Efficacy of lifestyle interventions in patients with type 2 diabetes: A systematic review and meta-analysis
Abstract
Background The current meta-analysis evaluated the outcomes of various lifestyle interventions, including diet modifications (DIET), physical activity (PA), and patient education (EDU) in reducing the risk of cardiovascular disease in patients with type 2 diabetes.Methods Randomized clinical trials comparing lifestyle intervention with "usual care" (control) in type 2 diabetes patients were hand-searched from medical databases by two independent reviewers using the terms "diabetes, cardiovascular risk, lifestyle, health education, dietary, exercise/physical activities, and behavior intervention".Results Of the 235 studies identified, 17 were chosen for the meta-analysis. The average age of patients ranged from 50-67.3 years. Results reveal no significant difference between the groups, with respect to BMI, while PA and DIET yielded a greater reduction in HbA1c. Significant reduction in both systolic and diastolic pressures in the DIET group, and diastolic pressure in the PA group, was observed. HDL-c in the DIET group was significantly higher than the control group, while no change in LDL-c levels, was seen in all three intervention subtypes. There was no difference between the EDU vs. the control group in terms of HbA1c, blood pressure or HDL-c and LDL-c.Conclusion DIET intervention showed an improvement in HbA1c, systolic/diastolic blood pressure and HDL-c, with an exception of LDL-c and BMI, suggesting that nutritional intervention had a significant impact on the quality of life by reducing the cardiovascular risk in type 2 diabetes patients.
Integrity signals
Registry
Cites
Statistics
Claims the paper makes
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
An increased animal fat (saturated fatty acid [SFA]) intake has been shown to be associated with the risk of diabetes.
“an increased animal fat (saturated fatty acid [SFA]) intake has been shown to be associated with the risk of diabetes 19 , 20 , 21 , 22 , 23 .”
From Japanese clinical practice guideline for diabetes 2019 (2020) · cites this paper as [20]
DPP-4 inhibitors appear to have a favorable safety profile.
“Thus, at present, DPP‐4 inhibitors appear to have a favorable safety profile 19 , 20 , 21 , 22 , while attention needs to be given to the potential onset of acute pancreatitis and bullous pemphigoid with these agents.”
From Japanese clinical practice guideline for diabetes 2019 (2020) · cites this paper as [20]
Diabetes is often associated with depressive symptoms and anxiety disorders specific to the disease.
“Diabetes is often associated with depressive symptoms and anxiety disorders specific to the disease 18 , 19 , 20 , leading to suboptimal self‐care, worsening of glycemic control, an increased risk of diabetic complications, and an impaired QOL, thus adversely affecting the prognosis of affected patients 21 , 22 .”
From Japanese clinical practice guideline for diabetes 2019 (2020) · cites this paper as [20]
Cites
The Cochrane Collaboration's tool for assessing risk of bias in randomised trials
Higgins, J. P. T., Altman, D. G., Gotzsche, P. C., Juni, P., Moher, D., Oxman, A. D., Savovic, J., Schulz, K. F., Weeks, L., Sterne, J. A. C., et al. (2011) · BMJ · doi:10.1136/bmj.d5928 · Cited by 33,817 · see citing works
Wild, S., Roglic, G., Green, A., Sicree, R., & King, H. (2004) · Diabetes Care · doi:10.2337/diacare.27.5.1047 · Cited by 15,297 · see citing works
Projections of Global Mortality and Burden of Disease from 2002 to 2030
Mathers, C. D., & Loncar, D. (2006) · PLoS Medicine · doi:10.1371/journal.pmed.0030442 · Cited by 11,386 · see citing works
