Physical activity interventions to prevent and manage type 2 diabetes among Aboriginal and Torres Strait Islander peoples: a systematic review protocol

Evans, John R.; Canuto, Karla; Kelly, Ray; Caperchione, Cristina M.; Macniven, Rona

doi:10.11124/jbies-20-00060

Cited by 3 publications

(2 citation statements)

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“…The longest continuously existing culture in the world are the Aboriginal and Torres Strait Islander peoples of Australia. Prior to colonisation of Australia, First Nations Australians had no signs of western diseases due to healthy lifestyle and diet and had incredible knowledge about plants, seasons, animals, the ecosystem, and land management (Evans et al, 2021). The current state of health of First Nations Australians has been influenced by intergenerational trauma and dispossession brought on by more than 200 years of colonisation.…”

Section: Introductionmentioning

confidence: 99%

“…First Nations Australians’ nutritional and physical activity habits were altered by colonisation, switching from a traditional diet to a western diet, introduction of tobacco, and increasing sedentary behaviour. Other aspects of the health of First Nations Australians are related to the broader social determinants of health, such as income, work, and education (Evans et al, 2021).…”

Section: Introductionmentioning

confidence: 99%

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In a group, “we’re not just a number”: what we learnt from an accidental hybrid health and well-being group programme for First Nations Australians with diabetes

Freire

Lawrence

2023

AlterNative: An International Journal of Indigenous Peoples

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First Nations peoples in Australia are disproportionately affected by diabetes. We report on a qualitative evaluation of a healthy lifestyle group programme at an Aboriginal Community Controlled Health Service. The programme was designed by an Aboriginal Health Worker and took place in a regional community. Yarning interviews of five participants and four facilitators were conducted followed by a collaborative analysis. The group context provided connecting and relationship-building opportunities, allowing participants to feel that they were seen as an individual. The accidental hybrid approach adopted due to the impact of COVID-19 pandemic lockdown supported transition of healthy activities into the home context while still accessing support and motivation from the group. This paper concluded that the unintentional hybrid programme found promising individual and cross-generational health and wellbeing benefits for First Nations families which suggests that intentional hybrid frameworks may show promise in improving First Nations peoples’ health and well-being.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

In a group, “we’re not just a number”: what we learnt from an accidental hybrid health and well-being group programme for First Nations Australians with diabetes

Freire

Lawrence

2023

AlterNative: An International Journal of Indigenous Peoples

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Physical activity interventions to prevent and manage type 2 diabetes in Aboriginal and Torres Strait Islander people: a systematic review

Kelly,

Macniven,

Churilov

et al. 2024

Medical Journal of Australia

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ObjectivesTo review evidence regarding the impact of physical activity interventions for preventing and managing type 2 diabetes in Aboriginal and Torres Strait Islander Australians.Study designWe searched for published reports of physical activity interventions for preventing and managing type 2 diabetes in Indigenous adults (18 years or older). There were no exclusion criteria regarding study type or duration, frequency, length, or intensity of physical activity, except that short term interventions were excluded. We assessed the quality of each study using the Joanna Briggs Institute (JBI) critical appraisal tools and the ethical and methodological quality of studies from an Indigenous Australian perspective with the Centre of Research Excellence in Aboriginal Chronic Disease Knowledge Translation and Exchange (CREATE) Critical Appraisal Tool.Data sourcesMEDLINE; Scopus, Embase (Elsevier); Cumulative Index to Nursing and Allied Health Literature (CINAHL), Sports Discus, PsycINFO (EBSCO); Informit Complete; ProQuest Dissertations and Theses, and ProQuest Health and Medicine; each from their inception to 30 October 2022.ResultsThe database searches identified 703 potentially relevant records; after removing duplicates and initial screening, the full text of 27 articles was assessed for eligibility. Nine studies met our inclusion criteria: two randomised controlled trials, five cohort studies, one quasi‐experimental study, and one repeated cross‐sectional study. Eight studies were rated as being of low or medium quality (median JBI score, 54%; interquartile range [IQR], 36–64%); seven studies were rated as being of low to medium ethical and methodological quality from the Indigenous perspective (median CREATE score, 50%; IQR, 36–64%). Six studies reported changes in glycated haemoglobin (HbA1c) levels, of which two (both cohort studies) reported significantly lower mean HbA1c levels after the intervention, but only one publication provided detailed results. No randomised controlled trials that investigated the effect of a combination of physical activity and dietary change for Indigenous Australians diagnosed with type 2 diabetes were identified. Differences in study design, outcome variables, and the small number of studies precluded meta‐analysis.ConclusionsQuality research into the impact of physical activity interventions on type 2 diabetes in Indigenous people is sparse. To improve research translation, studies that involve Indigenous community members at all levels of the research process are needed.RegistrationPROSPERO CRD42021247496 (prospective).

