Evidence map›Paper›PMID 40080359›Full record

SynthesisSports medicine (Auckland, N.Z.)2025

Effects of Lifestyle Interventions to Promote Physical Activity on Physical Activity and Glycated Hemoglobin in Patients with Type 2 Diabetes: a Systematic Review and Meta-Analysis.

Vivien Hohberg, Eric Lichtenstein, Jan-Niklas Kreppke, Cedrine Zanitti, Fiona Streckmann, Markus Gerber, Oliver Faude

Abstract readSystematic ReviewMeta-Analysis
In one paragraph

Synthesis in Sports medicine (Auckland, N.Z.), 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 2 pooled it
–field-weighted citation impact
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

6 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Review
  5. Article
  6. 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

7 authors.

Vivien HohbergDepartment of Sport, Exercise and Health, University of Basel, Gross Allee 6, 4052, Basel, Switzerland. vivien.hohberg@unibas.ch.ORCID 0000-0003-0652-8714
Eric LichtensteinDepartment of Sport, Exercise and Health, University of Basel, Gross Allee 6, 4052, Basel, Switzerland.ORCID 0000-0002-5860-9068
Jan-Niklas KreppkeDepartment of Sport, Exercise and Health, University of Basel, Gross Allee 6, 4052, Basel, Switzerland.ORCID 0000-0002-8187-920X
Cedrine ZanittiDepartment of Sport, Exercise and Health, University of Basel, Gross Allee 6, 4052, Basel, Switzerland.
Fiona StreckmannDepartment of Sport, Exercise and Health, University of Basel, Gross Allee 6, 4052, Basel, Switzerland.
Markus GerberDepartment of Sport, Exercise and Health, University of Basel, Gross Allee 6, 4052, Basel, Switzerland.ORCID 0000-0001-6140-8948
Oliver FaudeDepartment of Sport, Exercise and Health, University of Basel, Gross Allee 6, 4052, Basel, Switzerland.ORCID 0000-0002-2832-7780

Funding

Innosuisse - Schweizerische Agentur für Innovationsförderung innovation project 27366-1 IP-LS
6 · The paper itself

Abstract

backgroundNumerous studies have explored the impact of controlled exercise interventions in type 2 diabetes, as physical activity can positively influence its progression. However, our understanding of how broader lifestyle interventions can effectively promote physical activity in practical real-world scenarios remains limited.

objectiveThis systematic review and meta-analysis aimed to investigate the potential of lifestyle interventions targeting the promotion of physical activity on physical activity outcomes and glycated hemoglobin (HbA1c), providing a comprehensive understanding of both behavioral and clinical impacts.

methodsWe performed a systematic review and meta-analysis, searching three databases and examined the study design, structure, and content of the lifestyle interventions. We assessed physical activity and HbA1c as endpoints and performed a multivariate meta-regression to explore physical activity's impact on HbA1c.

resultsThis review incorporated 13 studies (n = 5301 patients), with heterogeneity in intervention designs, components, and durations. Lifestyle interventions showed a slight increase in physical activity, equivalent to an average of 9.0 min more total physical activity per day (95% confidence interval 5.8, 12.2) and 1.7 min more moderate-to-vigorous physical activity per day (95% confidence interval 1.1, 2.3), irrespective of objective (e.g., accelerometers) or subjective measurement (e.g., questionnaires) method. However, HbA1c reduction through these interventions was minimal 0.09% (95% confidence interval - 0.20, 0.03). The effect of physical activity was - 0.04 (standard error = 0.05, 95% confidence interval - 0.15, 0.06), suggesting that physical activity does not act as a moderator for changes in HbA1c.

conclusionsLifestyle interventions effectively increase physical activity but have limited impact on HbA1c compared to controls. The role of physical activity as a moderator for changes in HbA1c remains uncertain. Further research is needed to enhance the efficacy of these interventions in reducing HbA1c in individuals with type 2 diabetes.

Indexed as

Diabetes Mellitus, Type 2ExerciseGlycated HemoglobinHealth PromotionLife StyleHumansGlycated Hemoglobin

Identifiers

PMID40080359
PMCPMC12106156

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Registered trials

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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.