Review Article

The Effectiveness of Lifestyle Adaptation for the Prevention of Prediabetes in Adults: A Systematic Review

Table 2

Summary of characteristics of participants.

#StudySample size (T, I, C)Mean age (years) Mean BMI (kg/m2) at baselineInclusion criteriaExclusion criteriaBlood glucose concentration for diagnosis of prediabetesCut-off for diagnosis of diabetes

(1)Knowler et al. [17]T = 3234
I = 1079
C = 1082
Total of I and C = 2161
Overall = 34.0 ± 6.7
I = 50.6 ± 11.3
C = 50.3 ± 10.4
Overall = 34.0 ± 6.7
I = 33.9 ± 6.8
C = 34.2 ± 6.7
≥25 years old, BMI ≥ 24, IGTDiabetes, taking glucose altering medication, illness that seriously reduces life expectancy, or ability to participate in the trial2 hours after 75 g oral glucose load 7.8 mmol/L to 11.0 mmol/L≥11.1 mmol/L 2 hours after 75 g oral glucose load.
≥7.0 mmol/L fasting plasma glucose

(2)Kosaka et al. [18]Men only
T = 458
I = 102
C = 356
Mean age not statedI = 24.0 ± 2.3
C = 23.8 ± 2.1
IFGDiabetes, malignant neoplasm, suspected or diagnosed disease of liver, pancreas, endocrine organs, or kidneys, ischaemic heart disease, or cerebrovascular disease2 hours after 75 g oral glucose load 7.8 mmol/L to 11.0 mmol/LFasting plasma glucose of ≥7.8 mmol/L

(3)Lindström et al. [19]T = 522
I = 265
C = 257
I = 55 ± 7
C = 55 ± 7
I = 31.4 ± 4.5
C = 31.1 ± 4.5
40–64 years old, BMI ≥ 25, IGTDiabetesStates based on WHO criteriaLevel for diagnosis not stated

(4)Moore et al. [20]T = 307
I = 208
C = 99
Overall = 62.5 ± 10.1I = 29.66 ± 5.33
C = 29.79 ± 4.94
IGTDiabetes2 hours after 75 g oral glucose load 7.8 mmol/L to 11.0 mmol/L>11.0 mmol/L 2 hours after 75 g oral glucose load.
≥7.0 mmol/L fasting plasma glucose

(5)Penn et al. [21]T = 102
I = 51
C = 51
Overall = 57.2 ± 1.7I = 34.1 ± 5.5
C = 33.5 ± 4.6
≥40 years old, BMI ≥ 25, IGTDiabetes, chronic illness that meant being unable to participate in moderate physical activity, special diet for medical reasons2 hours after 75 g oral glucose load 7.8 mmol/L to <11.1 mmol/L≥11.1 mmol/L 2 hours after 75 g oral glucose load

(6)Ramachandran et al. [22]T = 531
I = 133
C = 136
Total of I and
C = 269
I = 46.1 ± 5.7
C = 45.2 ± 5.7
I = 25.7 ± 3.3
C = 26.3 ± 3.7
IGTDiabetes2 hours after 75 g oral glucose load 7.8 mmol/L to 11.0 mmol/LFasting plasma glucose of ≥ 7.8 mmol/L

(7)Roumen et al. [23]T = 147
I = 74
C = 73
I = 54.2 ± 5.8
C = 58.4 ± 6.8
I = 29.6 ± 3.8
C = 29.2 ± 3.3
IGTDiabetes, chronic illness, medication known to change glucose concentrations2 hours after 75 g oral glucose load 7.8 mmol/L to <12.5 mmol/LStates based on WHO (1999) criteria

(8)Saito et al. [24]T = 641
I = 311
C = 330
Median age only stated at:
I = 50 (44–54)
C = 48 (41–54)
I = 26.9 ± 2.6
C = 27.1 ± 2.6
30–60 years old,
BMI ≥ 24, IFG
Diabetes, ischaemic heart disease, stroke, chronic nephritis, pituitary disease, thyroid disease, adrenal gland disease, mental illness, gastrectomy, malignant tumour, medication effecting glucose concentrationsFasting plasma glucose 5.6 mmol/L 6.7 mmol/L≥11.1 mmol/L 2 hours after 75 g oral glucose load.
≥7.0 mmol/L fasting plasma glucose

(9)Xu et al. [25]T = 88
I = 46
C = 42
I = 60.35 ± 9.78
C = 56.55 ± 8.61
I = 26.80 ± 3.13
C = 25.72 ± 3.83
≥25 years old, BMI ≥ 18.5, IFGDiabetes, stroke, CHD, malignancies in past 5 years, suspected disease of liver, pancreas, or kidney2 hours after 75 g oral glucose load 7.8 mmol/L to 11.0 mmol/LDiabetes cut-off not stated

T: total; I: intervention; C: control; IGT: impaired glucose tolerance; IFG: impaired fasting glucose; BMI: body mass index (kg/m2); WHO: World Health Organization.