Interventions to reduce sedentary behaviour in adults with type 2 diabetes: A systematic review and meta-analysis.

Treatment and management of Type 2 Diabetes (T2D) includes physical activity, nutrition, and pharmacological management. Recently, the importance of reducing and breaking up sedentary behaviour has become recognized. This review aimed to summarize and synthesize the effectiveness of interventions in...

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Main Authors: Siobhan Smith, Babac Salmani, Jordan LeSarge, Kirsten Dillon-Rossiter, Anisa Morava, Harry Prapavessis
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2024-01-01
Series:PLoS ONE
Online Access:https://doi.org/10.1371/journal.pone.0306439
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author Siobhan Smith
Babac Salmani
Jordan LeSarge
Kirsten Dillon-Rossiter
Anisa Morava
Harry Prapavessis
author_facet Siobhan Smith
Babac Salmani
Jordan LeSarge
Kirsten Dillon-Rossiter
Anisa Morava
Harry Prapavessis
author_sort Siobhan Smith
collection DOAJ
description Treatment and management of Type 2 Diabetes (T2D) includes physical activity, nutrition, and pharmacological management. Recently, the importance of reducing and breaking up sedentary behaviour has become recognized. This review aimed to summarize and synthesize the effectiveness of interventions in reducing and/or breaking up sedentary behaviour and cardiometabolic biomarkers in adults with T2D. A study protocol was preregistered on PROSPERO (CRD42022357281) and a database search (PubMed, EMBASE, Scopus, Web of Science, PsycINFO, SPORTDiscus, CINAHL, and Cochrane Library) was conducted on 16/09/2022 and updated on 03/01/2024. This review followed PRISMA guidelines and study quality was assessed with the Cochrane risk of Bias Tools. Twenty-eight articles were included in the review. The meta-analysis of short-term (Range: 3 hours- 4 days) sedentary behaviour interventions found significant improvement in continuous interstitial glucose measured for 24 hours after the sedentary behaviour intervention compared to control (SMD:-0.819,95%CI:-1.255,-0.383,p<0.001). Similarly, there was a significant improvement in postprandial interstitial glucose after the sedentary behaviour intervention compared to control (SMD:-0.347,95%CI:-0.584,-0.110,p = 0.004). Ten out of eleven longer-term (Range: 5 weeks- 3 years) sedentary behaviour interventions improved at least one measure of sedentary behaviour compared to control. Eight out of eight longer-term sedentary behaviour interventions improved at least one cardiometabolic biomarker compared to control. Reducing sedentary behaviour, independent of physical activity, can improve glycemic control in adults with T2D. Further, sedentary behaviour may be a feasible/ sustainable behaviour change.
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spelling doaj-art-6f8bbb187eca400c822214849c8b4f142025-01-26T05:31:23ZengPublic Library of Science (PLoS)PLoS ONE1932-62032024-01-01197e030643910.1371/journal.pone.0306439Interventions to reduce sedentary behaviour in adults with type 2 diabetes: A systematic review and meta-analysis.Siobhan SmithBabac SalmaniJordan LeSargeKirsten Dillon-RossiterAnisa MoravaHarry PrapavessisTreatment and management of Type 2 Diabetes (T2D) includes physical activity, nutrition, and pharmacological management. Recently, the importance of reducing and breaking up sedentary behaviour has become recognized. This review aimed to summarize and synthesize the effectiveness of interventions in reducing and/or breaking up sedentary behaviour and cardiometabolic biomarkers in adults with T2D. A study protocol was preregistered on PROSPERO (CRD42022357281) and a database search (PubMed, EMBASE, Scopus, Web of Science, PsycINFO, SPORTDiscus, CINAHL, and Cochrane Library) was conducted on 16/09/2022 and updated on 03/01/2024. This review followed PRISMA guidelines and study quality was assessed with the Cochrane risk of Bias Tools. Twenty-eight articles were included in the review. The meta-analysis of short-term (Range: 3 hours- 4 days) sedentary behaviour interventions found significant improvement in continuous interstitial glucose measured for 24 hours after the sedentary behaviour intervention compared to control (SMD:-0.819,95%CI:-1.255,-0.383,p<0.001). Similarly, there was a significant improvement in postprandial interstitial glucose after the sedentary behaviour intervention compared to control (SMD:-0.347,95%CI:-0.584,-0.110,p = 0.004). Ten out of eleven longer-term (Range: 5 weeks- 3 years) sedentary behaviour interventions improved at least one measure of sedentary behaviour compared to control. Eight out of eight longer-term sedentary behaviour interventions improved at least one cardiometabolic biomarker compared to control. Reducing sedentary behaviour, independent of physical activity, can improve glycemic control in adults with T2D. Further, sedentary behaviour may be a feasible/ sustainable behaviour change.https://doi.org/10.1371/journal.pone.0306439
spellingShingle Siobhan Smith
Babac Salmani
Jordan LeSarge
Kirsten Dillon-Rossiter
Anisa Morava
Harry Prapavessis
Interventions to reduce sedentary behaviour in adults with type 2 diabetes: A systematic review and meta-analysis.
PLoS ONE
title Interventions to reduce sedentary behaviour in adults with type 2 diabetes: A systematic review and meta-analysis.
title_full Interventions to reduce sedentary behaviour in adults with type 2 diabetes: A systematic review and meta-analysis.
title_fullStr Interventions to reduce sedentary behaviour in adults with type 2 diabetes: A systematic review and meta-analysis.
title_full_unstemmed Interventions to reduce sedentary behaviour in adults with type 2 diabetes: A systematic review and meta-analysis.
title_short Interventions to reduce sedentary behaviour in adults with type 2 diabetes: A systematic review and meta-analysis.
title_sort interventions to reduce sedentary behaviour in adults with type 2 diabetes a systematic review and meta analysis
url https://doi.org/10.1371/journal.pone.0306439
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