SynthesisThe Diabetes educator
Depression and adherence to lifestyle changes in type 2 diabetes: a systematic review.
Synthesis in The Diabetes educator. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 55 papers, 6 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
55 citing papers in PubMed, 6 syntheses or guidelines pooled it, 97 citations in OpenAlex.
- Pooled it
- Key Factors Associated with Adherence to Physical Exercise in Patients with Chronic Diseases and Older Adults: An Umbrella Review.International journal of environmental research and public health · 2021Pooled it
- Association between subthreshold depression and self-care behaviors in people with type 2 diabetes: a systematic review of observational studies.Systematic reviews · 2020Pooled it
- Effectiveness of Diabetes Self-Management Education Programs for US Latinos at Improving Emotional Distress: A Systematic Review.The Diabetes educator · 2019Pooled it
- Collaborative Care for Depression among Patients with Limited English Proficiency: a Systematic Review.Journal of general internal medicine · 2018Pooled it
- Association between Depressive Symptoms and Cognitive Function in Persons with Diabetes Mellitus: A Systematic Review.PloS one · 2016Pooled it
- Depressive symptoms decrease health-related quality of life of patients with coronary artery disease and diabetes: a 12-month follow up study in primary care.Scandinavian journal of primary health care · 2023Trial
- The impact of obesity and overweight on response to internet-delivered cognitive behavioural therapy for adults with chronic health conditions.International journal of obesity (2005) · 2023Trial
- Effects of very low-carbohydrate vs. high-carbohydrate weight loss diets on psychological health in adults with obesity and type 2 diabetes: a 2-year randomized controlled trial.European journal of nutrition · 2021Trial
- The Role of Emotional Well-Being in Diabetes Prevention and Management.Annual review of nutrition · 2026Review
- Effects of crocin on anxiety, depression, and hippocampal BDNF expression in streptozotocin-induced diabetic rats.Annals of medicine and surgery (2012) · 2026Article
- Systematic review and meta-analysis on depression burden among Type 2 diabetes patients in India.Diabetology & metabolic syndrome · 2026Review
- A commentary on "Association between initial mental health status and glycemic control in pediatric diabetes".Annals of pediatric endocrinology & metabolism · 2026Article
- Differential Effects of Social Determinants of Health Factors on Mortality in US Adults with Prediabetes: National Health and Nutrition Examination Survey 2005-2018.Journal of general internal medicine · 2026Article
- Burden and associated factors of depressive symptoms among older adults with type 2 diabetes mellitus in rural southeast Nigeria: a community-based cross-sectional study.BMJ public health · 2026Article
- Integrating mental health and cardiovascular wellness: synergistic impacts and the promise of comprehensive care models.Annals of medicine and surgery (2012) · 2025Review
- Mental Health and Metabolic Outcomes in Early Postpartum in Women with Prediabetes After Gestational Diabetes: A Secondary Analysis of the MELINDA Trial.Journal of clinical medicine · 2025Article
- Diabetes Complications Among Community-Based Health Center Patients with Varying Multimorbidity Patterns.Journal of general internal medicine · 2025Article
- Associations Between Self-Stigma and Health Promotion Behaviors in Overweight/Obese Patients With Type 2 Diabetes: A Cross-Sectional Study.Journal of diabetes research · 2025Article
- Feasibility of combining tDCS with exercise for increasing physical activity in people with depression.Frontiers in physiology · 2025Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
7 authors at 2 institutions in 1 country.
Funding
Abstract
purposeDepression affects millions of people worldwide and is prevalent among those with diabetes. The purpose of this review was to synthesize recent research on depression and adherence to dietary and physical activity recommendations in persons with type 2 diabetes (T2DM).
methodsThis systematic review is a subanalysis of an NIH-funded model-testing meta-analysis. Thirteen electronic databases were searched using terms: depression, adherence, T2DM, diabetes. Selected studies: were reported in English between 2000 and 2012, focused on adults with T2DM, and measured depression and dietary and/or physical activity adherence.
resultsTwenty-seven studies involving 7266 participants were selected; participants were 54% female and 62 years of age, on average. When reported, depression prevalence in study samples ranged from 4.5% to 74%. Six intervention studies targeted diabetes treatment, with or without depression treatment; no studies focused solely on treating depression. Twenty-one descriptive studies examined relationships between depression and diet/physical activity adherence, finding a negative association. Only 2 of the 6 intervention studies examined this relationship; findings were inconsistent.
conclusionDepression was associated with lower adherence to diabetes self-care, as evidenced primarily by descriptive studies; results of intervention studies were conflicting. Future research should focus on the effects of treating depression on diabetes health outcomes.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.