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

• Published in: Frontiers in endocrinology (Lausanne) 2013, Vol.4, p.3-3
• Main Authors: Plotnikoff, Ronald C, Costigan, Sarah A, Karunamuni, Nandini D, Lubans, David R
• Format: Article
• Language: English
• Subjects: Community-based intervention; Endocrinology; HbA1c; physical activity; Treatment; Type two diabetes
• ISSN: 1664-2392; 1664-2392
• DOI: 10.3389/fendo.2013.00003

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 (p