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The Effect of Community-Based Exercise on Health Outcomes for Indigenous Peoples with Type 2 Diabetes: A Systematic Review

Author

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  • Lauren Hurst

    (Department of Health Sciences, Macquarie University, Talavera Road, Sidney, NSW 2109, Australia
    Djurali Centre for Aboriginal and Torres Strait Islander Health Research, Heart Research Institute, Eliza Street, Newtown, NSW 2042, Australia)

  • Morwenna Kirwan

    (Department of Health Sciences, Macquarie University, Talavera Road, Sidney, NSW 2109, Australia)

  • Vita Christie

    (Djurali Centre for Aboriginal and Torres Strait Islander Health Research, Heart Research Institute, Eliza Street, Newtown, NSW 2042, Australia
    DVC Indigenous Office, University of New South Wales, High Street, Sidney, NSW 2052, Australia)

  • Cara Cross

    (DVC Indigenous Office, University of New South Wales, High Street, Sidney, NSW 2052, Australia)

  • Sam Baylis

    (Department of Health Sciences, Macquarie University, Talavera Road, Sidney, NSW 2109, Australia)

  • Liam White

    (Department of Health Sciences, Macquarie University, Talavera Road, Sidney, NSW 2109, Australia)

  • Kylie Gwynne

    (Djurali Centre for Aboriginal and Torres Strait Islander Health Research, Heart Research Institute, Eliza Street, Newtown, NSW 2042, Australia)

Abstract

Indigenous peoples globally experience a high burden of type 2 diabetes in comparison to non-Indigenous peoples. While community-based exercise interventions designed for type 2 diabetes (T2D) management have garnered success in non-Indigenous populations, they likely require adjustments to meet the needs of Indigenous people. This systematic review aims to determine if health outcomes in Indigenous peoples with T2D could be improved by community-based exercise programmes and the features of those programmes that best meet their needs. The CINAHL, Embase, Informit Indigenous Collection, Medline, PubMed, Scopus, SportDiscus, and Web of Science databases have been searched to identify peer-reviewed literature with original outcome data that report on the health effects of community-based exercise interventions for the management of T2D among Indigenous peoples. The Mixed Methods Appraisal Tool and Indigenous Community Engagement Tool were implemented to assess methodological quality. Three moderate-to-high-quality studies were selected for review, including participants of Polynesian or Native American Zuni Indian descent. Results indicated positive effects of group exercise on glycated haemoglobin (HbA1c), body mass index, body weight, total cholesterol, blood pressure, quality of life, and patient activation levels in high-adhering participants. This review concludes that community-based exercise interventions may improve health outcomes for Indigenous adults with T2D when conducted with strong community engagement.

Suggested Citation

  • Lauren Hurst & Morwenna Kirwan & Vita Christie & Cara Cross & Sam Baylis & Liam White & Kylie Gwynne, 2024. "The Effect of Community-Based Exercise on Health Outcomes for Indigenous Peoples with Type 2 Diabetes: A Systematic Review," IJERPH, MDPI, vol. 21(3), pages 1-15, March.
    • Handle: RePEc:gam:jijerp:v:21:y:2024:i:3:p:290-:d:1349945
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    References listed on IDEAS

    as
    1. Per Axelsson & Tahu Kukutai & Rebecca Kippen, 2016. "The field of Indigenous health and the role of colonisation and history," Journal of Population Research, Springer, vol. 33(1), pages 1-7, March.
    2. Morwenna Kirwan & Christine L. Chiu & Mellissa Hay & Thomas Laing, 2021. "Community-Based Exercise and Lifestyle Program Improves Health Outcomes in Older Adults with Type 2 Diabetes," IJERPH, MDPI, vol. 18(11), pages 1-9, June.
    3. Vita Christie & Debbie Green & Janaki Amin & Christopher Pyke & Karen Littlejohn & John Skinner & Deb McCowen & Kylie Gwynne, 2021. "What Is the Evidence Globally for Culturally Safe Strategies to Improve Breast Cancer Outcomes for Indigenous Women in High Income Countries? A Systematic Review," IJERPH, MDPI, vol. 18(11), pages 1-12, June.
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