Evidence map›Paper›PMID 34725039›Full record

Trial reportBMJ global health2021

Effects of a lifestyle intervention programme after 1 year of follow-up among South Asians at high risk of type 2 diabetes: a cluster randomised controlled trial.

Mirthe Muilwijk, Marie Loh, Samreen Siddiqui, Sara Mahmood, Saranya Palaniswamy, Khurram Shahzad, Lathika K Athauda, Ranil Jayawardena, Tayyaba Batool, Saira Burney and 23 more

Registry-linked trialOpen access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in BMJ global health, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02949739 (Lifestyle Intervention to Prevent Type 2 Diabetes Amongst South Asians With Central Obesity and Prediabetes), which is not on this map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
1.6field-weighted citation impact, top 15% 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.

NCT02949739 nacompletednot on this map

Lifestyle Intervention to Prevent Type 2 Diabetes Amongst South Asians With Central Obesity and Prediabetes

TypeinterventionalSponsorImperial College LondonRan2015 to 2022Enrolled5,244ConditionsType 2 DiabetesArmsIntensive lifestyle modification
3 · Its place in the literature

Who cites it

5 citing papers in PubMed, 13 citations in OpenAlex.

  1. Trial
  2. Review
  3. Article
  4. Article
  5. Review
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

33 authors at 12 institutions in 7 countries.

Mirthe MuilwijkDepartment of Public and Occupational Health, Amsterdam Public Health research institute, Amsterdam UMC Locatie AMC, Amsterdam, The Netherlands m.muilwijk@amsterdamumc.nl.ORCID 0000-0002-3686-5116
Marie LohLee Kon Chian School of Medicine, Nanyang Technological University, Singapore.
Samreen SiddiquiInstitute of Endocrinology Diabetes and Metabolism, Max Healthcare, New Delhi, Delhi, India.
Sara MahmoodDepartment of Endocrinology & Metabolism, Services Institute of Medical Sciences, Lahore, Punjab, Pakistan.
Saranya PalaniswamyDepartment of Epidemiology and Biostatistics, Imperial College London, London, UK.
Khurram ShahzadPunjab Institute of Cardiology, Lahore, Punjab, Pakistan.
Lathika K AthaudaDepartment of Public Health, Faculty of Medicine, University of Kelaniya, Kelaniya, Sri Lanka.
Ranil JayawardenaDepartment of Physiology, Faculty of Medicine, University of Colombo, Colombo, Western, Sri Lanka.
Tayyaba BatoolDepartment of Endocrinology and Metabolism, Services Institute of Medical Sciences, Lahore, Punjab, Pakistan.
Saira BurneyDepartment of Endocrinology & Metabolism, Services Institute of Medical Sciences, Lahore, Punjab, Pakistan.
Matthew GloverSchool of Biosciences and Medicine, Faculty of Health and Medical Sciences, University of Surrey, Guildford, Surrey, UK.
Vodathi BamunuarachchiDiabetes Research Unit, Faculty of Medicine, University of Colombo, Colombo, Western, Sri Lanka.
Manju PandaInstitute of Endocrinology Diabetes and Metabolism, Max Healthcare, New Delhi, Delhi, India.
Madawa MadawanarachchiDiabetes Research Unit, Faculty of Medicine, University of Colombo, Colombo, Western, Sri Lanka.
Baldeesh RaiSchool of Public Health, Imperial College London, London, UK.
Iqra SattarPunjab Institute of Cardiology, Lahore, Punjab, Pakistan.
Wnurinham SilvaSchool of Public Health, Imperial College London, London, UK.
Swati WaghdhareInstitute of Endocrinology Diabetes and Metabolism, Max Healthcare, New Delhi, Delhi, India.
Marjo-Riitta JarvelinCenter for Life Course Health Research, Faculty of Medicine, University of Oulu, Oulu, Finland.
Ravindra Prasan Rannan-EliyaInstitute for Health Policy, Colombo, Sri Lanka.ORCID 0000-0002-5013-2816
Nilmini WijemunigeInstitute for Health Policy, Colombo, Sri Lanka.
Heather M GageSurrey Health Economics Centre, Department of Clinical and Experimental Medicine, University of Surrey, Guildford, Surrey, UK.
Jonathan ValabhjiDepartment of Diabetes and Endocrinology, Imperial College London, London, UK.
Gary S FrostDepartment of Metabolism, Digestion and Reproduction, Imperial College London, London, UK.
Rajitha WickremasingheDepartment of Public Health, Faculty of Medicine, University of Kelaniya, Kelaniya, Sri Lanka.
Anuradhani KasturiratneDepartment of Public Health, Faculty of Medicine, University of Kelaniya, Kelaniya, Sri Lanka.
Khadija I KhawajaDepartment of Endocrinology & Metabolism, Services Institute of Medical Sciences, Lahore, Punjab, Pakistan.
Sajjad AhmadPunjab Institute of Cardiology, Lahore, Punjab, Pakistan.
Irene Gm van ValkengoedDepartment of Public and Occupational Health, Amsterdam Public Health research institute, Amsterdam UMC Locatie AMC, Amsterdam, The Netherlands.
Prasad KatulandaDepartment of Clinical Medicine, University of Colombo, Colombo, Sri Lanka.
Sujeet JhaInstitute of Endocrinology Diabetes and Metabolism, Max Healthcare, New Delhi, Delhi, India.
Jaspal S KoonerLondon North West University Healthcare NHS Trust, Harrow, London, UK.
John C ChambersLee Kon Chian School of Medicine, Nanyang Technological University, Singapore.
Imperial College London · GBMax Healthcare · INServices Institute of Medical Sciences · PKUniversity of Colombo · LKPunjab Institute of Cardiology · PKUniversity of Kelaniya · LKGGD Amsterdam · NLInstitute of Policy Studies of Sri Lanka · LKNanyang Technological University · SGUniversity of Surrey · GBLondon North West Healthcare NHS Trust · GBOulu University Hospital · FI

