Effects of lifestyle interventions on weight amongst Pasifika communities: A systematic review and meta-analysis

Palu, Elizabeth; MacMillan, Dr Freya; McBride, Dr Kate A.; Thomson, Dr Russell; Zarora, Reetu; Simmons, David

doi:10.1016/j.lanwpc.2022.100483

Cited by 6 publications

(4 citation statements)

References 59 publications

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“…Outcomes revealed a reduction in body fat percentage but mixed behaviour change results [53]. In a systematic review by Palu et al [54], lifestyle-based health and nutrition promotion programs among populations in PICTs (though predominantly conducted in New Zealand) were found to be efficacious for weight loss. Particularly, the study also emphasised the importance of culturally conducive approaches, community action, peer support, and behaviour change strategies as important factors in intervention design, which is consistent with the enablers from programs targeting communicable diseases identified in our review.…”

Section: Discussionmentioning

confidence: 99%

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Health and Nutrition Promotion Programs in Papua New Guinea: A Scoping Review

Chen,

Davies,

Tran

et al. 2024

Nutrients

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There is a rising prevalence of non-communicable diseases (NCDs) in Papua New Guinea (PNG), adding to the disease burden from communicable infectious diseases and thus increasing the burden on the healthcare system in a low-resource setting. The aim of this review was to identify health and nutrition promotion programs conducted in PNG and the enablers and barriers to these programs. Four electronic databases and grey literature were searched. Two reviewers completed screening and data extraction. This review included 23 papers evaluating 22 health and nutrition promotion programs, which focused on the Ottawa Charter action areas of developing personal skills (12 programs), reorienting health services (12 programs) and strengthening community action (6 programs). Nineteen programs targeted communicable diseases; two addressed NCDs, and one addressed health services. Enablers of health promotion programs in PNG included community involvement, cultural appropriateness, strong leadership, and the use of mobile health technologies for the decentralisation of health services. Barriers included limited resources and funding and a lack of central leadership to drive ongoing implementation. There is an urgent need for health and nutrition promotion programs targeting NCDs and their modifiable risk factors, as well as longitudinal study designs for the evaluation of long-term impact and program sustainability.

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Section: Discussionmentioning

confidence: 99%

“…However, notably, in Van Olmen et al's review, no PICTs were included as part of the LMIC [62]. When examining lifestyle intervention for weight loss and NCD-risk factors in PICTs, no studies included any mHealth technologies [54]. Therefore, there is potential for PNG health and nutrition promotion programs to adopt mHealth technologies.…”

Section: Discussionmentioning

confidence: 99%

Health and Nutrition Promotion Programs in Papua New Guinea: A Scoping Review

Chen,

Davies,

Tran

et al. 2024

Nutrients

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“…Many members of Māori and Pasifika communities do not access health screening despite its availability in mainstream health services (Palu et al, 2022). There is also increasing community awareness that preventive screening has not been adequately addressed for Māori and Pasifika peoples in Queensland (Vaughan et al, 2018).…”

Section: Perspectives and Lessons Learnedmentioning

confidence: 99%

Towards collective community education: Pasifika diabetes health forums in Southeast Queensland, Australia

Akbar,

Gallegos,

Te Kani

et al. 2023

AlterNative: An International Journal of Indigenous Peoples

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Collective community education co-designed with the Māori (Indigenous people of Aotearoa (New Zealand) and Pasifika (Pacific Islander peoples living in Australia) communities through participatory community engagement, Indigenous methods and cultural knowledge are vital for development and implementation of diabetes community forums. A community-based participatory action research was co-designed with three Pasifika diabetes community forums in partnership with Māori and Pasifika communities, a university and government health organisations in Southeast Queensland. The forums provided a culturally safe space for the communities to collectively engage in diabetes education, health checks and cultural knowledge sharing. The outcomes of these forums led to co-development of a Pasifika Women’s Diabetes Wellness Program aimed at promoting diabetes prevention and management for the Māori and Pasifika diaspora in Australia and internationally. Co-designed community forums have the potential to address health equity through inclusion of communities and key stakeholders in a collaborative agenda, empowering communities to improve health outcomes.

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“…The development of the most common NCDs is largely related to modifiable lifestyle factors, including smoking, physical activity, stress, and poor dietary habits ( 5 , 6 ). Hence, lifestyle-related chronic diseases are currently targeted with measures to manage modifiable risk factors, such as increasing physical activity, improving dietary habits, smoking cessation, and stress management ( 7 , 8 ). Behavior modification is, thus, a crucial strategy for the prevention and treatment of lifestyle-related chronic diseases ( 9 ).…”

Section: Introductionmentioning

confidence: 99%

The effect of a community-based group intervention on chronic disease self-management in a vulnerable population

Korenhof,

Rouwet,

Elstgeest

et al. 2023

Front. Public Health

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IntroductionChronic non-communicable diseases (NCDs) are predominantly related to modifiable health behaviors and account for 74% of global deaths at present. Behavior modification through self-management is a strategy to prevent NCDs. Chronic Disease Self-Management Programs (CDSMPs) have demonstrated improvements in health behaviors, health status, and use of healthcare.ObjectiveWe evaluated the effects of a 6-week CDSMP on self-efficacy, health behaviors, mental health, health-related quality of life (HR-QoL), and health responsibilities among vulnerable populations with chronic disease in Europe.MethodsA prospective cohort study with a 6-month pre-post single-group design was conducted in five European countries. The intervention targeted adults with chronic conditions and low socioeconomic status, as well as their caregivers. The intervention was a 6-week community-based CDSMP in a group setting. Outcomes were measured per self-report questionnaire at baseline and 6-month follow-up: self-efficacy, health behaviors, mental health, HR-QoL, and health responsibilities.ResultsOf 1,844 participants, 1,248 (67.7%) completed follow-up and attended ≥4 sessions. For the chronic condition group, the following outcome measures at follow-up significantly improved compared with baseline (all P < 0.002): self-efficacy (SEMCD-6 6.7 vs. 6.4), mental health (PHQ-8 6.3 vs. 7.0), HR-QoL (SF-12 PCS 42.3 vs. 40.2, SF-12 MCS 42.8 vs. 41.4), health utility (EQ-5D-5L 0.88 vs. 0.86), self-rated health (EQ-5D-5L 67.2 vs. 63.9), communication with healthcare providers (2.28 vs. 2.11), understanding information (3.10 vs. 3.02), number of doctor visits (3.61 vs. 4.97), accident and emergency department visits (0.25 vs. 0.48), total nights in a hospital (0.65 vs. 1.13), and perceived medical errors (19.6 vs. 28.7%). No significant changes were detected in dietary habits, physical activity, substance use, and sleep and fatigue. For caregivers without a chronic condition, only doctor visits significantly decreased (1.54 vs. 2.25, P < 0.001).DiscussionThis CDSMP was associated with improvement in self-efficacy, depression, HR-QoL, and health responsibilities over 6 months in a diverse European population with a chronic condition. However, additional interventions targeting lifestyle risk factors are needed to improve health outcomes.

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Effects of lifestyle interventions on weight amongst Pasifika communities: A systematic review and meta-analysis

Cited by 6 publications

References 59 publications

Health and Nutrition Promotion Programs in Papua New Guinea: A Scoping Review

Health and Nutrition Promotion Programs in Papua New Guinea: A Scoping Review

Towards collective community education: Pasifika diabetes health forums in Southeast Queensland, Australia

The effect of a community-based group intervention on chronic disease self-management in a vulnerable population

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