Effect of lifestyle intervention on HbA1c levels in overweight and obese adults with type 2 diabetes across ethnicities: A systematic review and meta-analysis of randomized controlled trials

AimsWeight reduction is fundamental for the management and remission of diabetes. We aimed to assess ethnic differences in the effects of lifestyle weight-loss interventions on HbA1c levels in overweight or obese adults with type 2 diabetes mellitus (T2DM). MethodsWe systematically searched PubMed/M...

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محفوظ في:
التفاصيل البيبلوغرافية
المؤلف الرئيسي: Jie, Yang (author)
مؤلفون آخرون: Xia, Yujia (author), Sun, Yanan (author), Guo, Yufei (author), Shi, Zumin (author), Cristina do Vale Moreira, Nayla (author), Zuo, Hui (author), Hussain, Akhtar (author)
التنسيق: article
منشور في: 2023
الموضوعات:
الوصول للمادة أونلاين:http://dx.doi.org/10.1016/j.diabres.2023.110662
https://www.sciencedirect.com/science/article/pii/S0168822723004229
http://hdl.handle.net/10576/42660
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author Jie, Yang
author2 Xia, Yujia
Sun, Yanan
Guo, Yufei
Shi, Zumin
Cristina do Vale Moreira, Nayla
Zuo, Hui
Hussain, Akhtar
author2_role author
author
author
author
author
author
author
author_facet Jie, Yang
Xia, Yujia
Sun, Yanan
Guo, Yufei
Shi, Zumin
Cristina do Vale Moreira, Nayla
Zuo, Hui
Hussain, Akhtar
author_role author
dc.creator.none.fl_str_mv Jie, Yang
Xia, Yujia
Sun, Yanan
Guo, Yufei
Shi, Zumin
Cristina do Vale Moreira, Nayla
Zuo, Hui
Hussain, Akhtar
dc.date.none.fl_str_mv 2023-05-14T05:23:17Z
2023-05-31
dc.format.none.fl_str_mv text/html
dc.identifier.none.fl_str_mv http://dx.doi.org/10.1016/j.diabres.2023.110662
Yang, J., Xia, Y., Sun, Y., Guo, Y., Shi, Z., do Vale Moreira, N. C., ... & Hussain, A. (2023). Effect of lifestyle intervention on HbA1c levels in overweight and obese adults with type 2 diabetes across ethnicities: A systematic review and meta-analysis of randomized controlled trials. Diabetes Research and Clinical Practice, 110662.‏
01688227
https://www.sciencedirect.com/science/article/pii/S0168822723004229
http://hdl.handle.net/10576/42660
199
dc.language.none.fl_str_mv en
dc.publisher.none.fl_str_mv Elsevier
dc.rights.none.fl_str_mv http://creativecommons.org/licenses/by-nc-nd/4.0/
info:eu-repo/semantics/openAccess
dc.subject.none.fl_str_mv Diabetes
Lifestyle intervention
HbA1c
Ethnicity
Weight loss
Randomized controlled trial
dc.title.none.fl_str_mv Effect of lifestyle intervention on HbA1c levels in overweight and obese adults with type 2 diabetes across ethnicities: A systematic review and meta-analysis of randomized controlled trials
dc.type.none.fl_str_mv Article
info:eu-repo/semantics/publishedVersion
info:eu-repo/semantics/article
description AimsWeight reduction is fundamental for the management and remission of diabetes. We aimed to assess ethnic differences in the effects of lifestyle weight-loss interventions on HbA1c levels in overweight or obese adults with type 2 diabetes mellitus (T2DM). MethodsWe systematically searched PubMed/MEDLINE and Web of Science online databases up to 31 Dec 2022. Randomized controlled trials using lifestyle weight-loss interventions in overweight or obese adults with T2DM were selected. We performed subgroup analyses to explore the heterogeneity across different ethnicities (Asians, White/Caucasians, Black/Africans and Hispanics). A random effects model was applied to calculate weighted mean difference (WMD) with 95% confidence interval (CI). ResultsThirty studies including 7580 subjects from different ethnicities were identified according to the predefined inclusion and exclusion criteria. HbA1c levels were significantly reduced by lifestyle weight-loss intervention. Notably, a significantly beneficial effect on HbA1c was observed in White/Caucasians (WMD = -0.59, 95% CI: −0.90, −0.28, P < 0.001) and Asians (WMD = -0.48, 95% CI: −0.63, −0.33, P < 0.001), but not in the Black/African or Hispanic group (both P > 0.05). The findings remained essentially unchanged in the sensitivity analysis. ConclusionsLifestyle weight-loss interventions had distinct beneficial effects on HbA1c levels in different ethnic groups with T2DM, especially in Caucasians and Asians.