Reduction in Weight and Cardiovascular Disease Risk Factors in Individuals With Type 2 Diabetes
The Look AHEAD Research Group (2007) · Diabetes Care · doi:10.2337/dc07-0048 · Cited by 1,522 · see citing works
Empirical assessment of effect of publication bias on meta-analyses
Sutton, A. J. (2000) · BMJ · doi:10.1136/bmj.320.7249.1574 · Cited by 1,398 · see citing works
(2010) · Archives of Internal Medicine · doi:10.1001/archinternmed.2010.334 · Cited by 1,162 · see citing works
Schellenberg, E. S., Dryden, D. M., Vandermeer, B., Ha, C., & Korownyk, C. (2013) · Annals of Internal Medicine · doi:10.7326/0003-4819-159-8-201310150-00007 · Cited by 520 · see citing works
Evidence-based nutritional approaches to the treatment and prevention of diabetes mellitus
Mann, J. I., Leeuw, I. D., Hermansen, K., Karamanos, B. G., Karlström, B., Katsilambros, N. L., Riccardi, G., Rivellese, A. A., Rizkalla, S. W., Slama, G., et al. (2004) · Nutrition Metabolism and Cardiovascular Diseases · doi:10.1016/s0939-4753(04)80028-0 · Cited by 520 · see citing works
Roizen, M. F. (2011) · Yearbook of Anesthesiology and Pain Management · doi:10.1016/j.yane.2011.01.029 · Cited by 487 · see citing works
Effect of lifestyle intervention in patients with type 2 diabetes: A meta-analysis
Chen, L., Pei, J.-H., Kuang, J., Chen, H.-M., Chen, Z., Li, Z.-W., & Yang, H.-Z. (2015) · Metabolism · doi:10.1016/j.metabol.2014.10.018 · Cited by 343 · see citing works
The anti-inflammatory effects of exercise training in patients with type 2 diabetes mellitus
Kadoglou, N. P. E., Iliadis, F., Angelopoulou, N., Perrea, D., Ampatzidis, G., Liapis, C. D., & Alevizos, M. (2007) · European Journal of Cardiovascular Prevention & Rehabilitation · doi:10.1097/hjr.0b013e3282efaf50 · Cited by 337 · see citing works
Balducci, S. (2010) · Archives of Internal Medicine · doi:10.1001/archinternmed.2010.380 · Cited by 329 · see citing works
Puavilai, G., Chanprasertyotin, S., & Sriphrapradaeng, A. (1999) · Diabetes Research and Clinical Practice · doi:10.1016/s0168-8227(99)00008-x · Cited by 221 · see citing works
Trento, M., Passera, P., Bajardi, M., Tomalino, M., Grassi, G., Borgo, E., Donnola, C., Cavallo, F., Bondonio, P., & Porta, M. (2002) · Diabetologia · doi:10.1007/s00125-002-0904-8 · Cited by 209 · see citing works
Coppell, K. J., Kataoka, M., Williams, S., CHISHOLM, A. W., Vorgers, S. M., & Mann, J. I. (2010) · BMJ · doi:10.1136/bmj.c3337 · Cited by 199 · see citing works
Baker, M. K., Simpson, K. A., Lloyd, B. D., Bauman, A. E., & Singh, M. A. F. (2010) · Diabetes Research and Clinical Practice · doi:10.1016/j.diabres.2010.06.030 · Cited by 153 · see citing works
for the Japan Diabetes Complications Study Group, Sone, H., Tanaka, S., Iimuro, S., Tanaka, S., Oida, K., Yamasaki, Y., Oikawa, S., Ishibashi, S., Katayama, S., et al. (2010) · Diabetologia · doi:10.1007/s00125-009-1622-2 · Cited by 151 · see citing works
Long-term effectiveness of weight-loss interventions in adults with pre-diabetes
Norris, S. L., Zhang, X., Avenell, A., Gregg, E. W., Bowman, B. A., Schmid, C. H., & Lau, J. (2004) · American Journal of Preventive Medicine · doi:10.1016/j.amepre.2004.08.006 · Cited by 145 · see citing works
MacIntyre, P., Fisher, M., Kirk, A., & Mutrie, N. (2004) · Diabetologia · doi:10.1007/s00125-004-1396-5 · Cited by 139 · see citing works
Rock, C. L., Flatt, S. W., Pakiz, B., Taylor, K. S., Leone, A. F., Brelje, K., Heath, D. D., Quintana, E. L., & Sherwood, N. E. (2014) · Diabetes Care · doi:10.2337/dc13-2900 · Cited by 139 · see citing works
Case management for patients with poorly controlled diabetes: a randomized trial
