Prevention of type 2 diabetes and its complications in developing countries: a review

Lal B Rawal; Robyn J Tapp; Emily D Williams; Carina Chan; Shajahan Yasin; Brian Oldenburg

doi:10.1007/s12529-011-9162-9

Prevention of type 2 diabetes and its complications in developing countries: a review

Lal B Rawal, Robyn J Tapp, Emily D Williams, Carina Chan, Shajahan Yasin, Brian Oldenburg

Research output: Contribution to journal › Review article › peer-review

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Abstract

BACKGROUND: Type 2 diabetes mellitus (T2DM) is a significant global public health problem affecting more than 285 million people worldwide. Over 70% of those with T2DM live in developing countries, and this proportion is increasing annually. Evidence suggests that lifestyle and other nonpharmacological interventions can delay and even prevent the development of T2DM and its complications; however, to date, programs that have been specifically adapted to the needs and circumstances of developing countries have not been well developed or evaluated.

PURPOSE: The purpose of this article is to review published studies that evaluate lifestyle and other non-pharmacological interventions aimed at preventing T2DM and its complications in developing countries.

METHODS: We undertook an electronic search of MEDLINE, PubMed, and EMBASE with the English language restriction and published until 30 September 2009.

RESULTS: Nine relevant publications from seven studies were identified. The reported interventions predominantly used counseling and educational methods to improve diet and physical activity levels. Each intervention was found to be effective in reducing the risk of developing T2DM in people with impaired glucose tolerance, and improving glycemic control in people with T2DM.

CONCLUSIONS: The current evidence concerning the prevention of T2DM and its complications in developing countries has shown reasonably consistent and positive results; however, the small number of studies creates some significant limitations. More research is needed to evaluate the benefits of low-cost screening tools, as well as the efficacy, cost-effectiveness, and sustainability of culturally appropriate interventions in such countries.

Original language	English
Pages (from-to)	121-133
Number of pages	13
Journal	Annals of behavioral medicine : a publication of the Society of Behavioral Medicine
Volume	19
Issue number	2
Early online date	18 May 2011
DOIs	https://doi.org/10.1007/s12529-011-9162-9
Publication status	Published - Jun 2012

Bibliographical note

Open Access This is an open access article distributed under the terms of the Creative Commons Attribution Noncommercial License (https://creativecommons.org/licenses/by-nc/2.0), which permits any noncommercial use, distribution, and reproduction in any medium, provided the original author(s) and source are credited.

Keywords

Behavior Therapy/statistics & numerical data
Counseling/statistics & numerical data
Developing Countries/statistics & numerical data
Diabetes Complications/epidemiology
Diabetes Mellitus, Type 2/epidemiology
Global Health
Humans
Life Style

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

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10.1007/s12529-011-9162-9Licence: CC BY-NC

PublishedFinal published version, 359 KBLicence: CC BY-NC

Cite this

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title = "Prevention of type 2 diabetes and its complications in developing countries: a review",

abstract = "BACKGROUND: Type 2 diabetes mellitus (T2DM) is a significant global public health problem affecting more than 285 million people worldwide. Over 70% of those with T2DM live in developing countries, and this proportion is increasing annually. Evidence suggests that lifestyle and other nonpharmacological interventions can delay and even prevent the development of T2DM and its complications; however, to date, programs that have been specifically adapted to the needs and circumstances of developing countries have not been well developed or evaluated.PURPOSE: The purpose of this article is to review published studies that evaluate lifestyle and other non-pharmacological interventions aimed at preventing T2DM and its complications in developing countries.METHODS: We undertook an electronic search of MEDLINE, PubMed, and EMBASE with the English language restriction and published until 30 September 2009.RESULTS: Nine relevant publications from seven studies were identified. The reported interventions predominantly used counseling and educational methods to improve diet and physical activity levels. Each intervention was found to be effective in reducing the risk of developing T2DM in people with impaired glucose tolerance, and improving glycemic control in people with T2DM.CONCLUSIONS: The current evidence concerning the prevention of T2DM and its complications in developing countries has shown reasonably consistent and positive results; however, the small number of studies creates some significant limitations. More research is needed to evaluate the benefits of low-cost screening tools, as well as the efficacy, cost-effectiveness, and sustainability of culturally appropriate interventions in such countries.",

keywords = "Behavior Therapy/statistics & numerical data, Counseling/statistics & numerical data, Developing Countries/statistics & numerical data, Diabetes Complications/epidemiology, Diabetes Mellitus, Type 2/epidemiology, Global Health, Humans, Life Style",

author = "Rawal, {Lal B} and Tapp, {Robyn J} and Williams, {Emily D} and Carina Chan and Shajahan Yasin and Brian Oldenburg",

note = "Open Access This is an open access article distributed under the terms of the Creative Commons Attribution Noncommercial License (https://creativecommons.org/licenses/by-nc/2.0), which permits any noncommercial use, distribution, and reproduction in any medium, provided the original author(s) and source are credited.",

