Evidence map›Paper›PMID 42736402›Full record

ArticleDiabetologia2026

Differential physical activity responses to diabetes risk reduction interventions according to prediabetes phenotype in at-risk individuals: pooled analysis from three randomised controlled trials.

Emily James, Joseph Henson, Melanie J Davies, Kamlesh Khunti, Thomas Yates

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

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1 · What the graph read from it

What it found

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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

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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

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No citing paper in PubMed yet.

4 · The record

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5 · Who and what money

Authors and funding

5 authors.

Emily JamesNational Institute for Health and Care Research Leicester Biomedical Research Centre, Leicester, UK. e.james@leicester.ac.uk.ORCID http://orcid.org/0000-0002-3032-9662
Joseph HensonNational Institute for Health and Care Research Leicester Biomedical Research Centre, Leicester, UK.ORCID http://orcid.org/0000-0002-3898-7053
Melanie J DaviesNational Institute for Health and Care Research Leicester Biomedical Research Centre, Leicester, UK.ORCID http://orcid.org/0000-0002-9987-9371
Kamlesh KhuntiNational Institute for Health and Care Research Leicester Biomedical Research Centre, Leicester, UK.ORCID http://orcid.org/0000-0003-2343-7099
Thomas YatesNational Institute for Health and Care Research Leicester Biomedical Research Centre, Leicester, UK.ORCID http://orcid.org/0000-0002-5724-5178

Funding

NIHR Applied Research Collaboration East Midlands Walking Away StudyNIHR Health Technology Assessment (HTA) Programme HTA 09/162/02NIHR Programme Grants for Applied Research scheme RP-PG-0606-1272
6 · The paper itself

Abstract

aims/hypothesisEmerging research suggests that the effects of lifestyle interventions to reduce the risk of type 2 diabetes progression differ by prediabetes phenotype. We investigated whether this divergent effectiveness is accompanied by differing physical activity responses to the intervention.

methodsPooled data from three randomised controlled trials were used (n=2150), with up to 48 months annual follow-up. Participants at risk of type 2 diabetes were randomised to either: (1) usual care (control) or (2) similar interventions, in which they received structured group-based lifestyle interventions to promote increases in physical activity and other behaviours associated with diabetes risk reduction, supported by education, goal setting, pedometer use and maintenance support. Change in physical activity and glucose levels were stratified by the presence of impaired fasting glucose (IFG) and/or impaired glucose tolerance (IGT).

resultsParticipants in the group with normoglycaemia were 63 years old (mean), with a mean BMI of 29.9 kg/m CONCLUSIONS/

interpretationThe effectiveness of structured, group-based interventions with goal setting to promote physical activity differs by glycaemic status; those with IFG were least responsive. This may contribute to previously observed differences in the clinical effectiveness of diabetes prevention programmes.

Indexed as

Impaired fasting glucoseImpaired glucose toleranceLifestylePhysical activityPrediabetesPrevention

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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.