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 .
Effectiveness of a brief theory-based health promotion intervention among adults at high risk of type 2 diabetes: One-year results from a randomised trial in a community setting.
AIM To examine the effect of a brief theory-based health promotion intervention delivered in the community on health behaviour and diabetes-related risk factors among Danish adults at high risk of diabetes . METHODS A r and omised trial was conducted among 127 individuals aged 28 to 70 with fasting plasma glucose : 6.1 - 6.9 mmol/l and /or HbA1c : 6.0-<6.5 % ( 42-<48 mmol/mol ) recruited from general practice in Holstebro , Denmark . Participants were r and omised to a control group or to receive the intervention delivered over four 2h group sessions during five weeks , and two further sessions after one and six months . Question naire data and clinical measures were collected at baseline , three months and one year after intervention . Primary outcomes ; total-fat intake < 30 % of energy intake ; saturated-fat intake < 10 % of energy intake ; fibre-intake ≥15 g/1000 kcal ; weight reduction > 5 % ; changes in physical activity . RESULTS 85 % attended one-year follow-up . After adjusting for gender , age and education , Odds ratio ( OR ) ( 95 % CI ) intervention vs control : total-fat intake < 30 % energy intake : 0.52 ( 0.22;1.20 ) , saturated-fat intake < 10 % energy intake : 1.22 ( 0.52;2.87 ) , fibre intake ≥ 15 g/1000 kcal : 1.18 ( 0.48;2.92 ) , weight reduction > 5 % : 2.47 ( 0.95 ; 6.39 ) . β ( 95 % CI ) between intervention vs control in changes from baseline : IPAQ , MET min/week : -236 ( -2760 ; 2288 ) , waist circumference , cm : -2.5 ( -4.5 ; -0.5 ) ; systolic blood pressure , mmHg : -4.6 ( -8.8 ; -0.3 ) . CONCLUSION A brief theory-based health promotion intervention delivered in the community indicated effect on weight , waist circumference and systolic blood pressure at one year among Danish adults at high risk of diabetes . No effect was shown on diets or physical activity
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 .