Behavioural Lifestyle Intervention Study (BLIS) in patients with type 2 diabetes in the United Arab Emirates: A randomized controlled trial

Abdi, Sarah; Sadiya, Amena; Ali, Samia Hersi; Varghese, Shiby; Abusnana, Salah

doi:10.1186/s40795-015-0028-4

Cited by 16 publications

(53 citation statements)

References 23 publications

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“…The search resulted in 16 behavioral RCTs published between the years 2010 and 2018; 23–38 seven were from Saudi Arabia, three from the United Arab Emirates, and two each from Oman, Qatar, and Kuwait (Table 1). There were no trials from Bahrain or Iraq.…”

Section: Resultsmentioning

confidence: 99%

“…27,29 One trial specified the physical activity goal as 30 min of daily walking but did not specify dietary goals. 24 The dietary goals in the remaining five trials included calorie and carbohydrate restriction, 31,35 calorie restriction only, 26,32 or fat restriction with an increase in fiber. 37 The physical activity goals of these combination trials included 30 min of moderate activity, five times per week, 31,32,35 >5000 pedometer steps per day, 37 or aerobic training (30 min, four times per week).…”

Section: Resultsmentioning

confidence: 99%

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Behavioral trials in the Arab Gulf States: A scoping review

2019

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The leading chronic conditions in Arab Gulf States are modifiable by lifestyle change. Available evidence suggests a paucity of experimental studies on these conditions. We aimed to review the published randomized controlled trials on behavioral modification in the Arab Gulf States. Three databases (PubMed, Embase, and Cochrane) were searched for related keywords, and the records were screened for eligible studies; data were abstracted on trial characteristics (e.g. publication year, study population, primary outcome, intervention, control, follow-up, and outcome results), and a quality assessment of the trials was made. A total of 16 trials were eligible; 50% did not provide sample size calculation, and 31% did not designate a primary outcome. A majority of the trials did not explain randomization or allocation concealment (50%), did not blind outcome assessors (69%) or adopt an intention-to-treat analysis (56%); and 82% of trials found a significant intervention effect. More behavioral trials should be conducted overall and specifically for conditions for which there are no trials (e.g. respiratory tract infection and road injury).

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Behavioral trials in the Arab Gulf States: A scoping review

2019

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“…Most reported an inverse association of obesity with physical activity; one reported a positive association with total body fat [ 44 ] and two reported no significant association [ 41 , 42 ]. The remaining studies identified associations with various clinical indicators like high blood pressure [ 35 , 38 , 45 – 49 ], diabetes [ 46 , 50 – 52 ], bone health [ 37 , 40 , 53 ], the metabolic syndrome [ 16 , 54 ], and Vitamin D deficiency [ 55 , 56 ].…”

Section: Resultsmentioning

confidence: 99%

A systematic review of physical activity and sedentary behaviour research in the oil-producing countries of the Arabian Peninsula

Mabry¹,

Koohsari

Bull

et al. 2016

BMC Public Health

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BackgroundThe dramatic rise in Noncommunicable Diseases (NCD) in the oil-producing countries of the Arabian Peninsula is driven in part by insufficient physical activity, one of the five main contributors to health risk in the region. The aim of this paper is to review the available evidence on physical activity and sedentary behaviour for this region. Based on the findings, we prioritize an agenda for research that could inform policy initiatives with regional relevance.MethodsWe reviewed regional evidence on physical activity and sedentary behaviour to identify the needs for prevention and policy-related research. A literature search of peer-reviewed publications in the English language was conducted in May 2016 using PubMed, Web of Science and Google Scholar. 100 studies were identified and classified using the Behavioural Epidemiology Framework.ResultsReview findings demonstrate that research relevant to NCD prevention is underdeveloped in the region. A majority of the studies were epidemiological in approach with few being large-scale population-based studies using standardised measures. Correlates demonstrated expected associations with health outcomes, low levels of physical activity (particularly among young people), high levels of sedentary behaviour (particularly among men and young people) and expected associations of known correlates (e.g. gender, age, education, time, self-motivation, social support, and access). Very few studies offered recommendations for translating research findings into practice.ConclusionsFurther research on the determinants of physical activity and sedentary behaviour in the Arabian Peninsula using standard assessment tools is urgently needed. Priority research includes examining these behaviours across the four domains (household, work, transport and leisure). Intervention research focusing on the sectors of education, health and sports sectors is recommended. Furthermore, adapting and testing international examples to the local context would help identify culturally relevant policy and programmatic interventions for the region.Electronic supplementary materialThe online version of this article (doi:10.1186/s12889-016-3642-4) contains supplementary material, which is available to authorized users.

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“…MNT delivered by a registered dietitian is associated with a 0.5–2% decrease in Hb A1c for people with T2D 4,5. Previous research in this region also validated that lifestyle interventions significantly improved Hb A1c in T2D Emirati patients 6,7…”

Section: Introductionmentioning

confidence: 83%

<p>Impact of food pattern on glycemic control among type 2 diabetic patients: a cross-sectional study in the United Arab Emirates</p>

Sadiya¹,

Mnla²

2019

DMSO

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Background Optimum nutrition has an integral role in glycemic control of diabetic patients. In this study, we intend to explore the frequency of food group/item consumption and its association with the risk of poor glycemic control (Hb A1c >7%) among type 2 diabetes (T2D) patients in the United Arab Emirates (UAE), since there are no data available in this region. Methods In this retrospective cross-sectional study, data on frequency of food group/item consumption of 843 T2D patients aged ≥18 years were collected from records documented by dietitians in a tertiary care center in the UAE. Results The trends of food consumption demonstrate that one-third of the participants consumed all five major food groups, and 10% adhered to the recommended “MyPlate” meal pattern with the optimum mix of food groups. Univariate analysis indicated that participants who adhered to the MyPlate meal pattern presented lower Hb A1c ( β =−0.78, 95% CI −1.22, −0.25; P <0.01). Daily intake of fresh fruit was shown to be protective ( β =−0.64, 95% CI −1.26, −0.04; P =0.04) while fruit juice intake >1 time/day increased the risk of poor glycemic control ( β =1.53, 95% CI 0.72, 2.35; P <0.001). Multiple logistic regression models (area under the receiver operating characteristics curve =0.67) showed consumption of fizzy drinks and fast food ≥1 time/week increased the odds of poor glycemic control by 2.05 (95% CI 1.16, 3.68; P =0.01) and 1.83 (95% CI 1.02, 3.3 P =0.04), respectively, while fresh fruit consumption indicated a clinically relevant protective effect (OR=0.65, 95% CI 0.23, 1.79; P =0.4). Conclusion Consuming food such as fizzy drinks and fast food ≥1 time/week could possibly serve as an independent predictor for poor glycemic control, while fresh fruit could have a protective effect on glycemic control among T2D patients. Clinical Trial Registry: ClinicalTrials.gov Identifier: NCT03388229

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Behavioural Lifestyle Intervention Study (BLIS) in patients with type 2 diabetes in the United Arab Emirates: A randomized controlled trial

Cited by 16 publications

References 23 publications

Behavioral trials in the Arab Gulf States: A scoping review

Behavioral trials in the Arab Gulf States: A scoping review

A systematic review of physical activity and sedentary behaviour research in the oil-producing countries of the Arabian Peninsula

<p>Impact of food pattern on glycemic control among type 2 diabetic patients: a cross-sectional study in the United Arab Emirates</p>

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