type 2 diabetes mellitus (T2DM) is a chronic disease that may lead to severe complications. The main methods of preventing or delaying the onset of T2DM include lifestyle changes. The purpose of this study is to identify and evaluate the effectiveness of workplace interventions aimed at preventing type 2 diabetes. An umbrella review was conducted in accordance with the Cochrane Collaboration guidelines. Searches were performed in Medline (via PubMed), Embase (via OVID), and Cochrane Library databases. The quality assessment of the included studies was performed using the AMSTAR2 tool.
Recent findings
The final analysis included 7 studies. The majority (4 of 7) of the studies included in the review focused on workplace interventions based on the guidelines of the US Diabetes Prevention Program (DPP) or other similar programs. The method of decreasing the risk of type 2 diabetes among employees are programs consisting of multiple approaches aimed at improving parameters associated with diabetes, i.e., body weight, and therefore BMI, reduction, and reducing blood glucose levels, as well as HbA1c levels through educational approach and lifestyle changes. The results of those studies point to multicomponent interventions as more effective than single-component interventions.
Summary
An effective workplace intervention aimed to reduce the risk of type 2 diabetes among employees is a multicomponent program consisting of elements such as educational activities, interventions targeting dietary changes and increased physical activity.
“…Furthermore, HbA1c reductions were more pronounced in individuals aged ≥60, which aligns with the findings of previous domestic and international studies [ 45 , 46 ] and indicates that younger age is associated with more difficult blood glycemic control. Individuals aged under 60 tend to be office workers with self-management challenges due to factors such as sleep deprivation caused by work-related stress, lack of exercise due to long working hours, and a social drinking culture [ 47 ]. Therefore, there is a need to develop an efficient way to manage blood sugar levels using CGM, which can be used by office workers without restrictions on time and place.…”
As the prevalence of diabetes is rapidly increasing, the use of continuous glucose monitoring, which is effective in improving glycemic control in type 2 diabetes, is increasing. Methods: Systematic review was performed according to PRISMA criteria. The search was conducted for articles published until 31 May 2023 in PubMed, CINAHL, Cochrane Library, EMBASE, ClinicalKey, etc. The meta-analysis involved the synthesis of effect size; tests of homogeneity and heterogeneity; trim and fill plot; Egger’s regression test; and Begg’s test for assessing publication bias. Results: 491 studies were searched, of which 17 studies that met the selection criteria were analyzed. The overall effect on HbA1c was −0.37 (95% CI, −0.63~−0.11, p < 0.001), with HbA1c decreasing significantly after CGM interventions. Sub-analyses showed that the study was statistically significant in those aged 60 years or older, when rt-CGM was used and when the study was performed in multiple centers. Conclusion: The results of this study showed that intervention using CGM was effective in reducing HbA1c in type 2 diabetes. The factors identified in this study can be used as guidelines for developing future CGM intervention programs.
“…There is sufficient evidence that effective intervention in the pre-diabetes phase can significantly reduce the likelihood of its conversion to diabetes. [36][37][38] Therefore, timely detection and effective management of pre-diabetes population is the key to preventing diabetes.…”
Objective: Explore the distribution of basic characteristics of high-risk groups of diabetes; verify the practical significance and diagnostic value of the “three-point method”; layered analysis of glycated hemoglobin and glycated serum albumin, and study its value and significance in the diagnosis of diabetes mellitus, Type II and pre-diabetes mellitus, Type II.Methods: 1304 high-risk individuals with T2D in Shanghai, 529 males and 841 females with an average of (50.5 ± 15.2) years old, were examined by oral glucose tolerance test (OGTT), HbA1c and GA were determined. Process the data by Python and GraphPad; judge the diagnostic value of HbA1C, GA by ROC.Results: (1) The numbers of DM, NGT, HOG, IFG, Mild–IGT and Mid–IGT in the objects were 647, 141, 70, 4, 208 and 234 respectively. In the 43-49 age group with a higher incidence, the proportion of selected high-risk groups is low. (2) The sensitivity and specificity about “three-point method” used to determine NGT is 100% and 90.11%; to determine IGR is 75.11% and 97.32%; to determine HOG is 97.14% and 100%; to determine DM is 94.67% and 100%. (3) According to ROC judgment, it is found that these 2 did not have the function of separate diagnoses, the optimal critical point of HbA1C related to DM status is 5.95%, (P<.01); HbA1C related to IGR status is 5.75% (P<.01); of GA related to DM status is 15.25% (P<.01); GA related to IGR status is 14.95% (P<.01).
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.