The Effectiveness of Indigenous Knowledge-Based Lifestyle Interventions in Preventing Obesity and Type 2 Diabetes Mellitus in Indigenous Children in Canada: A Systematic Review.

IF 1.7 Q2 PEDIATRICS
Adolescent Health Medicine and Therapeutics Pub Date : 2023-09-28 eCollection Date: 2023-01-01 DOI:10.2147/AHMT.S405814
Maya Kshatriya, Kuan-Wen Wang, Julia Hildebrand, Rebecca Crawford, Ajantha Nadarajah, Michael Youssef, Angelica Rivas, Ashleen Kaushal, Laura E Banfield, Lehana Thabane, M Constantine Samaan
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引用次数: 0

Abstract

Background: Indigenous children in Canada have high rates of obesity and type 2 diabetes mellitus (T2DM). Culturally appropriate interventions, guided by an Indigenous knowledge-based view of health, are crucial to target these conditions. The objective of this systematic review was to assess the impact of indigenous Knowledge-based lifestyle interventions on the prevention of obesity and T2DM in Indigenous children in Canada.

Methods: Database searches were conducted from inception until February 22, 2022. The main outcomes were changes in Body Mass Index (BMI) z-score and the development of T2DM. The other outcomes included adiposity, metabolic, and lifestyle determinants of health. The GRADE approach was used to assess confidence in the evidence.

Results: Four non-randomized controlled trials (non-RCTs) and six uncontrolled studies were identified. Peer-led interventions led to a reduction in BMI z-score and waist circumference. GRADE assessment revealed very low quality of evidence due to a lack of randomization and small sample sizes. There were no diabetes-specific reported programs.

Conclusion: Limited evidence from non-randomized studies suggest that peer-led indigenous Knowledge-based lifestyle interventions improve BMI z-score and central adiposity. There is a need for community-owned and adequately powered randomized studies for interventions that aim to treat and prevent obesity and T2DM in Indigenous children in Canada.

Systematic review registration: PROSPERO CRD42017072781.

基于土著知识的生活方式干预在预防加拿大土著儿童肥胖和2型糖尿病方面的有效性:一项系统综述。
背景:加拿大土著儿童肥胖和2型糖尿病(T2DM)的发病率很高。在土著人以知识为基础的健康观指导下,文化上适当的干预措施对于针对这些情况至关重要。本系统综述的目的是评估加拿大土著儿童基于知识的生活方式干预措施对预防肥胖和T2DM的影响。方法:从成立到2022年2月22日进行数据库检索。主要结果是体重指数(BMI)z评分的变化和T2DM的发展。其他结果包括肥胖、代谢和生活方式对健康的决定因素。GRADE方法用于评估证据的可信度。结果:确定了4项非随机对照试验和6项非对照研究。同伴主导的干预措施降低了BMI z评分和腰围。GRADE评估显示,由于缺乏随机化和样本量小,证据质量非常低。没有糖尿病特异性项目的报告。结论:来自非随机研究的有限证据表明,同伴主导的基于知识的本土生活方式干预可以改善BMI z评分和中心性肥胖。有必要对旨在治疗和预防加拿大土著儿童肥胖和T2DM的干预措施进行社区拥有和充分支持的随机研究。系统评审注册:PROSPERO CRD42017072781。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
自引率
0.00%
发文量
13
审稿时长
16 weeks
期刊介绍: Adolescent Health, Medicine and Therapeutics is an international, peer reviewed, open access journal focusing on health, pathology, and treatment issues specific to the adolescent age group, including health issues affecting young people with cancer. Original research, reports, editorials, reviews, commentaries and adolescent-focused clinical trial design are welcomed. All aspects of health maintenance, preventative measures, disease treatment interventions, studies investigating the poor outcomes for some treatments in this group of patients, and the challenges when transitioning from adolescent to adult care are addressed within the journal. Practitioners from all disciplines are invited to submit their work as well as health care researchers and patient support groups. Areas covered include: Physical and mental development in the adolescent period, Behavioral issues, Pathologies and treatment interventions specific to this age group, Prevalence and incidence studies, Diet and nutrition, Specific drug handling, efficacy, and safety issues, Drug development programs, Outcome studies, patient satisfaction, compliance, and adherence, Patient and health education programs and studies.
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