Evidence map›Paper›PMID 24939883›Full record

SynthesisThe Diabetes educator

Depression and adherence to lifestyle changes in type 2 diabetes: a systematic review.

Lisa L Sumlin, Theresa J Garcia, Sharon A Brown, Mary A Winter, Alexandra A García, Adama Brown, Heather E Cuevas

Open access · greenAbstract readSystematic Review
In one paragraph

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.

0numbers the graph read from it
0cells of the map it votes in
55citing papers in PubMed, 6 pooled it
4.1field-weighted citation impact, top 6% of its field
1 · What the graph read from 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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

55 citing papers in PubMed, 6 syntheses or guidelines pooled it, 97 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 2 institutions in 1 country.

Lisa L SumlinSchool of Nursing, The University of Texas at Austin, Austin, Texas (Ms Sumlin, Dr S. Brown, Dr AA Garcia, Dr Cuevas, Ms Winter, Dr A. Brown)
Theresa J GarciaCollege of Nursing & Health Sciences, Texas A&M University-Corpus Christi, USA (Dr TJ Garcia)
Sharon A BrownSchool of Nursing, The University of Texas at Austin, Austin, Texas (Ms Sumlin, Dr S. Brown, Dr AA Garcia, Dr Cuevas, Ms Winter, Dr A. Brown)
Mary A WinterSchool of Nursing, The University of Texas at Austin, Austin, Texas (Ms Sumlin, Dr S. Brown, Dr AA Garcia, Dr Cuevas, Ms Winter, Dr A. Brown)
Alexandra A GarcíaSchool of Nursing, The University of Texas at Austin, Austin, Texas (Ms Sumlin, Dr S. Brown, Dr AA Garcia, Dr Cuevas, Ms Winter, Dr A. Brown)
Adama BrownSchool of Nursing, The University of Texas at Austin, Austin, Texas (Ms Sumlin, Dr S. Brown, Dr AA Garcia, Dr Cuevas, Ms Winter, Dr A. Brown)
Heather E CuevasSchool of Nursing, The University of Texas at Austin, Austin, Texas (Ms Sumlin, Dr S. Brown, Dr AA Garcia, Dr Cuevas, Ms Winter, Dr A. Brown)
The University of Texas at Austin · USTexas A&M University – Corpus Christi · US

Funding

Meta-Analysis of Biobehavioral Determinants of Health Outcomes in Type 2 DiabetesR01NR011450 · NINR · UNIVERSITY OF TEXAS AT AUSTIN · PI BROWN, SHARON A · 2009 to 2012
$1.4M
NINR NIH HHS 5R01NR011450NINR NIH HHS R01 NR011450
6 · The paper itself

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

Patient ComplianceRisk Reduction BehaviorDepressionDiabetes Mellitus, Type 2Diet, DiabeticExerciseFemaleHumansMaleMiddle AgedMotivationPrevalenceSedentary BehaviorSelf Care

Identifiers

PMID24939883
PMCPMC8349132
OpenAlexW2020836703

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

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.