Krein, S. L., Klamerus, M. L., Vijan, S. S., Lee, J. L., Fitzgerald, J. T., Pawlow, A., Reeves, P. J., & Hayward, R. A. (2004) · The American Journal of Medicine · doi:10.1016/j.amjmed.2003.11.028 · Cited by 138 · see citing works
Ali, M., Schifano, F., Robinson, P., Phillips, G., Doherty, L., Melnick, P., Laming, L., Sinclair, A. J., & Dhillon, S. (2012) · Diabetic Medicine · doi:10.1111/j.1464-5491.2012.03725.x · Cited by 127 · see citing works
Angermayr, L., Melchart, D., & Linde, K. (2010) · Annals of Behavioral Medicine · doi:10.1007/s12160-010-9206-4 · Cited by 96 · see citing works
Salinero-Fort, M., Pau, E., Arrieta-Blanco, F., Abánades-Herranz, J. C., Martín-Madrazo, C., Rodés-Soldevila, B., & de Burgos-Lunar, C. (2011) · BMC Public Health · doi:10.1186/1471-2458-11-267 · Cited by 85 · see citing works
Mohamed, H., Lenjawi, B. A., Amuna, P., Zotor, F. B., & Elmahdi, H. (2013) · Primary care diabetes · doi:10.1016/j.pcd.2013.05.002 · Cited by 82 · see citing works
Effect of Exercise on Blood Pressure in Type 2 Diabetes: A Randomized Controlled Trial
Dobrosielski, D. A., Gibbs, B. B., Ouyang, P., Bonekamp, S., Clark, J. M., Wang, N., Silber, H. A., Shapiro, E. P., & Stewart, K. J. (2012) · Journal of General Internal Medicine · doi:10.1007/s11606-012-2103-8 · Cited by 78 · see citing works
Chan, C.-W., Siu, S., Wong, C. K. W., & Lee, V. W. Y. (2011) · Journal of Cardiovascular Pharmacology and Therapeutics · doi:10.1177/1074248410396216 · Cited by 69 · see citing works
Uusitupa, M. I. J., Laitinen, J., Siitonen, O., Vanninen, E. J., & Pyörälà, K. (1993) · Diabetes Research and Clinical Practice · doi:10.1016/0168-8227(93)90118-o · Cited by 65 · see citing works
Vignes, C.-H., & SCHLENZKA, H. J. (1983) · Elsevier eBooks · doi:10.1016/b978-0-444-86236-5.50109-7 · Cited by 53 · see citing works
Hippisley‐Cox, J., & Coupland, C. A. C. (2015) · BMJ Open · doi:10.1136/bmjopen-2015-008503 · Cited by 52 · see citing works
Wisse, W., Rookhuizen, M. B., de Kruif, M. D., van Rossum, J., Jordans, I., Cate, H. T., van Loon, L. J. C., & Meesters, E. W. (2010) · Diabetes Research and Clinical Practice · doi:10.1016/j.diabres.2010.01.015 · Cited by 50 · see citing works
Ko, G. T. C., Li, J. K. Y., Kan, E. C. Y., & Lo, M. K. W. (2004) · Diabetic Medicine · doi:10.1111/j.1464-5491.2004.01329.x · Cited by 48 · see citing works
Crasto, W., Jarvis, J., Khunti, K., Skinner, T. C., Gray, L. J., Brela, J., Troughton, J., Daly, H., Lawrence, I. G., McNally, P. G., et al. (2011) · Diabetes Research and Clinical Practice · doi:10.1016/j.diabres.2011.05.008 · Cited by 45 · see citing works
Biophysiologic Outcomes of the Enhancing Adherence in Type 2 Diabetes (ENHANCE) Trial
Sevick, M. A., Korytkowski, M., Stone, R. A., Piraino, B., Ren, D., Sereika, S. M., Wang, Y., Steenkiste, A. R., & Burke, L. E. (2012) · Journal of the Academy of Nutrition and Dietetics · doi:10.1016/j.jand.2012.05.008 · Cited by 40 · see citing works
Florez, H. J., Temprosa, M. G., Orchard, T. J., Mather, K. J., Marcovina, S. M., Barrett-Connor, E. L., Horton, E., Saudek, C. D., Pi-Sunyer, X. F., Ratner, R. E., et al. (2013) · Diabetes Obesity and Metabolism · doi:10.1111/dom.12220 · Cited by 33 · see citing works
Koivula, R. W., Tornberg, Å. B., & Franks, P. W. (2013) · Current Diabetes Reports · doi:10.1007/s11892-013-0373-0 · Cited by 31 · see citing works
Yoo, S., Chin, S. O., Lee, S.-A., & Koh, G. (2015) · Endocrinology and Metabolism · doi:10.3803/enm.2015.30.3.352 · Cited by 14 · see citing works
Diabetes and cardiovascular disease: focus on glucagon-like peptide-1 based therapies
Stranges, P. M., & Khanderia, U. (2012) · Therapeutic Advances in Drug Safety · doi:10.1177/2042098612454290 · Cited by 4 · see citing works
Flagged first, then by citations
1 of the 39 references couldn’t be matched to a known paper.
