The effectiveness of lifestyle interventions on type 2 diabetes and gestational diabetes incidence and cardiometabolic outcomes: A systematic review and meta-analysis of evidence from low- and middle-income countries

Sagastume, Diana; Siero, Irene; Mertens, Elly; Cottam, James; Colizzi, Chiara; Peñalvo, José L.

doi:10.1016/j.eclinm.2022.101650

Cited by 19 publications

(16 citation statements)

References 74 publications

(187 reference statements)

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“…In line with our study, a previous study on 665 women with GDM showed that most women controlled their blood sugar following a particular diet, especially low carbohydrate diet 26. Sagastume et al 27 found that intervention based on diet and physical activity for at least 6 months among women with GDM and type 2 diabetes could significantly reduce the level of HBA1c, FBS and blood sugar 2 hours after meal, which confirms our results.…”

Section: Discussionsupporting

confidence: 92%

Effect of mobile-assisted education on health promoting lifestyle and blood sugar of women with gestational diabetes: a randomised controlled trial

Maleki,

Mousavi,

Abedi

et al. 2023

BMJNPH

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BackgroundThe gestational diabetes causes complications for the mother and the baby.MethodsIt was a randomised controlled trial that was conducted in Public Health Center No 1 in Baghmalek, Khuzestan province, Iran. Seventy-six women with gestational diabetes mellitus (GDM) were recruited and randomly allocated into an intervention (n=38) and a control group (n=38). A mobile app was developed, and the content of the educational programme was designed according to the six dimensions of Health Promotion Lifestyle Profile (HPLP). Participants in the intervention group followed instructions about healthy lifestyle for 4 weeks, whereas the control group received only routine care. A demographic questionnaire, and the HPLP-II were used to gather the data.Health promoting lifestyle and blood sugar of participants were measured after 4 weeks.ResultsThe total score of HPLP was 98.34±13.99 and 92.39±14.56 before the intervention in intervention and control groups, respectively, which was improved significantly in the intervention group compared with the control group after intervention (143.13±23.41 vs 100.39±16.69, p<0.0001). Also, the scores of stress management, responsibility, interpersonal relationship, spiritual growth, nutrition and physical activity were significantly improved in the intervention group. Fasting blood sugar and blood sugar 2 hours after meal significantly reduced in the intervention group compared with the control group (86.05±7.71 mg/dL vs 93.92±5.52 mg/dL) and (113.65±10.96 mg/dL vs 124.97±9.15 mg/dL), (p=0.001), respectively.ConclusionsOur results showed that offering educational programmes based on mobile apps can improve healthy lifestyle and blood sugar in women with GDM.Trial registration numberIRCT20200817048434N1Website addresshttps://www.irct.ir/search/result?query=IRCT20200817048434N1

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Section: Discussionsupporting

confidence: 92%

Effect of mobile-assisted education on health promoting lifestyle and blood sugar of women with gestational diabetes: a randomised controlled trial

Maleki,

Mousavi,

Abedi

et al. 2023

BMJNPH

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“…For instance, gestational diabetes mellitus (GDM) and pre-eclampsia are strong predictors of future type 2 diabetes mellitus and CVD risk 3 12–19. Lifestyle and pharmaceutical intervention studies during the perinatal period have shown mixed success in reducing the risk of pregnancy complications20–24 and/or chronic disease following complicated pregnancies,23 25–29 emphasising the importance of identifying modifiable risk factors to prevent long-term morbidity. Despite advances in understanding genetic and lifestyle risk factors, research on the contribution of environmental factors to cardiometabolic disease risk during and after pregnancy is underdeveloped 30…”

Section: Introductionmentioning

confidence: 99%

Cohort profile: the Environmental Reproductive and Glucose Outcomes (ERGO) Study (Boston, Massachusetts, USA) — a prospective pregnancy cohort study of the impacts of environmental exposures on parental cardiometabolic health

