Conclusion Based on available literature , evidence suggests that community-based interventions may reduce the incidence rate of T2DM and may positively affect anthropometric indices and HbA1C .
Due to the heterogeneity observed between trials we recommend more well- design ed RCTs with longer follow-up duration s be executed , to confirm whether community-based interventions lead to reduced T2DM events in the at-risk population of LMIC setting
Background The increasing prevalence of type 2 diabetes mellitus ( T2DM ) can have a substantial impact in low- and middle-income countries ( LMICs ) .
Community-based programs addressing diet , physical activity , and health behaviors have shown significant benefits on the prevention and management of T2DM , mainly in high-income countries .
However , their effects on preventing T2DM in the at-risk population of LMICs have not been thoroughly evaluated .
Effect of aerobic exercise and diet on liver fat in pre-diabetic patients with non-alcoholic-fatty-liver-disease: A randomized controlled trial
The study aim ed to assess whether aerobic exercise ( AEx ) training and a fibre-enriched diet can reduce hepatic fat content ( HFC ) and increase glycaemic control in pre-diabetic patients with non-alcoholic fatty liver disease ( NAFLD ) . Six-hundred- and -three patients from seven clinics in Yangpu district , Shanghai , China were recruited . Of them 115 individuals aged 50–65-year fulfilled the inclusion criteria ( NAFLD with impaired fasting glucose or impaired glucose tolerance ) and were r and omly assigned into exercise ( AEx n = 29 ) , diet ( Diet n = 28 ) , exercise plus diet ( AED n = 29 ) , or no-intervention ( NI n = 29 ) groups . Progressive supervised AEx training ( 60–75 % VO2max intensity ) was given 2 - 3 times/week in 30–60 min/sessions , and the diet intervention was provided as lunch with 38 % carbohydrate and diet fibre of 12 g/day for 8.6-month . HFC was assessed by 1H MRS . We found that HFC was significantly reduced in the AEx ( −24.4 % ) , diet ( −23.2 % ) , and AED ( −47.9 % ) groups by contrast to the 20.9 % increase in the NI group ( p = 0.001 for all ) after intervention . However , only AED group significantly decreased HbA1c ( −4.4 % , p = 0.01 ) compared with the NI group ( −0.6 % ) . Aerobic exercise training combined with fibre-enriched diet can reduce HFC more effectively than either exercise or increased fibre-intake alone in pre-diabetic patients with NAFLD
Conclusion Based on available literature , evidence suggests that community-based interventions may reduce the incidence rate of T2DM and may positively affect anthropometric indices and HbA1C .
Due to the heterogeneity observed between trials we recommend more well- design ed RCTs with longer follow-up duration s be executed , to confirm whether community-based interventions lead to reduced T2DM events in the at-risk population of LMIC setting
Background The increasing prevalence of type 2 diabetes mellitus ( T2DM ) can have a substantial impact in low- and middle-income countries ( LMICs ) .
Community-based programs addressing diet , physical activity , and health behaviors have shown significant benefits on the prevention and management of T2DM , mainly in high-income countries .
However , their effects on preventing T2DM in the at-risk population of LMICs have not been thoroughly evaluated .