Cited by
Sorted by citations
Bhatti, J. S., Sehrawat, A., Mishra, J., Sidhu, I. S., Navik, U., Khullar, N., Kumar, S., Bhatti, G. K., & Reddy, P. (2022) · Free Radical Biology & Medicine · doi:10.1016/j.freeradbiomed.2022.03.019 · Cited by 649 · see citing works
Japanese clinical practice guideline for diabetes 2019
Araki, E., Goto, A., Kondo, T., Noda, M., Noto, H., Origasa, H., Osawa, H., Taguchi, A., Tanizawa, Y., Tobe, K., et al. (2020) · Diabetology International · doi:10.1007/s13340-020-00439-5 · Cited by 545 · see citing works
Japanese Clinical Practice Guideline for Diabetes 2019
Araki, E., Goto, A., Kondo, T., Noda, M., Noto, H., Origasa, H., Osawa, H., Taguchi, A., Tanizawa, Y., Tobe, K., et al. (2020) · Journal of Diabetes Investigation · doi:10.1111/jdi.13306 · Cited by 346 · see citing works
Slyepchenko, A., Maes, M., Jacka, F. N., Köhler, C. A., Barichello, T., McIntyre, R. S., Berk, M., Grande, I., Foster, J. A., Vieta, E., et al. (2017) · Psychotherapy and Psychosomatics · doi:10.1159/000448957 · Cited by 278 · see citing works
Lifestyle factors, self-management and patient empowerment in diabetes care
Lambrinou, E., Hansen, T. B., & Beulens, J. W. (2019) · European Journal of Preventive Cardiology · doi:10.1177/2047487319885455 · Cited by 261 · see citing works
He, X., Li, J., Wang, B., Yao, Q., Li, L., Song, R., Shi, X., & Zhang, J.-A. (2017) · Endocrine · doi:10.1007/s12020-016-1168-2 · Cited by 250 · see citing works
Self-Management Education and Support
Sherifali, D., Berard, L., Gucciardi, E., MacDonald, B., & Macneill, G. (2018) · Canadian Journal of Diabetes · doi:10.1016/j.jcjd.2017.10.006 · Cited by 122 · see citing works
Clinical outcomes to exercise training in type 1 diabetes: a systematic review and meta-analysis
Ostman, C., Jewiss, D., King, N., & Smart, N. A. (2018) · Diabetes Research and Clinical Practice · doi:10.1016/j.diabres.2017.11.036 · Cited by 93 · see citing works
Chai, S., Yao, B., Xu, L., Wang, D., Sun, J., Yuan, N., Zhang, X., & Ji, L. (2018) · Patient Education and Counseling · doi:10.1016/j.pec.2018.03.020 · Cited by 83 · see citing works
Gupta, L., Khandelwal, D., Maharaj Agrasen Hopsital, P. B., Lal, P. R., Gupta, Y., Kalra, S., & Dutta, D. (2019) · touchREVIEWS in Endocrinology · doi:10.17925/ee.2019.15.1.18 · Cited by 68 · see citing works
MacDonald, C. S., Ried‐Larsen, M., Soleimani, J., Alsawas, M., Lieberman, D. E., Ismail, A. S., Serafim, L. P., Yang, T., Prokop, L., Joyner, M., et al. (2021) · Diabetes/Metabolism Research and Reviews · doi:10.1002/dmrr.3444 · Cited by 57 · see citing works
Qin, J., Chen, Y., Guo, S., You, Y., Xu, Y., Wu, J., Liu, Z., Huang, J., Chen, L., & Tao, J. (2021) · Frontiers in Endocrinology · doi:10.3389/fendo.2020.543627 · Cited by 47 · see citing works
Effectiveness of dietetic intervention for people with type 2 diabetes: A meta-analysis
Siopis, G., Colagiuri, S., & Allman-Farinelli, M. A. (2020) · Clinical Nutrition · doi:10.1016/j.clnu.2020.12.009 · Cited by 45 · see citing works
Popoviciu, M. S., Marin, V. N., Vesa, C. M., Ștefan, S., Stoica, R. A., Serafinceanu, C., Merlo, E. M., Rizvi, A. A., Rizzo, M., Busnatu, Ș., et al. (2022) · Healthcare · doi:10.3390/healthcare10010174 · Cited by 46 · see citing works
O’Donoghue, G., O'Sullivan, C. M., Corridan, I., Daly, J., Finn, R., Melvin, K., & Peiris, C. L. (2021) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph18126273 · Cited by 45 · see citing works
Liu, X., Shi, Y., Willis, K. F., Wu, C.-J. J., & Johnson, M. (2017) · BMJ Open · doi:10.1136/bmjopen-2017-016857 · Cited by 42 · see citing works
Deledda, A., Palmas, V., Heidrich, V., Fosci, M., Lombardo, M., Cambarau, G., Lai, A., Melis, M., Loi, E., Loviselli, A., et al. (2022) · Metabolites · doi:10.3390/metabo12111092 · Cited by 43 · see citing works
