Review Article

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

Table 3

Summary of interventions.

#StudyOrganisation of exercise and dietary intervention and who it is delivered byDuration of interventionOrganisation of control and who it is delivered byDuration of controlDuration of participant follow-up

(1)Knowler et al. [17]16 lessons for the first 24 weeks of enrolment.
One-to-one basis covering diet, exercise, and behavioural modifications.
Subsequent individual and group sessions monthly.
Delivered by: case manager
16 sessions over first 24 weeks and
then monthly for average of 2.8 years
Written information given to participants at a 1-year annual 30-minute individual session which emphasised the importance of healthy living.
Participants encouraged using the food pyramid and a set out diet.
Delivered by: case manager
Average of 2.8 yearsAverage of 2.8 years (range: 1.8 to 4.6 years)

(2)Kosaka et al. [18]Participants to weigh themselves at least once a week and reduce weight.
The following advice was repeated every 3-4 months at hospital visits: dietary; fat intake; reduce alcohol intake; reduce snacks and increase physical activity.
Delivered by: hospital staff
4 yearsAdvised on meal portion size reduction and to increase physical activity levels.
Objectives repeatedly explained every 6 months.
Delivered by: hospital staff
4 years4 years

(3)Lindström et al. [19]7 face-to-face consultations in the first year, lasting 30 minutes to 1 hour, at weeks 0, 1-2, and 5-6 and then at months 3, 4, 6, and 9. Subsequent meetings were once every 3 months. Aimed to individualise diet recommendations for each participant and goal setting.
Dietician encouraged increase in physical endurance and resistance activities at each meeting.
Participants offered voluntary group sessions, low-fat cooking lessons, visits to local supermarket and between-visits phone calls and letters.
Delivered by: nutritionist
7 sessions in first 9 months and then one session every 3 months for 3 yearsGiven general information about lifestyle and diabetes risks. Delivered in one-to-one or groups session, lasting 30 minutes to 1 hour
Control group given same information on weight reduction and physical activity as intervention, but consultations were not individualised.
Delivered by: nutritionist
1 session at initiation of study, participants carried on control for 3 years3 years

(4)Moore et al. [20]The healthy living course.
Sessions with groups of 6 to 10 participants. Aim to promote healthy lifestyle.
6 sessions over 6 months providing information on diet, exercise, motivation, goal setting, and stress.
Delivered by: facilitators who undertook 3-day training workshop
6 monthsWaiting list6 months6 months

(5)Penn et al. [21]Individual sessions for 30 minutes per session, immediately following randomisation and 2 weeks later and then monthly for first 3 months and every 3 months thereafter for up to 5 years.
Discount card of 80% to physical exercise facilities and personal trainer sessions.
Delivered by: dietician and physiotherapist
Up to 5 yearsOffered health promotion advice including widely available written leaflets on healthy eating and physical activityUp to 5 yearsAverage of 3.1 years (range: 0–5 years)

(6)Ramachandran et al. [22]Advice on healthy eating and regular physical exercise given by monthly phone calls for first 6 months.
Individual sessions delivered once every 6 months.
Delivered by: dietician, doctor, and social worker
3 yearsStates “given standard healthcare advice.”
Delivered by: dietician, doctor, and social worker
1 session at initiation of study, participants carried on control for 3 years3 years

(7)Roumen et al. [23]Every 3 months, a 1-hour counselling session on individualised dietary advice and increasing physical activity.
3 times a year participants participated in an exercise programme using a heartbeat watch.
Delivered by: dietician and physiotherapist
3 yearsBriefly informed about the beneficial effects of a healthy diet and physical activity, with no individual advice provided.
Delivered by: dietician
1 session at initiation of study, participants carried on control for 3 years3 years

(8)Saito et al. [24]Given pedometers and general information on diabetes and lifestyle modification.
9 follow-up sessions at 1, 3, 6, 12, 18, 24, 30, and 36 months to set goals for next meeting and encourage weight loss and moderate exercise.
Delivered by: medical staff (nurses, dieticians, physiotherapists, and doctors)
36 months4 sessions at 12-month intervals starting at 0 months.
Provided instructions on physical activity and weight loss voluntarily without follow-up support.
Delivered by: medical staff (nurses, dieticians, physiotherapists, and doctors)
36 months36 months

(9)Xu et al. [25]Educational lecture on balanced diet, regular exercise, and behavioural strategies to control blood glucose. To follow 2007 Chinese guidelines for the management of type 2 diabetes and dietary guidelines for Chinese.
Daily meal replacement for 3 months of intervention.
Given individualised diet instructions and recommended moderate exercise.
Delivered by: not specified
3 monthsEducational lecture on balanced diet, regular exercise, and behavioural strategies to control blood glucose. To follow 2007 Chinese guidelines for the management of type 2 diabetes and dietary guidelines for Chinese.
Delivered by: not specified
1 initial session12 months