Similar effects also appeared in SBP and DBP categories regardless of follow-up duration .
PA+D interventions had larger improvement effects on CVD risk factors than PA alone interventions .
In adults without IGT or diabetes , lifestyle interventions result ed in significant improvements in SBP , DBP , TC , LDL-C , HDL-C , and TG , and might further reduce CVD risk
Structured lifestyle interventions can reduce diabetes incidence and cardiovascular disease ( CVD ) risk among persons with impaired glucose tolerance ( IGT ) , but it is unclear whether they should be implemented among persons without IGT .
We conducted a systematic review and meta-analyses to assess the effectiveness of lifestyle interventions on CVD risk among adults without IGT or diabetes .
Text Message Support for Weight Loss in Patients With Prediabetes: A Randomized Clinical Trial
OBJECTIVE Although the benefits of in-person Diabetes Prevention Program ( DPP ) classes for diabetes prevention have been demonstrated in trials , effectiveness in clinical practice is limited by low participation rates . This study explores whether text message support enhances weight loss in patients offered DPP classes . RESEARCH DESIGN AND METHODS English- and Spanish-speaking patients with prediabetes ( n = 163 ) were r and omized to the control group , which only received an invitation to DPP classes as defined by the Centers for Disease Control and Prevention , or to the text message – augmented intervention group , which also received text messages adapted from the DPP curriculum for 12 months .  RESULTS Mean weight decreased 0.6 pounds ( 95 % CI −2.7 to 1.6 ) in the control group and 2.6 pounds ( 95 % CI −5.5 to 0.2 ) in the intervention group ( P value 0.05 ) . Three percent weight loss was achieved by 21.5 % of participants in the control group ( 95 % CI 12.5–30.6 ) , compared with 38.5 % in the intervention group ( 95 % CI 27.7–49.3 ) ( absolute difference 17.0 % ; P value 0.02 ) . Mean glycated hemoglobin ( HbA1c ) increased by 0.19 % or 2.1 mmol/mol ( 95 % CI −0.1 to 0.5 % ) and decreased by 0.09 % or 1.0 mmol/mol ( 95 % CI −0.2 to 0.0 % ) in the control group and intervention participants , respectively ( absolute difference 0.28 % ; P value 0.07 ) . Stratification by language demonstrated a significant treatment effect in Spanish speakers but not in English speakers . CONCLUSIONS Text message support can lead to clinical ly significant weight loss in patients with prediabetes . Further study assessing effect by primary language and in an operational setting is warranted
Similar effects also appeared in SBP and DBP categories regardless of follow-up duration .
PA+D interventions had larger improvement effects on CVD risk factors than PA alone interventions .
In adults without IGT or diabetes , lifestyle interventions result ed in significant improvements in SBP , DBP , TC , LDL-C , HDL-C , and TG , and might further reduce CVD risk
Structured lifestyle interventions can reduce diabetes incidence and cardiovascular disease ( CVD ) risk among persons with impaired glucose tolerance ( IGT ) , but it is unclear whether they should be implemented among persons without IGT .
We conducted a systematic review and meta-analyses to assess the effectiveness of lifestyle interventions on CVD risk among adults without IGT or diabetes .