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Front Endocrinol (Lausanne). 2013 Jan 29;4:3. doi: 10.3389/fendo.2013.00003. eCollection 2013.

Community-based physical activity interventions for treatment of type 2 diabetes: a systematic review with meta-analysis.

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1
Priority Research Centre in Physical Activity and Nutrition, University of Newcastle Callaghan, NSW Australia.

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 (pā€‰<ā€‰0.06). Our findings can guide future PA community-based interventions in adult populations diagnosed with TD2.

KEYWORDS:

HbA1c; community-based intervention; physical activity; treatment; type two diabetes

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