Lifestyle interventions for people with, and at risk of type 2 diabetes in Polynesian communities : a systematic review and meta-analysis

There is evidence that lifestyle intervention among Polynesian people can reduce diabetes incidence and complications, but this evidence has not been systematically reviewed. The aim of this study was to systematically review the efficacy of lifestyle interventions, targeting the prevention and management of type 2 diabetes among Polynesian people. MEDLINE, Web of Science, Cochrane Library, and Embase were searched to find randomised controlled trials (RCTs) and pre-post studies. Eight studies (four RCTs and four pre-post studies) with 1590 participants met the inclusion criteria. The data on health outcomes that was reported in these studies included blood pressure, body mass index, waist circumference, weight, and glycated haemoglobin (HbA1c). The meta-analyses showed that the interventions had resulted in statistically significant reductions in systolic blood pressure (SBP) across four of the studies (WMD, -9.93 mmHg, 95% Cl, -10.77 to -9.09, and p < 0.00001). However, thffects on weight across five of the studies (WMD, -1.15 kg, 95% Cl, -2.80 to 0.51, p = 0.18) and the HbA1c levels across two of the studies (WMD, -0.38%, 95% Cl, -1.15 to 0.39, and p = 0.33) were not statistically significant. This review provides evidence that lifestyle interventions may be effective in achieving modest reductions in SBP in Polynesian people. Further research is needed to fully assess the effectiveness of these interventions in this population long-term.