A significant positive effect of the interventions on weight was reported by all study types .
The meta- analysis showed that lifestyle interventions achieved weight and waist circumference reductions after one year .
However , no clear effects on biochemical or clinical parameters were observed , possibly due to short follow-up periods or lack of power of the studies meta-analysed .
Changes in dietary parameters or physical activity were generally not reported .
Most studies assessing feasibility were supportive of implementation of lifestyle interventions in routine clinical care .
Conclusion Lifestyle interventions for patients at high risk of diabetes , delivered by a variety of healthcare providers in routine clinical setting s , are feasible but appear to be of limited clinical benefit one year after intervention .
Despite convincing evidence from structured intensive trials , this systematic review showed that translation into routine practice has less effect on diabetes risk reduction
Background The clinical effectiveness of intensive lifestyle interventions in preventing or delaying diabetes in people at high risk has been established from r and omised trials of structured , intensive interventions conducted in several countries over the past two decades .
The challenge is to translate them into routine clinical setting s. The objective of this review is to determine whether lifestyle interventions delivered to high-risk adult patients in routine clinical care setting s are feasible and effective in achieving reductions in risk factors for diabetes .
A pilot urban church-based programme to reduce risk factors for diabetes among Western Samoans in New Zealand.
We have assessed the impact of a 2-year pilot church-base diabetes risk reduction programme on major lifestyle predictors of future Type 2 diabetes mellitus : exercise and weight control in a prospect i ve non-r and omized controlled study of a modular lifestyle and diabetes awareness intervention programme using a community development model . The study involved two complete church congregations from an ethnic group at high risk of diabetes ( Western Samoans ) ( intervention church n = 78 ; control church n = 144 ) .  Weight remained stable ( 0+/-4.8 kg ) in the intervention church but increased by 3.1+/-9.8 kg in the control church ( p = 0.05 ) . In the intervention church , there was an associated reduction in waist circumference ( -4+/-10 cm vs + 2+/-7 cm in control , p < 0.001 ) , an increase in diabetes knowledge ( 46+/-26 % vs 4+/-17 % in control , p < 0.001 ) and an increase in the proportion exercising regularly ( + 22 % vs -8 % in control , p < 0.05 ) . Consumption of key fatty foods was also reduced in the intervention church . We conclude that diabetes risk reduction programmes based upon lifestyle change , diabetes awareness , and empowerment of high risk communities can significantly reduce risk factors for future Type 2 diabetes
A significant positive effect of the interventions on weight was reported by all study types .
The meta- analysis showed that lifestyle interventions achieved weight and waist circumference reductions after one year .
However , no clear effects on biochemical or clinical parameters were observed , possibly due to short follow-up periods or lack of power of the studies meta-analysed .
Changes in dietary parameters or physical activity were generally not reported .
Most studies assessing feasibility were supportive of implementation of lifestyle interventions in routine clinical care .
Conclusion Lifestyle interventions for patients at high risk of diabetes , delivered by a variety of healthcare providers in routine clinical setting s , are feasible but appear to be of limited clinical benefit one year after intervention .
Despite convincing evidence from structured intensive trials , this systematic review showed that translation into routine practice has less effect on diabetes risk reduction
Background The clinical effectiveness of intensive lifestyle interventions in preventing or delaying diabetes in people at high risk has been established from r and omised trials of structured , intensive interventions conducted in several countries over the past two decades .
The challenge is to translate them into routine clinical setting s. The objective of this review is to determine whether lifestyle interventions delivered to high-risk adult patients in routine clinical care setting s are feasible and effective in achieving reductions in risk factors for diabetes .