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The effect of technology-mediated diabetes prevention interventions on weight: A meta-analysis
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نویسنده
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bian r.r. ,piatt g.a. ,sen a. ,plegue m.a. ,de michele m.l. ,hafez d. ,czuhajewski c.m. ,iuis l.r. ,kaufman n. ,richardson c.r.
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منبع
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journal of medical internet research - 2017 - دوره : 19 - شماره : 3
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چکیده
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Background: lifestyle interventions targeting weight loss,such as those delivered through the diabetes prevention program,reduce the risk of developing type 2 diabetes. technology-mediated interventions may be an option to help overcome barriers to program delivery,and to disseminate diabetes prevention programs on a larger scale. objective: we conducted a meta-analysis to evaluate the effect of such technology-mediated interventions on weight loss. methods: in this meta-analysis,six databases were searched to identify studies reporting weight change that used technology to mediate diet and exercise interventions,and targeted individuals at high risk for developing type 2 diabetes. studies published between january 1,2002 and august 4,2016 were included. results: the search identified 1196 citations. of those,15 studies met the inclusion criteria and evaluated 18 technology-mediated intervention arms delivered to a total of 2774 participants. study duration ranged from 12 weeks to 2 years. a random-effects meta-analysis showed a pooled weight loss effect of 3.76 kilograms (95% ci 2.8-4.7; p<.001) for the interventions. several studies also reported improved glycemic control following the intervention. the small sample sizes and heterogeneity of the trials precluded an evaluation of which technology-mediated intervention method was most efficacious. conclusions: technology-mediated diabetes prevention programs can result in clinically significant amounts of weight loss,as well as improvements in glycaemia in patients with prediabetes. due to their potential for large-scale implementation,these interventions will play an important role in the dissemination of diabetes prevention programs.
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کلیدواژه
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Diabetes mellitus ,type 2; Meta-analysis; Prediabetic state; Technology; Weight reduction programs
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آدرس
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university of michigan medical school,ann arbor,mi, United States, department of learning health sciences,university of michigan,ann arbor,mi, United States, university of michigan,department of family medicine,1018 fuller st.,ann arbor,mi 48104,united states,university of michigan,department of biostatistics,school of public health,ann arbor,mi, United States, university of michigan,department of family medicine,1018 fuller st.,ann arbor,mi 48104, United States, university of michigan,department of internal medicine,ann arbor,mi, United States, university of michigan,department of internal medicine,ann arbor,mi, United States, university of michigan,department of family medicine,1018 fuller st.,ann arbor,mi 48104, United States, university of michigan,department of family medicine,1018 fuller st.,ann arbor,mi 48104,united states,university of michigan,school of information,ann arbor,mi, United States, geffen school of medicine,departments of pediatrics and public health,university of california,los angeles,ca, United States, university of michigan,department of family medicine,1018 fuller st.,ann arbor,mi 48104, United States
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Authors
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