19th Apr 2024
Introduction: Optimal 24-hour movement behavior compositions (i.e., high levels of physical activity (PA), low levels of sedentary behavior (SB) and sufficient sleep) induce positive effects on for example insulin sensitivity, glucose control and triglyceride levels in adults with Type 2 Diabetes (T2D) showing/emphasizing the importance of intervening on these behaviors. The aim of this systematic review and meta-analysis was to identify effective intervention components that can positively change PA, SB and/or sleep in this population.
Methods: Three electronic databases (PubMed, Web of Science and Embase) were searched using keywords of the following concepts: pathology (T2D), PA, SB, sleep, and study design (randomized controlled trials). ASReview (which uses Artificial Intelligence) was used for title and abstract screening, followed by Covidence for full text screening. Risk of bias was evaluated using the Cochrane Risk of Bias tool 2 (PROSPERO ID CRD42023494007).
Results: The search strategy resulted in 9,437 original references. After screening title and abstract, 595 references were screened for full text resulting in a total of 99 included articles. Preliminary results show a total of 10,531 participants in the intervention group (mean age: 56.7; 50.1% female) and 11,061 participants in the control group (mean age: 57.4; 52.4% female) across all included studies. Goal-setting, action planning, monitoring, social support, and reinforcement and feedback seem commonly used behavior change techniques. The use of a pedometer, face-to-face sessions, group sessions and using the mobile phone are commonly used delivery methods for interventions. The results of the meta-analysis, which will be presented during the conference, will provide more detailed information about effective intervention components and behavior change techniques.
Conclusion: The results of this systematic review and meta-analysis will identify effective intervention components and behavior change techniques that will contribute to future single or multicomponent interventions targeting 24-hour movement behaviors in people with T2D.