IDEAS home Printed from https://ideas.repec.org/a/gam/jijerp/v21y2024i5p601-d1389940.html
   My bibliography  Save this article

The Effectiveness of Clinician-Led Community-Based Group Exercise Interventions on Health Outcomes in Adults with Type 2 Diabetes Mellitus: A Systematic Review and Meta-Analysis

Author

Listed:
  • Liam White

    (Faculty of Medicine, Health and Human Sciences, Macquarie University, Talavera Road, North Ryde, NSW 2109, Australia)

  • Morwenna Kirwan

    (Faculty of Medicine, Health and Human Sciences, Macquarie University, Talavera Road, North Ryde, 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, Sydney, NSW 2052, Australia)

  • Lauren Hurst

    (Faculty of Medicine, Health and Human Sciences, Macquarie University, Talavera Road, North Ryde, NSW 2109, Australia)

  • Kylie Gwynne

    (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, Sydney, NSW 2052, Australia)

Abstract

This systematic review and meta-analysis evaluated the combined effects of clinician-led and community-based group exercise interventions on a range of health outcomes in adults with type 2 diabetes mellitus. Our literature search spanned Medline, Scopus, PubMed, Embase, and CINAHL databases, focusing on peer-reviewed studies published between January 2003 and January 2023. We included studies involving participants aged 18 years and older and articles published in English, resulting in a dataset of eight studies with 938 participants. Spanning eight peer-reviewed studies with 938 participants, the analysis focused on the interventions’ impact on glycemic control, physical fitness, and anthropometric and hematological measurements. Outcomes related to physical fitness, assessed through the six-minute walk test, the 30 s sit-to-stand test, and the chair sit-and-reach test, were extracted from five studies, all of which reported improvements. Anthropometric outcomes from seven studies highlighted positive changes in waist circumference and diastolic blood pressure; however, measures such as body mass index, systolic blood pressure, weight, and resting heart rate did not exhibit significant changes. Hematological outcomes, reviewed in four studies, showed significant improvements in fasting blood glucose, triglycerides, and total cholesterol, with glycemic control evidenced by reductions in HbA1c levels, yet LDL and HDL cholesterol levels remained unaffected. Ten of the fifteen outcome measures assessed showed significant enhancement, indicating that the intervention strategies implemented may offer substantial health benefits for managing key type 2 diabetes mellitus-related health parameters. These findings in combination with further research, could inform the refinement of physical activity guidelines for individuals with type 2 diabetes mellitus, advocating for supervised group exercise in community settings.

Suggested Citation

  • Liam White & Morwenna Kirwan & Vita Christie & Lauren Hurst & Kylie Gwynne, 2024. "The Effectiveness of Clinician-Led Community-Based Group Exercise Interventions on Health Outcomes in Adults with Type 2 Diabetes Mellitus: A Systematic Review and Meta-Analysis," IJERPH, MDPI, vol. 21(5), pages 1-14, May.
    • Handle: RePEc:gam:jijerp:v:21:y:2024:i:5:p:601-:d:1389940
    as

    Download full text from publisher

    File URL: https://www.mdpi.com/1660-4601/21/5/601/pdf
    Download Restriction: no
    File URL: https://www.mdpi.com/1660-4601/21/5/601/
    Download Restriction: no
    ---><---

    References listed on IDEAS

    as
    1. Two Feathers, J. & Kieffer, E.C. & Palmisano, G. & Anderson, M. & Sinco, B. & Janz, N. & Heisler, M. & Spencer, M. & Guzman, R. & Thompson, J. & Wisdom, K. & James, S.A., 2005. "Racial and Ethnic Approaches to Community Health (REACH) Detroit partnership: Improving diabetes-related outcomes among African American and Latino adults," American Journal of Public Health, American Public Health Association, vol. 95(9), pages 1552-1560.
    2. Romeu Mendes & Nelson Sousa & Victor Machado Reis & Jose Luis Themudo-Barata, 2017. "Implementing Low-Cost, Community-Based Exercise Programs for Middle-Aged and Older Patients with Type 2 Diabetes: What Are the Benefits for Glycemic Control and Cardiovascular Risk?," IJERPH, MDPI, vol. 14(9), pages 1-12, September.
    3. 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.
    Full references (including those not matched with items on IDEAS)

