Evidence map›Paper›PMID 37790916›Full record

ReviewAdolescent health, medicine and therapeutics2023

The Effectiveness of Indigenous Knowledge-Based Lifestyle Interventions in Preventing Obesity and Type 2 Diabetes Mellitus in Indigenous Children in Canada: A Systematic Review.

Maya Kshatriya, Kuan-Wen Wang, Julia Hildebrand, Rebecca Crawford, Ajantha Nadarajah, Michael Youssef, Angelica Rivas, Ashleen Kaushal, Laura E Banfield, Lehana Thabane and 1 more

Open access · goldAbstract readReview
In one paragraph

Review in Adolescent health, medicine and therapeutics, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.9field-weighted citation impact, top 22% 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

2 citing papers in PubMed, 2 citations in OpenAlex.

  1. Article
  2. Article
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

11 authors at 3 institutions in 1 country.

Maya KshatriyaDepartment of Pediatrics, McMaster University, Hamilton, Ontario, Canada.ORCID 0000-0002-0375-1251
Kuan-Wen WangDepartment of Pediatrics, McMaster University, Hamilton, Ontario, Canada.ORCID 0000-0002-4208-2046
Julia HildebrandDepartment of Pediatrics, McMaster University, Hamilton, Ontario, Canada.
Rebecca CrawfordDepartment of Pediatrics, McMaster University, Hamilton, Ontario, Canada.
Ajantha NadarajahDepartment of Pediatrics, McMaster University, Hamilton, Ontario, Canada.
Michael YoussefDepartment of Pediatrics, McMaster University, Hamilton, Ontario, Canada.
Angelica RivasDepartment of Pediatrics, McMaster University, Hamilton, Ontario, Canada.
Ashleen KaushalDepartment of Pediatrics, McMaster University, Hamilton, Ontario, Canada.
Laura E BanfieldHealth Sciences Library, McMaster University, Hamilton, Ontario, Canada.ORCID 0000-0001-6123-1476
Lehana ThabaneDepartment of Health Research Methods, Evidence and Impact, McMaster University, Hamilton, Ontario, Canada.
M Constantine SamaanDepartment of Pediatrics, McMaster University, Hamilton, Ontario, Canada.ORCID 0000-0002-6403-4715
McMaster Children's Hospital · CAMcMaster University · CASt Joseph's Health Care · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Indigenous children in Canada have high rates of obesity and type 2 diabetes mellitus (T2DM). Culturally appropriate interventions, guided by an Indigenous knowledge-based view of health, are crucial to target these conditions. The objective of this systematic review was to assess the impact of indigenous Knowledge-based lifestyle interventions on the prevention of obesity and T2DM in Indigenous children in Canada. Methods: Database searches were conducted from inception until February 22, 2022. The main outcomes were changes in Body Mass Index (BMI) z-score and the development of T2DM. The other outcomes included adiposity, metabolic, and lifestyle determinants of health. The GRADE approach was used to assess confidence in the evidence. Results: Four non-randomized controlled trials (non-RCTs) and six uncontrolled studies were identified. Peer-led interventions led to a reduction in BMI z-score and waist circumference. GRADE assessment revealed very low quality of evidence due to a lack of randomization and small sample sizes. There were no diabetes-specific reported programs. Conclusion: Limited evidence from non-randomized studies suggest that peer-led indigenous Knowledge-based lifestyle interventions improve BMI z-score and central adiposity. There is a need for community-owned and adequately powered randomized studies for interventions that aim to treat and prevent obesity and T2DM in Indigenous children in Canada. Systematic Review Registration: PROSPERO CRD42017072781.

Indexed as

childdiabetesethnicityobesityprevention

Identifiers

PMID37790916
PMCPMC10544169
OpenAlexW4387142159

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.