Jessé Lopes da Silva, Sarah Ananda Gomes, Lívia Costa de Oliveira, Lucas Zanetti de Albuquerque, Lívia Machado Moura, Luiz Claudio Santos Thuler, Andréia Cristina de Melo
Exploring factors and trends in place of death by cancer: a population-based study in Brazil
Lancet regional health. Americas
increasing prevalence type 2 diabetes workingage people imposes substantial societal burden although physical activity crucial diabetes management limited evidence exists inform optimal strategies promoting physical activity population aimed determine compare effectiveness interventions increasing physical activity level workingage people diabetes systematic review metaanalysis searched web science cochrane library medline embase psycinfo clinicaltrialsgov ictrp papers published jan 1 1931 june 30 2022 english search terms included physical activity diabetes randomised controlled trial included trials reporting effects interventions physical activity level objectively subjectively measured people type 2 diabetes aged 1860 years two independent reviewers conducted summary data extraction quality assessment used pairwise randomeffects frequentist network metaanalyses metaregression obtain pooled effects heterogeneity evaluated using i2 statistic risk bias certainty evidence assessed using cochrane riskofbias 2 tool grading recommendations assessment development evaluation study registered prospero crd42022323165 identified 52 trials 6257 participants 21 countries 32 asia ten north america eight europe one australia one africa overall risk bias classified concerns included studies four types interventions structured exercise training physical activity education psychological intervention physical activity education plus psychological intervention identified compared control groups interventions showed significant effects objectively measured standardised mean difference 077 95 ci 027127 low certainty subjectively measured 088 040135 low certainty overall physical activity 082 048116 moderate certainty physical activity education exerted large effect overall physical activity compared control groups psychological intervention exerted large effects overall physical activity compared interventions heterogeneity high i29697 intervention setting p004 facilitator p003 showed effects heterogeneity psychologically modelled education might beneficial way promoting physical activity intervention setting facilitator type considered designing interventions improving physical activity level workingage people type 2 diabetes limitations review include restriction english language considerable heterogeneity studies kingschina scholarship council phd scholarship 202108440151