Funding

Wellcome Trust 212945/Z/18/Z
6 · The paper itself

Abstract

introductionSouth Asians are at high risk of type 2 diabetes (T2D). We assessed whether intensive family-based lifestyle intervention leads to significant weight loss, improved glycaemia and blood pressure in adults at elevated risk for T2D.

methodsThis cluster randomised controlled trial (iHealth-T2D) was conducted at 120 locations across India, Pakistan, Sri Lanka and the UK. We included 3684 South Asian men and women, aged 40-70 years, without T2D but with raised haemoglobin A1c (HbA1c) and/or waist circumference. Participants were randomly allocated either to the family-based lifestyle intervention or control group by location clusters. Participants in the intervention received 9 visits and 13 telephone contacts by community health workers over 1-year period, and the control group received usual care. Reductions in weight (aim >7% reduction), waist circumference (aim ≥5 cm reduction), blood pressure and HbA1C at 12 months of follow-up were assessed. Our linear mixed-effects regression analysis was based on intention-to-treat principle and adjusted for age, sex and baseline values.

resultsThere were 1846 participants in the control and 1838 in the intervention group. Between baseline and 12 months, mean weight of participants in the intervention group reduced by 1.8 kg compared with 0.4 kg in the control group (adjusted mean difference -1.10 kg (95% CI -1.70 to -1.06), p<0.001). The adjusted mean difference for waist circumference was -1.9 cm (95% CI -2.5; to 1.3), p<0.001). No overall difference was observed for blood pressure or HbA1c. People who attended multiple intervention sessions had a dose-dependent effect on waist circumference, blood pressure and HbA1c, but not on weight.

conclusionAn intensive family-based lifestyle intervention adopting low-resource strategies led to effective reduction in weight and waist circumference at 12 months, which has potential long-term benefits for preventing T2D. A higher number of attended sessions increased the effect on waist circumference, blood pressure and HbA1c. TRIAL REGISTRATION NUMBER: EudraCT: 2016-001350-18; ClinicalTrials.gov: NCT02949739.

Indexed as

Diabetes Mellitus, Type 2AdultAsian PeopleFemaleFollow-Up StudiesHumansLife StyleMaleWeight Losscluster randomized trialdiabetesepidemiologyprevention strategiespublic health

Identifiers

PMID34725039
PMCPMC8562508
OpenAlexW3210925811

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

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.