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Interventions for Aboriginal and Torres Strait Islander people with type 2 diabetes that modify its management and cardiometabolic risk factors: a systematic review

Tan,

Williams,

Islam

et al. 2024

Medical Journal of Australia

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ObjectivesTo review studies of interventions for reducing the impact of type 2 diabetes in Aboriginal and Torres Strait Islander people. The primary aim was to review and summarise the characteristics and findings of the interventions. The secondary aims were to assess their effects on diabetes and cardiometabolic risk factors, and the proportions of people with type 2 diabetes who achieved therapeutic targets with each intervention.Study designWe searched eight electronic databases for publications of studies including Aboriginal or Torres Strait Islander people aged 15 years or older with diagnoses of type 2 diabetes, describing one or more diabetes interventions, and published in English during 1 January 2000 – 31 December 2020. Reference lists in the assessed articles were checked for further relevant publications.Data sourcesMEDLINE (Ovid), Web of Science (Clarivate), the Cochrane Library, Global Health (EBSCO), Indigenous Collection and Indigenous Australia (Informit), Cumulative Index to Nursing and Allied Health Literature (CINAHL), and the World Health Organization International Clinical Trials Registry Platform (WHO‐ICTRP).ResultsThe database searches yielded 1424 unique records; after screening by title and abstract, the full text of 55 potentially relevant articles were screened, of which seventeen met our eligibility criteria: eleven cohort studies (seven retrospective audits and four prospective studies), three randomised controlled trials, and three observational, non‐randomised follow‐up studies. Twelve publications reported site‐based (Aboriginal or Torres Strait Islander health service or diabetes clinic) rather than individual‐based diabetes interventions. Interventions with statistically significant effects on mean glycated haemoglobin (HbA1c) levels were laparoscopic adjustable gastric banding, a 5‐day diabetes self‐management camp, treatment of Strongyloides stercoralis infections, community‐based health worker‐led management, point‐of‐care testing, and self‐management approaches.ConclusionsFew interventions for Aboriginal and Torres Strait Islander people with type 2 diabetes have been reported in peer‐reviewed publications. Improving diabetes care services resulted in larger proportions of people achieving therapeutic HbA1c targets. Outcomes were better when Aboriginal and Torres Strait Islander communities were involved at all levels of an intervention. High quality studies of holistic, culturally safe and accessible interventions should be the focus of research.

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Physical activity interventions to prevent and manage type 2 diabetes among Aboriginal and Torres Strait Islander peoples: a systematic review protocol

Cited by 3 publications

References 12 publications

In a group, “we’re not just a number”: what we learnt from an accidental hybrid health and well-being group programme for First Nations Australians with diabetes

In a group, “we’re not just a number”: what we learnt from an accidental hybrid health and well-being group programme for First Nations Australians with diabetes

Physical activity interventions to prevent and manage type 2 diabetes in Aboriginal and Torres Strait Islander people: a systematic review

Interventions for Aboriginal and Torres Strait Islander people with type 2 diabetes that modify its management and cardiometabolic risk factors: a systematic review

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