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Kumah, Emmanuel & Sciolli, Giulia & Toraldo, Maria Laura & Murante, Anna Maria, 2018. "The diabetes self-management educational programs and their integration in the usual care: A systematic literature review," Health Policy, Elsevier, vol. 122(8), pages 866-877.
    2. Edward Adinkrah & Mohsen Bazargan & Cheryl Wisseh & Shervin Assari, 2020. "Adherence to Hypertension Medications and Lifestyle Recommendations among Underserved African American Middle-Aged and Older Adults," IJERPH, MDPI, vol. 17(18), pages 1-15, September.
    3. Hollard, Guillaume & Sene, Omar, 2020. "What drives the quality of schools in Africa? Disentangling social capital and ethnic divisions," Economics of Education Review, Elsevier, vol. 74(C).
    4. Luis Leitão & Moacir Marocolo & Hiago L. R. de Souza & Rhai André Arriel & João Guilherme Vieira & Mauro Mazini & Teresa Figueiredo & Hugo Louro & Ana Pereira, 2021. "Multicomponent Exercise Program for Improvement of Functional Capacity and Lipidic Profile of Older Women with High Cholesterol and High Triglycerides," IJERPH, MDPI, vol. 18(20), pages 1-9, October.
    5. Carol Brownson & Michele Heisler, 2009. "The Role of Peer Support in Diabetes Care and Self-Management," The Patient: Patient-Centered Outcomes Research, Springer;International Academy of Health Preference Research, vol. 2(1), pages 5-17, March.
    6. 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.
    7. Md Towfiqul Alam & Sandra E. Echeverria & Melissa J. DuPont-Reyes & Elizabeth Vasquez & Rosenda Murillo & Tailisha Gonzalez & Fatima Rodriguez, 2021. "Educational Attainment and Prevalence of Cardiovascular Health (Life’s Simple 7) in Asian Americans," IJERPH, MDPI, vol. 18(4), pages 1-12, February.
    8. Romeu Mendes & Nelson Sousa & José Luís Themudo-Barata & Victor Machado Reis, 2019. "High-Intensity Interval Training Versus Moderate-Intensity Continuous Training in Middle-Aged and Older Patients with Type 2 Diabetes: A Randomized Controlled Crossover Trial of the Acute Effects of T," IJERPH, MDPI, vol. 16(21), pages 1-14, October.
    9. Stephen Linder & Dritana Marko & Ye Tian & Tami Wisniewski, 2018. "A Population-Based Approach to Mapping Vulnerability to Diabetes," IJERPH, MDPI, vol. 15(10), pages 1-13, October.
    10. Carlos Vasconcelos & António Almeida & Maria Cabral & Elisabete Ramos & Romeu Mendes, 2019. "The Impact of a Community-Based Food Education Program on Nutrition-Related Knowledge in Middle-Aged and Older Patients with Type 2 Diabetes: Results of a Pilot Randomized Controlled Trial," IJERPH, MDPI, vol. 16(13), pages 1-16, July.
    11. Jaclynn Hawkins & Edith C. Kieffer & Brandy Sinco & Gretchen Piatt & Lenette Jones & Jamie Mitchell & Nicolaus Espitia & Alana LeBron & Katherine A. Kloss & Katie Kurnick & Gloria Palmsiano & Michael , 2022. "Using Path Analysis and Linear Regression to Test for Gender and Participation: Effects in a Culturally Tailored Diabetes Intervention for Latino Adults," IJERPH, MDPI, vol. 19(19), pages 1-12, September.

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:gam:jijerp:v:21:y:2024:i:5:p:601-:d:1389940. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: MDPI Indexing Manager (email available below). General contact details of provider: https://www.mdpi.com .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.