Evidence map›Paper›PMID 42763677›Full record

ReviewCureus2026

Effectiveness of Structured Education Programmes on Diet and Exercise for Preventing Type 2 Diabetes in Adults With Prediabetes: A Systematic Review.

Chioma G Muoghalu, Geraldine Ifeoma Nwafor, Chidinma Onyegbule, Cosmas C Ofoegbu, Ndianabasi E Ekong, John Ohiri, Godwin Abraham, Danvictor A Ebirim

Abstract readReview
In one paragraph

Review in Cureus, 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

8 authors.

Chioma G MuoghaluMedicine, University of Galway, Galway, IRL.
Geraldine Ifeoma NwaforMedicine, University Hospital, Waterford, IRL.
Chidinma OnyegbuleFamily Medicine, Alex Ekwueme Federal University Teaching Hospital, Abakiliki, NGA.
Cosmas C OfoegbuCommunity and Family Medicine, Fort Saint John Hospital, Fort Saint John, CAN.
Ndianabasi E EkongPublic Health and Health Systems Management, Akwa Ibom State College of Education, Afaha Nsit, NGA.
John OhiriChemical Pathology, Federal University of Technology, Owerri, Owerri, NGA.
Godwin AbrahamOncology, Midland Metropolitan University Hospital, Birmingham, GBR.
Danvictor A EbirimMedicine, Federal University Teaching Hospital, Owerri, NGA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Diet and exercise can prevent or delay progression from prediabetes to type 2 diabetes mellitus, but lifestyle advice in routine care may be brief, inconsistent, or unstructured. This systematic review assessed whether structured education programmes on diet and exercise are more effective than usual care, standard advice or less intensive lifestyle intervention in preventing or delaying type 2 diabetes among adults with prediabetes. The review was conducted in accordance with Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidance and registered in PROSPERO (CRD42023484038). CINAHL (Cumulative Index to Nursing and Allied Health Literature), Embase, Ovid MEDLINE, Web of Science and Google Scholar were searched for English-language studies from database inception to July 2026. Randomised and cluster-randomised controlled trials involving adults with prediabetes, impaired glucose tolerance, or impaired fasting glucose were included if they compared structured education focused on diet, exercise or both with usual care, standard advice or a less intensive intervention. Data were synthesised narratively. Eighteen randomised or cluster-randomised controlled trials met the inclusion criteria. Most studies reported favourable effects of structured education on diabetes incidence, glycaemic indices and weight-related outcomes compared with usual care or less intensive lifestyle advice, while effects on cardiovascular risk markers were less consistent. Structured education on diet and exercise appears more effective than usual care or less intensive lifestyle advice in preventing or delaying type 2 diabetes among adults with prediabetes.

Indexed as

dietexerciseprediabetesstructured educationtype 2 diabetes

Identifiers

PMID42763677
PMCPMC13589475

What OpenQuestion holds

Textmetadata
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.