Miyamoto, T., Iwakura, T., Matsuoka, N., Iwamoto, M., Takenaka, M., Akamatsu, Y., & Moritani, T. (2018) · Diabetes Research and Clinical Practice · doi:10.1016/j.diabres.2018.05.032 · Cited by 37 · see citing works
Maula, A., Kai, J., Woolley, A. K., Weng, S. F., Dhalwani, N. N., Griffiths, F. E., Khunti, K. K., & Kendrick, D. (2019) · Diabetic Medicine · doi:10.1111/dme.14193 · Cited by 37 · see citing works
Verboven, K., & Hansen, D. (2020) · Sports Medicine · doi:10.1007/s40279-020-01392-8 · Cited by 33 · see citing works
Palazón-Bru, A., Hernández-Lozano, D., & Gil-Guillén, V. (2020) · Sports Medicine · doi:10.1007/s40279-020-01364-y · Cited by 28 · see citing works
Liu, Y., Wang, K., Maisonet, M., Wang, L., & Zheng, S. (2016) · Journal of Diabetes · doi:10.1111/1753-0407.12492 · Cited by 29 · see citing works
Willems, R. P., Annemans, L., Siopis, G., Moschonis, G., Vedanthan, R., Jung, J., Kwaśnicka, D., Oldenburg, B. F., D’Antonio, C., Girolami, S., et al. (2023) · npj Digital Medicine · doi:10.1038/s41746-023-00876-x · Cited by 30 · see citing works
Onofrio, V. D., Gallé, F., Dio, M. D., Belfiore, P., & Liguori, G. (2018) · BMC Public Health · doi:10.1186/s12889-018-6101-6 · Cited by 31 · see citing works
Hu, L., Islam, N. S., Trinh‐Shevrin, C., Wu, B., Feldman, N., Tamura, K., Jiang, N., Lim, S., Wang, C., Bubu, O. M., et al. (2022) · JMIR Formative Research · doi:10.2196/37737 · Cited by 25 · see citing works
Lee, M.-K., Lee, D. Y., Ahn, H.-Y., & Park, C.-Y. (2021) · JMIR mHealth and uHealth · doi:10.2196/17573 · Cited by 27 · see citing works
Kosmalski, M., Pękala-Wojciechowska, A., Sut, A., Pietras, T., & Luzak, B. (2022) · Nutrients · doi:10.3390/nu14051083 · Cited by 21 · see citing works
Gallé, F., Onofrio, V. D., Cirella, A., Dio, M. D., Miele, A., Spinosa, T., & Liguori, G. (2017) · Diabetes Therapy · doi:10.1007/s13300-017-0283-2 · Cited by 25 · see citing works
López, L. V., Muñoz-Torres, A. V., Medina‐Bravo, P., Vilchis‐Gil, J., Klünder‐Klünder, M., & Escobedo, J. (2017) · Endocrine · doi:10.1007/s12020-017-1416-0 · Cited by 24 · see citing works
Gupta, U., Gupta, Y., Jose, D., Kalaivani, M., Jyotsna, V. P., Sharma, G., & Tandon, N. (2020) · Diabetes Therapy · doi:10.1007/s13300-020-00769-2 · Cited by 25 · see citing works
Tandon, N., Gupta, U., Gupta, Y., Jose, D., Mani, K., Jyotsna, V., & Sharma, G. (2020) · International Journal of Yoga · doi:10.4103/ijoy.ijoy_33_20 · Cited by 23 · see citing works
Muchiri, J. W., Gericke, G. J., & Rheeder, P. (2021) · Journal of Diabetes & Metabolic Disorders · doi:10.1007/s40200-021-00744-z · Cited by 25 · see citing works
Efficacy of lifestyle medicine on sleep quality: A meta-analysis of randomized controlled trials
Wong, V. W.-H., Ho, F. Y., Wong, Y. S.-H., Chung, K., Yeung, W., Ng, C. H., & Sarris, J. J. (2023) · Journal of Affective Disorders · doi:10.1016/j.jad.2023.02.111 · Cited by 21 · see citing works
Chen, P., Shen, Y., Li, Z., Sun, X., Feng, X. L., & Fisher, E. B. (2022) · Frontiers in Public Health · doi:10.3389/fpubh.2021.773293 · Cited by 19 · see citing works
MEW network self-management program characteristics and lessons learned through the RE-AIM framework
Escoffery, C., Patel, A., Leung, J., Anderson, M., Mcgee, R., Sajatovic, M., Johnson, E. K., Jobst, B., Kiriakopoulos, E. T., Shegog, R., et al. (2023) · Epilepsy & Behavior · doi:10.1016/j.yebeh.2023.109111 · Cited by 19 · see citing works
Rodríguez‐García, E., Ruiz-Nava, J., Santamaria-Fernández, S., Fernández‐García, J. C., Vargas‐Candela, A., Yahyaoui, R., Tinahones, F. J., Bernal-López, M. R., & Gómez-Huelgas, R. (2017) · Medicine · doi:10.1097/md.0000000000007040 · Cited by 18 · see citing works
Type 2 diabetes: cost-effectiveness of medication adherence and lifestyle interventions
Nerat, T., Locatelli, I., & Kos, M. (2016) · Patient Preference and Adherence · doi:10.2147/ppa.s114602 · Cited by 17 · see citing works