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T2 - a review

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AU - Tapp, Robyn J

AU - Williams, Emily D

AU - Chan, Carina

AU - Yasin, Shajahan

AU - Oldenburg, Brian

N1 - Open Access This is an open access article distributed under the terms of the Creative Commons Attribution Noncommercial License (https://creativecommons.org/licenses/by-nc/2.0), which permits any noncommercial use, distribution, and reproduction in any medium, provided the original author(s) and source are credited.

PY - 2012/6

Y1 - 2012/6

N2 - BACKGROUND: Type 2 diabetes mellitus (T2DM) is a significant global public health problem affecting more than 285 million people worldwide. Over 70% of those with T2DM live in developing countries, and this proportion is increasing annually. Evidence suggests that lifestyle and other nonpharmacological interventions can delay and even prevent the development of T2DM and its complications; however, to date, programs that have been specifically adapted to the needs and circumstances of developing countries have not been well developed or evaluated.PURPOSE: The purpose of this article is to review published studies that evaluate lifestyle and other non-pharmacological interventions aimed at preventing T2DM and its complications in developing countries.METHODS: We undertook an electronic search of MEDLINE, PubMed, and EMBASE with the English language restriction and published until 30 September 2009.RESULTS: Nine relevant publications from seven studies were identified. The reported interventions predominantly used counseling and educational methods to improve diet and physical activity levels. Each intervention was found to be effective in reducing the risk of developing T2DM in people with impaired glucose tolerance, and improving glycemic control in people with T2DM.CONCLUSIONS: The current evidence concerning the prevention of T2DM and its complications in developing countries has shown reasonably consistent and positive results; however, the small number of studies creates some significant limitations. More research is needed to evaluate the benefits of low-cost screening tools, as well as the efficacy, cost-effectiveness, and sustainability of culturally appropriate interventions in such countries.

AB - BACKGROUND: Type 2 diabetes mellitus (T2DM) is a significant global public health problem affecting more than 285 million people worldwide. Over 70% of those with T2DM live in developing countries, and this proportion is increasing annually. Evidence suggests that lifestyle and other nonpharmacological interventions can delay and even prevent the development of T2DM and its complications; however, to date, programs that have been specifically adapted to the needs and circumstances of developing countries have not been well developed or evaluated.PURPOSE: The purpose of this article is to review published studies that evaluate lifestyle and other non-pharmacological interventions aimed at preventing T2DM and its complications in developing countries.METHODS: We undertook an electronic search of MEDLINE, PubMed, and EMBASE with the English language restriction and published until 30 September 2009.RESULTS: Nine relevant publications from seven studies were identified. The reported interventions predominantly used counseling and educational methods to improve diet and physical activity levels. Each intervention was found to be effective in reducing the risk of developing T2DM in people with impaired glucose tolerance, and improving glycemic control in people with T2DM.CONCLUSIONS: The current evidence concerning the prevention of T2DM and its complications in developing countries has shown reasonably consistent and positive results; however, the small number of studies creates some significant limitations. More research is needed to evaluate the benefits of low-cost screening tools, as well as the efficacy, cost-effectiveness, and sustainability of culturally appropriate interventions in such countries.

KW - Behavior Therapy/statistics & numerical data

KW - Counseling/statistics & numerical data

KW - Developing Countries/statistics & numerical data

KW - Diabetes Complications/epidemiology

KW - Diabetes Mellitus, Type 2/epidemiology

KW - Global Health

KW - Humans

KW - Life Style

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M3 - Review article

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SN - 0883-6612

VL - 19

SP - 121

EP - 133

JO - Annals of behavioral medicine : a publication of the Society of Behavioral Medicine

JF - Annals of behavioral medicine : a publication of the Society of Behavioral Medicine

IS - 2

ER -

Prevention of type 2 diabetes and its complications in developing countries: a review

Abstract

Bibliographical note

Keywords

UN SDGs

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