eu_rights_str_mv openAccess
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id qu_d4cb0f759c7020d39aec3191de7f8096
identifier_str_mv Yang, J., Xia, Y., Sun, Y., Guo, Y., Shi, Z., do Vale Moreira, N. C., ... & Hussain, A. (2023). Effect of lifestyle intervention on HbA1c levels in overweight and obese adults with type 2 diabetes across ethnicities: A systematic review and meta-analysis of randomized controlled trials. Diabetes Research and Clinical Practice, 110662.‏
01688227
199
language_invalid_str_mv en
network_acronym_str qu
network_name_str Qatar University repository
oai_identifier_str oai:qspace.qu.edu.qa:10576/42660
publishDate 2023
publisher.none.fl_str_mv Elsevier
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rights_invalid_str_mv http://creativecommons.org/licenses/by-nc-nd/4.0/
spelling Effect of lifestyle intervention on HbA1c levels in overweight and obese adults with type 2 diabetes across ethnicities: A systematic review and meta-analysis of randomized controlled trialsJie, YangXia, YujiaSun, YananGuo, YufeiShi, ZuminCristina do Vale Moreira, NaylaZuo, HuiHussain, AkhtarDiabetesLifestyle interventionHbA1cEthnicityWeight lossRandomized controlled trialAimsWeight reduction is fundamental for the management and remission of diabetes. We aimed to assess ethnic differences in the effects of lifestyle weight-loss interventions on HbA1c levels in overweight or obese adults with type 2 diabetes mellitus (T2DM). MethodsWe systematically searched PubMed/MEDLINE and Web of Science online databases up to 31 Dec 2022. Randomized controlled trials using lifestyle weight-loss interventions in overweight or obese adults with T2DM were selected. We performed subgroup analyses to explore the heterogeneity across different ethnicities (Asians, White/Caucasians, Black/Africans and Hispanics). A random effects model was applied to calculate weighted mean difference (WMD) with 95% confidence interval (CI). ResultsThirty studies including 7580 subjects from different ethnicities were identified according to the predefined inclusion and exclusion criteria. HbA1c levels were significantly reduced by lifestyle weight-loss intervention. Notably, a significantly beneficial effect on HbA1c was observed in White/Caucasians (WMD = -0.59, 95% CI: −0.90, −0.28, P < 0.001) and Asians (WMD = -0.48, 95% CI: −0.63, −0.33, P < 0.001), but not in the Black/African or Hispanic group (both P > 0.05). The findings remained essentially unchanged in the sensitivity analysis. ConclusionsLifestyle weight-loss interventions had distinct beneficial effects on HbA1c levels in different ethnic groups with T2DM, especially in Caucasians and Asians.Elsevier2023-05-14T05:23:17Z2023-05-31Articleinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articletext/htmlhttp://dx.doi.org/10.1016/j.diabres.2023.110662Yang, J., Xia, Y., Sun, Y., Guo, Y., Shi, Z., do Vale Moreira, N. C., ... & Hussain, A. (2023). Effect of lifestyle intervention on HbA1c levels in overweight and obese adults with type 2 diabetes across ethnicities: A systematic review and meta-analysis of randomized controlled trials. Diabetes Research and Clinical Practice, 110662.‏01688227https://www.sciencedirect.com/science/article/pii/S0168822723004229http://hdl.handle.net/10576/42660199enhttp://creativecommons.org/licenses/by-nc-nd/4.0/info:eu-repo/semantics/openAccessoai:qspace.qu.edu.qa:10576/426602024-07-23T13:53:11Z
spellingShingle Effect of lifestyle intervention on HbA1c levels in overweight and obese adults with type 2 diabetes across ethnicities: A systematic review and meta-analysis of randomized controlled trials
Jie, Yang
Diabetes
Lifestyle intervention
HbA1c
Ethnicity
Weight loss
Randomized controlled trial
status_str publishedVersion
title Effect of lifestyle intervention on HbA1c levels in overweight and obese adults with type 2 diabetes across ethnicities: A systematic review and meta-analysis of randomized controlled trials
title_full Effect of lifestyle intervention on HbA1c levels in overweight and obese adults with type 2 diabetes across ethnicities: A systematic review and meta-analysis of randomized controlled trials
title_fullStr Effect of lifestyle intervention on HbA1c levels in overweight and obese adults with type 2 diabetes across ethnicities: A systematic review and meta-analysis of randomized controlled trials
title_full_unstemmed Effect of lifestyle intervention on HbA1c levels in overweight and obese adults with type 2 diabetes across ethnicities: A systematic review and meta-analysis of randomized controlled trials
title_short Effect of lifestyle intervention on HbA1c levels in overweight and obese adults with type 2 diabetes across ethnicities: A systematic review and meta-analysis of randomized controlled trials
title_sort Effect of lifestyle intervention on HbA1c levels in overweight and obese adults with type 2 diabetes across ethnicities: A systematic review and meta-analysis of randomized controlled trials
topic Diabetes
Lifestyle intervention
HbA1c
Ethnicity
Weight loss
Randomized controlled trial
url http://dx.doi.org/10.1016/j.diabres.2023.110662
https://www.sciencedirect.com/science/article/pii/S0168822723004229
http://hdl.handle.net/10576/42660