Huckfeldt, P. J., Frenier, C., Pajewski, N. M., Espeland, M. A., Peters, A. L., Casanova, R., Pi‐Sunyer, X., Cheskin, L. J., & Goldman, D. P. (2020) · JAMA Network Open · doi:10.1001/jamanetworkopen.2020.25488 · Cited by 16 · see citing works
Martín‐Payo, R., Cano, C. P., Fernández-Raigada, R. I., Santos-Granda, M. I., Cuesta, M., & González-Méndez, X. (2020) · Diabetes Research and Clinical Practice · doi:10.1016/j.diabres.2020.108579 · Cited by 13 · see citing works
Shin, Y., & Kim, Y. (2020) · Nutrients · doi:10.3390/nu12092612 · Cited by 12 · see citing works
Mutagwanya, R., Nyago, C. M., & Nakwagala, F. N. (2021) · European Journal of Clinical Nutrition · doi:10.1038/s41430-021-00940-3 · Cited by 11 · see citing works
Caro, J., Villa‐Estrada, F., Gómez‐González, A. J., Lupiáñez‐Pérez, I., Herrera, J. C. M., Kaknani‐Uttumchandani, S., García‐Mayor, S., & Morales‐Asencio, J. M. (2020) · Journal of Advanced Nursing · doi:10.1111/jan.14580 · Cited by 11 · see citing works
Brito, P. R. B., García, Á. M., Oter‐Quintana, C., Paloma‐Castro, O., & Romero‐Sánchez, J. M. (2019) · International Journal of Nursing Knowledge · doi:10.1111/2047-3095.12243 · Cited by 11 · see citing works
Association of Intensive Lifestyle Intervention for Type 2 Diabetes With Labor Market Outcomes
Huckfeldt, P. J., Yu, J. C., O’Leary, P., Harada, A. S. M., Pajewski, N. M., Frenier, C., Espeland, M. A., Peters, A. L., Bancks, M. P., Seabury, S. A., et al. (2023) · JAMA Internal Medicine · doi:10.1001/jamainternmed.2023.3283 · Cited by 10 · see citing works
Martín‐Payo, R., González-Méndez, X., Cano, C. P., & Álvarez, J. S. (2018) · Psicothema · doi:10.7334/psicothema2017.269 · Cited by 10 · see citing works
Chinese Guidelines for Medical Nutrition Therapy for Patients with Diabetes (2022 Edition).
(2024) · PubMed Central · doi:10.6133/apjcn.202406_33(2).0001 · Cited by 9 · see citing works
Assessing the evidence: Exploring the effects of exercise on diabetic microcirculation
Lenasi, H., & Klonizakis, M. (2016) · Clinical Hemorheology and Microcirculation · doi:10.3233/ch-168022 · Cited by 9 · see citing works
Ye, Q., Patel, R., Khan, U., Boren, S. A., & Kim, M. S. (2019) · International Journal of Clinical Practice · doi:10.1111/ijcp.13451 · Cited by 9 · see citing works
Dintsios, C., Chernyak, N., Grehl, B., & Icks, A. (2018) · Systematic Reviews · doi:10.1186/s13643-018-0884-5 · Cited by 8 · see citing works
The effect of type 2 diabetes diagnosis in the elderly
Gaggero, A. (2020) · Economics & Human Biology · doi:10.1016/j.ehb.2019.100830 · Cited by 9 · see citing works
Romero‐Sánchez, J. M., Brito, P. R. B., Martínez‐Alberto, C. E., García, Á. M., Rodríguez‐Álvaro, M., & Paloma‐Castro, O. (2020) · International Journal of Nursing Knowledge · doi:10.1111/2047-3095.12288 · Cited by 8 · see citing works
Berkowitz, S. A., Chang, Y., Porneala, B., CROMER, S. J., Wexler, D. J., & Delahanty, L. M. (2020) · BMJ Open Diabetes Research & Care · doi:10.1136/bmjdrc-2020-001514 · Cited by 7 · see citing works
Gu, X. Q., Zhu, Y., Zhang, Y., Sun, L., Bao, Z.-Y., Shen, J., Chen, F., Li, H., Miao, S., Wang, J., et al. (2017) · Europe PMC (PubMed Central) · doi:10.11909/j.issn.1671-5411.2017.08.013 · Cited by 7 · see citing works
Self-citationWieser, H., Vittadello, F., Comploj, E., & Stummer, H. (2020) · Healthcare · doi:10.3390/healthcare8040524 · Cited by 6 · see citing works
Muchiri, J. W., Gericke, G. J., & Rheeder, P. (2024) · South African Journal of Clinical Nutrition · doi:10.1080/16070658.2023.2295497 · Cited by 6 · see citing works
Zhou, R., Cui, Y., Zhang, Y., Jin, D., An, X., Duan, Y., Zhang, Y., Kang, X., & Lian, F. (2022) · Frontiers in Endocrinology · doi:10.3389/fendo.2022.838224 · Cited by 8 · see citing works
Watch out for diabetes: Less education but let’s get moving, let’s eat less!
