RESULTS overall , lifestyle interventions were successful in reducing the incidence of T2D .
the available evidence shows that a robust behavioral change strategy is an essential part of an effective lifestyle modification program , as the absence of intensive individualized advice or " information only " more closely resembles the control group interventions used in these RCTs
UNLABELLED The worldwide epidemic of type 2 diabetes ( T2D ) emphasizes the need for guidelines regarding community implementation of lifestyle modification prevention programs .
An underst and ing of effective behavioral strategies is needed if evidence translation is to be realized .
The aim of this paper is to systematic ally review the behavioral change strategies for lifestyle T2D prevention programs .
High-fibre, low-fat diet predicts long-term weight loss and decreased type 2 diabetes risk: the Finnish Diabetes Prevention Study
Aims /hypothesisThe aim of this study was to investigate the association of dietary macronutrient composition and energy density with the change in body weight and waist circumference and diabetes  incidence in the Finnish Diabetes Prevention Study .Subjects and methods Overweight , middle-aged men ( n=172 ) and women ( n=350 ) with impaired glucose tolerance were r and omised to receive either ‘ st and ard care ’ ( control ) or intensive dietary and exercise counselling . Baseline and annual examinations included assessment of dietary intake with 3-day food records and diabetes status by repeated 75-g OGTTs . For these analyses the treatment groups were combined and only subjects with follow-up data ( n=500 ) were included . Results Individuals with low fat ( < median ) and high fibre ( > median ) intakes lost more weight compared with those consuming a high-fat ( > median ) , low-fibre ( < median ) diet ( 3.1 vs 0.7 kg after 3 years ) . In separate models , hazard ratios for diabetes incidence during a mean follow-up of 4.1 years were ( highest compared with lowest quartile ) 0.38 ( 95 % CI 0.19–0.77 ) for fibre intake , 2.14 ( 95 % CI 1.16–3.92 ) for fat intake , and 1.73 ( 95 % CI 0.89–3.38 ) for saturated-fat intake , after adjustment for sex , intervention assignment , weight and weight change , physical activity , baseline 2-h plasma glucose and intake of the nutrient being investigated . Compared with the low-fat/high-fibre category , hazard ratios were 1.98 ( 95 % CI 0.98–4.02 ) , 2.68 ( 95 % CI 1.40–5.10 ) , and 1.89 ( 95 % CI 1.09–3.30 ) for low-fat/low-fibre , high-fat/high-fibre , and high-fat/low-fibre , respectively . Conclusions /interpretationDietary fat and fibre intake are significant predictors of sustained weight reduction and progression to type 2 diabetes in high-risk subjects , even after adjustment for other risk factors
RESULTS overall , lifestyle interventions were successful in reducing the incidence of T2D .
the available evidence shows that a robust behavioral change strategy is an essential part of an effective lifestyle modification program , as the absence of intensive individualized advice or " information only " more closely resembles the control group interventions used in these RCTs
UNLABELLED The worldwide epidemic of type 2 diabetes ( T2D ) emphasizes the need for guidelines regarding community implementation of lifestyle modification prevention programs .
An underst and ing of effective behavioral strategies is needed if evidence translation is to be realized .
The aim of this paper is to systematic ally review the behavioral change strategies for lifestyle T2D prevention programs .