Preston,

Quinn,

Williams

et al. 2024

BMJ Open

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PurposePregnancy and the postpartum period are increasingly recognised as sensitive windows for cardiometabolic disease risk. Growing evidence suggests environmental exposures, including endocrine-disrupting chemicals (EDCs), are associated with an increased risk of pregnancy complications that are associated with long-term cardiometabolic risk. However, the impact of perinatal EDC exposure on subsequent cardiometabolic risk post-pregnancy is less understood. The Environmental Reproductive and Glucose Outcomes (ERGO) Study was established to investigate the associations of environmental exposures during the perinatal period with post-pregnancy parental cardiometabolic health.ParticipantsPregnant individuals aged ≥18 years without pre-existing diabetes were recruited at <15 weeks of gestation from Boston, Massachusetts area hospitals. Participants completed ≤4 prenatal study visits (median: 12, 19, 26, 36 weeks of gestation) and 1 postpartum visit (median: 9 weeks), during which we collected biospecimens, health histories, demographic and behavioural data, and vitals and anthropometric measurements. Participants completed a postpartum fasting 2-hour 75 g oral glucose tolerance test. Clinical data were abstracted from electronic medical records. Ongoing (as of 2024) extended post-pregnancy follow-up visits occur annually following similar data collection protocols.Findings to dateWe enrolled 653 unique pregnancies and retained 633 through delivery. Participants had a mean age of 33 years, 10% (n=61) developed gestational diabetes and 8% (n=50) developed pre-eclampsia. Participant pregnancy and postpartum urinary phthalate metabolite concentrations and postpartum glycaemic biomarkers were quantified. To date, studies within ERGO found higher exposure to phthalates and phthalate mixtures, and separately, higher exposure to radioactive ambient particulate matter, were associated with adverse gestational glycaemic outcomes. Additionally, certain personal care products used in pregnancy, notably hair oils, were associated with higher urinary phthalate metabolite concentrations, earlier gestational age at delivery and lower birth weight.Future plansFuture work will leverage the longitudinal data collected on pregnancy and cardiometabolic outcomes, environmental exposures, questionnaires, banked biospecimens and paediatric data within the ERGO Study.

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“…CMR is a broader concept than cardiovascular risk. It refers to the risk of developing CVD, vascular events, and diabetes based on risk factors and metabolic markers (fasting blood glucose, lipid profile, blood pressure, abdominal circumference, age, sex, smoking, and family history) [ 4 ].…”

Section: Introductionmentioning

confidence: 99%

Polyphenols and Cardiometabolic Health: Knowledge and Concern among Romanian People

et al. 2023

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The cardiometabolic health of the population is a crucial indicator of public health, considering the significant impact of cardiovascular disease (CVD) and diabetes on global mortality. Determining the population’s knowledge and the predictors of these pathologies is essential in developing effective educational and clinical strategies for the prevention and management of cardiometabolic risk (CMR). Polyphenols are natural compounds with a multitude of beneficial effects on cardiometabolic health. This study explored the current knowledge, understanding, and awareness of CMR, the benefits of polyphenols among Romanians, and how sociodemographic and clinical characteristics influence this aspect. Five hundred forty-six subjects responded anonymously to an online questionnaire designed to assess their knowledge. The data were collected and analyzed based on gender, age, education level, and BMI status. Most respondents expressed concern to a great or very great extent about their health (78%) and food (60%), with significant differences (p < 0.05) depending on age, educational level, and BMI status. Of the respondents, 64.8% declared that they were familiar with the CMR term. Still, the results showed a weak correlation between the stated risk factors and the self-assessment of increased risk (r = 0.027) for CVD or diabetes. Only 35% of the respondents reported a good or very good knowledge of the term “polyphenols”, 86% recognized the antioxidant effect, and significantly fewer (26%) recognized the prebiotic effect. Developing and implementing targeted educational strategies to enhance learning and individual behaviors related to CMR factors and the benefits of polyphenols is necessary.

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The effectiveness of lifestyle interventions on type 2 diabetes and gestational diabetes incidence and cardiometabolic outcomes: A systematic review and meta-analysis of evidence from low- and middle-income countries

Cited by 19 publications

References 74 publications

Effect of mobile-assisted education on health promoting lifestyle and blood sugar of women with gestational diabetes: a randomised controlled trial

Effect of mobile-assisted education on health promoting lifestyle and blood sugar of women with gestational diabetes: a randomised controlled trial

Cohort profile: the Environmental Reproductive and Glucose Outcomes (ERGO) Study (Boston, Massachusetts, USA) — a prospective pregnancy cohort study of the impacts of environmental exposures on parental cardiometabolic health

Polyphenols and Cardiometabolic Health: Knowledge and Concern among Romanian People

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