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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
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    References listed on IDEAS

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    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.
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