Jemina Kivelä1,2, Katja Wikström3,4, Eeva Virtanen3, Michael Georgoulis5, Greet Cardon6, Fernando Civeira7, Violeta Iotova8, Ernest Karuranga9, Winne Ko9, Stavros Liatis10, Konstantinos Makrilakis10, Yannis Manios5, Rocío Mateo-Gallego7, Anna Nanasi11, Imre Rurik11, Tsvetalina Tankova12, Kaloyan Tsochev8, Vicky Van Stappen6, Jaana Lindström3. 1. Department of Public Health Solutions, National Institute for Health and Welfare, PO BOX 27, 00300, Helsinki, Finland. jemina.kivela@thl.fi. 2. Department of Obstetrics and Gynecology, University of Helsinki, Helsinki University Hospital, Helsinki, Finland. jemina.kivela@thl.fi. 3. Department of Public Health Solutions, National Institute for Health and Welfare, PO BOX 27, 00300, Helsinki, Finland. 4. Institute of Public Health and Clinical Nutrition, University of Eastern Finland, Kuopio, Finland. 5. Department of Nutrition and Dietetics, Harokopio University, Athens, Greece. 6. Department of Movement and Sports Sciences, Ghent University, Ghent, Belgium. 7. GENUD (Growth, Exercise, Nutrition and Development) Research Group, University of Zaragoza, Zaragoza, Spain. 8. Department of Paediatrics, Medical University Varna, Varna, Bulgaria. 9. International Diabetes Federation, Brussels, Belgium. 10. National and Kapodistrian University of Athens, Athens, Greece. 11. Department of Family and Occupational Medicine, Faculty of Public Health, University of Debrecen, Debrecen, Hungary. 12. Department of Diabetology, Clinical Center of Endocrinology, Medical University Sofia, Sofia, Bulgaria.
Abstract
BACKGROUND: Feel4Diabetes was a school and community based intervention aiming to promote healthy lifestyle and tackle obesity for the prevention of type 2 diabetes among families in 6 European countries. We conducted this literature review in order to guide the development of evidence-based implementation of the Feel4Diabetes intervention. We focused on type 2 diabetes prevention strategies, including all the phases from risk identification to implementation and maintenance. Special focus was given to prevention among vulnerable groups and people under 45 years. METHODS: Scientific and grey literature published between January 2000 and January 2015 was searched for relevant studies using electronic databases. To present the literature review findings in a systematic way, we used the Reach, Effectiveness, Adoption, Implementation, and Maintenance (RE-AIM) framework. A complementary literature search from February 2015 to December 2018 was also conducted. RESULTS: The initial review included 27 studies with a follow-up ≥12 months and 9 studies with a follow-up ≥6 months and with a participant mean age < 45 years. We found out that interventions should be targeted at people at risk to improve recruiting and intervention effectiveness. Screening questionnaires (primarily Finnish Diabetes Risk Score FINDRISC) and blood glucose measurement can both be used for screening; the method does not appear to affect intervention effectiveness. Screening and recruitment is time-consuming, especially when targeting lower socioeconomic status and age under 45 years. The intervention intensity is more important for effectiveness than the mode of delivery. Moderate changes in several lifestyle habits lead to good intervention results. A minimum of 3-year follow-up seemed to be required to show a reduction in diabetes risk in high-risk individuals. In participants < 45 years, the achieved results in outcomes were less pronounced. The complementary review included 12 studies, with similar results regarding intervention targets and delivery modes, as well as clinical significance. CONCLUSION: This narrative review highlighted several important aspects that subsequently guided the development of the Feel4Diabetes high-risk intervention. Research on diabetes prevention interventions targeted at younger adults or vulnerable population groups is still relatively scarce. Feel4Diabetes is a good example of a project aiming to fill this research gap. TRIAL REGISTRATION: clinicaltrials.gov NCT02393872, registered 20th March 2015.
BACKGROUND: Feel4Diabetes was a school and community based intervention aiming to promote healthy lifestyle and tackle obesity for the prevention of type 2 diabetes among families in 6 European countries. We conducted this literature review in order to guide the development of evidence-based implementation of the Feel4Diabetes intervention. We focused on type 2 diabetes prevention strategies, including all the phases from risk identification to implementation and maintenance. Special focus was given to prevention among vulnerable groups and people under 45 years. METHODS: Scientific and grey literature published between January 2000 and January 2015 was searched for relevant studies using electronic databases. To present the literature review findings in a systematic way, we used the Reach, Effectiveness, Adoption, Implementation, and Maintenance (RE-AIM) framework. A complementary literature search from February 2015 to December 2018 was also conducted. RESULTS: The initial review included 27 studies with a follow-up ≥12 months and 9 studies with a follow-up ≥6 months and with a participant mean age < 45 years. We found out that interventions should be targeted at people at risk to improve recruiting and intervention effectiveness. Screening questionnaires (primarily Finnish Diabetes Risk Score FINDRISC) and blood glucose measurement can both be used for screening; the method does not appear to affect intervention effectiveness. Screening and recruitment is time-consuming, especially when targeting lower socioeconomic status and age under 45 years. The intervention intensity is more important for effectiveness than the mode of delivery. Moderate changes in several lifestyle habits lead to good intervention results. A minimum of 3-year follow-up seemed to be required to show a reduction in diabetes risk in high-risk individuals. In participants < 45 years, the achieved results in outcomes were less pronounced. The complementary review included 12 studies, with similar results regarding intervention targets and delivery modes, as well as clinical significance. CONCLUSION: This narrative review highlighted several important aspects that subsequently guided the development of the Feel4Diabetes high-risk intervention. Research on diabetes prevention interventions targeted at younger adults or vulnerable population groups is still relatively scarce. Feel4Diabetes is a good example of a project aiming to fill this research gap. TRIAL REGISTRATION: clinicaltrials.gov NCT02393872, registered 20th March 2015.
Authors: Heyam Emad Al Qurabiy; Ihab Majeed Abbas; Aboo-Thar Ali Hammadi; Farah Kadhim Mohsen; Rasha Ibrahim Salman; Saja Hussain Dilfy Journal: J Med Life Date: 2022-08