Evidence map›Paper›PMID 42161556›Full record

ArticleBMJ open2026

Medical nutrition therapy strategies for type 2 diabetes in Western and African contexts: a comparative scoping review protocol.

Nila Kusumawati, Merveille Bada, Deborah Jean McClelland, Waliou Amoussa Hounkpatin, Halimatou Alaofè

Abstract read
In one paragraph

Article in BMJ open, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

5 authors.

Nila KusumawatiDepartment of Health Promotion Sciences, The University of Arizona Mel and Enid Zuckerman College of Public Health, Tucson, Arizona, USA nilakusumawati@arizona.edu.ORCID http://orcid.org/0000-0002-0967-228X
Merveille BadaSchool of Nutrition and Food Science and Technology, Faculty of Agricultural Sciences, Littoral Department, University of Abomey-Calavi, Cotonou, Benin.ORCID http://orcid.org/0000-0003-2207-9445
Deborah Jean McClellandArizona Health Sciences Library, The University of Arizona, Tucson, Arizona, USA.ORCID http://orcid.org/0000-0003-3679-9435
Waliou Amoussa HounkpatinSchool of Nutrition and Food Science and Technology, Faculty of Agricultural Sciences, Littoral Department, University of Abomey-Calavi, Cotonou, Benin.
Halimatou AlaofèDepartment of Health Promotion Sciences, The University of Arizona Mel and Enid Zuckerman College of Public Health, Tucson, Arizona, USA.ORCID http://orcid.org/0000-0002-3011-9673

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionType 2 diabetes (T2D) is a growing global public health challenge, with a rapidly increasing burden in sub-Saharan Africa. Medical nutrition therapy (MNT) is a cornerstone of T2D management; however, its design, delivery and implementation vary across health systems, cultural contexts and resource environments. Most synthesised evidence and guideline development originate from Western settings, while MNT approaches in African contexts remain heterogeneous and less systematically characterised. This scoping review aims to map and compare MNT strategies for T2D across Western and African contexts. METHODS AND ANALYSIS: This scoping review will follow the Arksey and O'Malley framework and its enhancements, aligned with Joanna Briggs Institute guidance. Reporting will adhere to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews (PRISMA-ScR). Searches will be conducted in PubMed, Embase, CINAHL, Scopus, CABI Global Health and African Journals Online, supplemented by grey literature and citation searching. Eligible sources will include studies and programme reports describing MNT interventions for adults with T2D published between 2000 and 2025 in Western or African settings. Eligibility will be defined using the Population-Concept-Context framework. Two reviewers will independently screen studies and extract data using a standardised, framework-informed charting form based on the Consolidated Framework for Implementation Research (CFIR) and the Reach, Effectiveness, Adoption, Implementation and Maintenance (RE-AIM) framework. Data will be synthesised using descriptive numerical summaries, framework-informed thematic synthesis (deductive coding with inductive refinement), and comparative evidence matrices. ETHICS AND DISSEMINATION: This review will use publicly available data and does not require ethical approval. Findings will be disseminated through peer-reviewed publication, conference presentations and stakeholder-oriented knowledge translation activities to inform culturally relevant, context-appropriate and implementation-ready MNT strategies across diverse health system settings.

Indexed as

Diabetes Mellitus, Type 2Nutrition TherapyAfricaHumansResearch DesignScoping Reviews as TopicAfrica South of the SaharaChronic DiseaseDiabetes Mellitus, Type 2Implementation ScienceNUTRITION & DIETETICS

Identifiers

PMID42161556
PMCPMC13201987

What OpenQuestion holds

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LicenceCC BY-NC
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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.