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 .
Improved fibrinolysis by intense lifestyle intervention. A randomized trial in subjects with impaired glucose tolerance.
OBJECTIVE To assess the effects of lifestyle intervention on  cardiovascular  risk factors in general and especially on fibrinolysis . DESIGN R and omized clinical study . SUBJECTS A total of 186 subjects with impaired glucose tolerance and obesity . INTERVENTIONS The intervention programme included a low-fat , high-fibre diet and regular physical exercise . Half of the participants ( n = 93 ) took part in a one-month learning and training session using different behavioural modification techniques and conducted in a full-board wellness centre ( intense intervention group ) . The other half ( n = 93 ) was r and omized a one-hour counselling session with a specially trained nurse ( usual care group ) . Follow-up was carried out after 12 months . MAIN OUTCOME MEASURES Body weight , oxygen consumption , plasminogen activator inhibitor type 1 ( PAI-1 ) activity , tissue plasminogen activator ( tPA ) antigen , fibrinogen and fasting plasma insulin measured at the start of the programme and at follow-up after 1 year . RESULTS The intense intervention group had a mean weight decline by 1 year of 5.4 kg compared to 0.5 kg in the usual care group . Oxygen consumption in the intense group increased 10 % vs. a 1 % decline in the usual care group . In the intense group , PAI-1 activity decreased 31 % ( -10.1 U mL(-1 ) ) , which was significantly more than in the usual care group ( 12 % ; -3.0 U mL(-1 ) ) . The corresponding reductions in tPA antigen were 14 % ( -1.65 microg L(-1 ) ) and 6 % ( -0.69 microg L(-1 ) ) . CONCLUSIONS The present r and omized study shows that an intense lifestyle programme has sustained beneficial effects on fibrinolysis
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 .