Argano, C., Bocchio, R. M., & Corrao, S. (2016) · European Journal of Internal Medicine · doi:10.1016/j.ejim.2016.03.011 · Cited by 6 · see citing works
Wieser, H., Piccoliori, G., Siller, M., Comploj, E., & Stummer, H. (2020) · Global Advances in Health and Medicine · doi:10.1177/2164956120946701 · Cited by 6 · see citing works
The effects of saffron petals and damask rose petals on biochemical and inflammatory measurements
Majidi, N., Monfared, M. K., Mazaheri-Eftekhar, F., Movahedi, A., & Karandish, M. (2021) · Journal of Complementary and Integrative Medicine · doi:10.1515/jcim-2021-0420 · Cited by 6 · see citing works
Marume, A., Chidoko, E., & Chirenda, J. (2025) · Journal of Public Health in Africa · doi:10.4102/jphia.v16i1.1325 · Cited by 5 · see citing works
Jabardo-Camprubí, G., Puig-Ribera, A. M., Roca, R. D., Farrés-Godayol, P., Nazar-Gonzalez, S., Sitjà‐Rabert, M., Espelt, A., & Roig, J. B. (2023) · Healthcare · doi:10.3390/healthcare11131815 · Cited by 5 · see citing works
Zhang, N., & Fa, T. (2021) · Annals of Palliative Medicine · doi:10.21037/apm-21-2189 · Cited by 5 · see citing works
Kawabata, N., Okada, K., Ando, A., Kurashina, T., Takahashi, M., Wakabayashi, T., Nagata, D., Arakawa, Y., Atsuko, H., Kogure, A., et al. (2022) · Journal of Diabetes Investigation · doi:10.1111/jdi.13890 · Cited by 5 · see citing works
Vasconcelos, C. E. G. D. C., Cabral, M., Ramos, E., & Mendes, R. (2021) · Journal of Nutritional Science · doi:10.1017/jns.2021.50 · Cited by 4 · see citing works
Johnson, L. C. M., Haregu, T., Sathish, T., Man, J. D., Desloge, A., Absetz, P., Williams, E. D., Thankappan, K. R., & Oldenburg, B. F. (2022) · Preventive Medicine · doi:10.1016/j.ypmed.2022.107172 · Cited by 4 · see citing works
Duong, J. K., de Winter, W., Choy, S., Plock, N., Naik, H., Krauwinkel, W. J. J., Visser, S. A. G., Verhamme, K. M. C., Sturkenboom, M., Stricker, B. H. C., et al. (2016) · British Journal of Clinical Pharmacology · doi:10.1111/bcp.13144 · Cited by 4 · see citing works
Sittipreechachan, P., Pichayapinyo, P., Lagampan, S., & Chongsuwat, R. (2022) · Journal of Primary Care & Community Health · doi:10.1177/21501319221077960 · Cited by 4 · see citing works
Kaveh, M. H., Noori, K., Nazari, M., & Khademi, K. (2022) · International Journal of Endocrinology · doi:10.1155/2022/4046012 · Cited by 3 · see citing works
Malakar, S., Singh, S. K., & Usman, K. (2024) · Cureus · doi:10.7759/cureus.61607 · Cited by 3 · see citing works
Vasconcelos, C. E. G. D. C., Cabral, M., Ramos, E., & Mendes, R. (2021) · Health & Social Care in the Community · doi:10.1111/hsc.13356 · Cited by 4 · see citing works
NARATIVE REVIEW: POTENSI INULIN UMBI DAHLIA SEBAGAI ANTI DIABETES
Sunarti, S., Ginting, C. N., & Ginting, S. F. (2022) · Jurnal Keperawatan Priority · doi:10.34012/jukep.v5i1.2134 · Cited by 3 · see citing works
Kumar, V., & Lohana, C. K. (2022) · Global Journal of Health Science · doi:10.5539/gjhs.v15n1p20 · Cited by 3 · see citing works
Health Behavior Trajectories in High Cardiovascular Risk Populations
Lee, C., Yang, Q., Wolever, R. Q., & Vorderstrasse, A. A. (2021) · The Journal of Cardiovascular Nursing · doi:10.1097/jcn.0000000000000850 · Cited by 3 · see citing works
García, A. M., Jiménez, A. C., Juliá, V. L., & Vallejo, O. G. (2022) · Medicina de Familia SEMERGEN · doi:10.1016/j.semerg.2021.10.009 · Cited by 2 · see citing works
Diabetes with hypertension in China: current status of epidemiology and management
He, H., & Zhu, Z. (2018) · Scientia Sinica Vitae · doi:10.1360/n052018-00044 · Cited by 2 · see citing works
Ghazal, P., & Mehmood, M. (2024) · Journal of Public Health · doi:10.1007/s10389-024-02202-5 · Cited by 2 · see citing works
Fernandez-Alvarez, M. D. M., Cano, C. P., Surendran, S., & Martín‐Payo, R. (2025) · Primary care diabetes · doi:10.1016/j.pcd.2025.02.003 · Cited by 2 · see citing works
The role of lifestyle factors in type 2 diabetes in children and adolescents: a systematic review
Fortnum, K., Thomas, G., Too, K., Tam, A., Tilley, K., Cairney, J., Healy, G. N., & Gomersall, S. R. (2025) · BMC Public Health · doi:10.1186/s12889-025-23767-0 · Cited by 4 · see citing works
Prévention des maladies métaboliques par l’activité physique : des preuves aux mécanismes
Moro, C. (2019) · Médecine des Maladies Métaboliques · doi:10.1016/s1957-2557(19)30186-5 · Cited by 1 · see citing works
Sauchelli, S., Bradley, J., Cox, J. S., England, C. Y., & Perry, R. E. (2020) · Systematic Reviews · doi:10.1186/s13643-020-01467-7 · Cited by 1 · see citing works
Martín‐Payo, R., González‐Nuevo, C., Cano, C. P., Suárez-Lada, C., Padrino-Ojea, S., & Fernandez-Alvarez, M. D. M. (2022) · Clinical Diabetology · doi:10.5603/dk.a2022.0054 · Cited by 1 · see citing works
Exercise Performance in Youth with Diabetes
Gross, S. P., Baumgartner, A., & Nadeau, K. J. (2017) · Contemporary diabetes · doi:10.1007/978-3-319-61013-9_5 · Cited by 1 · see citing works
Does lifestyle counseling improve cardiovascular risk factors in patients with type 2 diabetes?
