Please use this identifier to cite or link to this item:http://hdl.handle.net/20.500.12105/16537
Title
Two decades of diabetes prevention efforts: A call to innovate and revitalize our approach to lifestyle change
Author(s)
Date issued
2023-04
Citation
Diabetes Res Clin Pract. 2023 Apr;198:110195.
Language
Inglés
Document type
review article
Abstract
The impact of global diabetes prevention efforts has been modest despite the promise of landmark diabetes prevention trials nearly twenty years ago. While national and regional initiatives show potential, challenges remain to adapt large-scale strategies in the real-world that fits individuals and their communities. Additionally, the sedentary lifestyle changes during the COVID-19 pandemic and guidelines that now call for earlier screening (e.g., US Preventative Task Force) will increase the pool of eligible adults worldwide. Thus, a more adaptable, person-centered approach that expands the current toolkit is urgently needed to innovate and revitalize our approach to diabetes prevention. This review identifies key priorities to optimize the population-level delivery of diabetes prevention based on a consensus-based evaluation of the current evidence among experts in global translational programs; key priorities identified include (1) participant eligibility, (2) intervention intensity, (3) delivery components, (4) behavioral economics, (5) technology, and (6) the role of pharmacotherapy. We offer a conceptual framework for a broader, person-centered approach to better address an individual's risk, readiness, barriers, and digital competency.
Subject
Diabetes prevention program | Implementation science | Intensive lifestyle intervention | Intensive lifestyle program | Lifestyle change | Translation research
MESH
Online version
DOI
Collections