Dye, K., & Garrett, E. K. (2020) · Evidence-Based Practice · doi:10.1097/ebp.0000000000000994
Peer Support to Prevent and Manage Diabetes in Underserved Communities
MacMillan, F., McBride, K. A., Heisler, M., & Simmons, D. S. (2021) · Springer eBooks · doi:10.1007/978-3-030-48277-0_117-1
Peer Support to Prevent and Manage Diabetes in Underserved Communities
MacMillan, F., McBride, K. A., Heisler, M., & Simmons, D. S. (2022) · Springer eBooks · doi:10.1007/978-3-030-89594-5_117
Effects of Using the Bioelectrical Impedance Method in Nutritional Guidance for Diabetes
Nishizaka, N., Shiozawa, S., Nakayama, K., & Hirose, K. (2023) · The Japanese Journal of Nutrition and Dietetics · doi:10.5264/eiyogakuzashi.81.228
López, L. V., Klünder‐Klünder, M., Gil, J. V., de la Peña, J. E., Aguila, I. P.-D., & Medina-Gómez, O. S. (2024) · Research Square · doi:10.21203/rs.3.rs-4902687/v1
Ghazal, P., Waheed, M., & Muneer, S. (2025) · International Journal of Health Promotion and Education · doi:10.1080/14635240.2025.2556447
Malakar, S., Singh, S. K., & Usman, K. (2025) · Cureus · doi:10.7759/cureus.92153 · Cited by 2 · see citing works
Velázquez-López, L., Ortíz, G. O., Klunder, M., Gil, J. V., del Aguila, I. D., Gómez, O. S. M., & de la Peña, J. E. (2025) · Frontiers in Health Services · doi:10.3389/frhs.2025.1624780
Dankoob, V., Shahinfar, H., Ostevari, A., Norouziasl, R., Mohieddin, N., Esmaeili, F., Rafiei, F., & Shab‐Bidar, S. (2026) · Diabetes Research and Clinical Practice · doi:10.1016/j.diabres.2026.113260
Yu, Q., Kong, Z., Shi, Q., Cheng, C. K., Zhang, J., & Nie, J. (2026) · Journal of Diabetes Investigation · doi:10.1111/jdi.70322
- Authors
- Huang, X.-L., Pan, J.-H., Chen, D., Chen, J., Chen, F., & Hu, T.-T.
- Affiliations
- Wuhan No.1 Hospital (CN)
- Venue
- European Journal of Internal Medicine
- Publisher
- Elsevier BV
- Published
- 2016-01
- Volume
- 27
- Pages
- 37-47
- ISSN
- 0953-6205 (ISSN-L)
- OpenAlex
- W2185575472
- Cited by
- 94
- References
- 39
- Citations by year
- 2026: 2 · 2025: 6 · 2024: 5 · 2023: 6 · 2022: 16 · 2021: 12 · 2020: 19 · 2019: 7 · 2018: 7 · 2017: 7 · 2016: 7
- FWCI
- 1.05
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- European Journal of Internal Medicine (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes, Cardiovascular Risks, and Lipoproteins
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes Treatment and Management
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes Management and Education
- Keywords
- type 2 diabetes, lifestyle intervention, dietary change, physical activity, patient education, cardiovascular risk, HbA1c, blood pressure, HDL cholesterol, LDL cholesterol, body mass index, glycemic control
- MeSH terms
- Blood Pressure, Cardiovascular Diseases, Diabetes Mellitus, Type 2, Diet, Glycated Hemoglobin, Humans, Life Style, Cholesterol, HDL, Cholesterol, LDL, Motor Activity, Patient Education as Topic, Quality of Life, Risk Factors, Randomized Controlled Trials as Topic, Publication Bias
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review
