Tuina combined with diet and exercise for simple obesity:A protocol for systematic review

Background: Those who are overfat face an onslaught of advice for losing weight, including using dietary supplements that purport to have fat burning capabilities to achieve a reduced body mass, fat mass and improvement in cardiometabolic health in combination with exercise or diet and exercise regimens. Aim: To examine long-term effectiveness of supplements for both weight loss and improvements in cardiometabolic health for these individuals. Methods: A PRISMA methods of systematic review was conducted from August 2018 through January 2019 using Medline, PubChem, PubMed, EBOSCO CINHAL and SPORTDiscus, and Google Scholar yielding 23,441 returns of which 21 studies (duration greater than 8 weeks with participant populations of BMI greater than 24.9) were included for meta-analysis. Meta-analysis examined pooled effect size and 95% confidence interval for: body mass, fat mass, fat-free mass, total cholesterol, high-density lipoproteins, low-density lipoproteins, resting metabolic rate. Intra-study effect sizes were compared with previously reported results for diet or diet and exercise in a 2x2 chi-square analysis for the number of studies that induced effects greater than or less than the effect size. Results: There is a general trend to show effectiveness (effect size greater than 0.00) for obtaining beneficial changes from use of thermogenic dietary supplements, yet the 95% confidence interval for effect size crossed 0.00 (indicating no benefit). Chi-square comparison to exercise, or combination of diet and exercise, indicates that responses induced from weight-loss supplements were less effective than what is obtained from utilizing exercise, or diet and exercise, without additional weight-loss supplements. Conclusion: There appears to be limited benefit that may be derived from the inclusion of thermogenic dietary supplements to reduce body mass and improve cardiometabolic health for individuals who are overfat.

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Optimising weight-loss interventions in cancer patients—A systematic review and network meta-analysis

PLoS ONE ◽

10.1371/journal.pone.0245794 ◽

2021 ◽

Vol 16 (2) ◽

pp. e0245794

Author(s):

Nathalie LeVasseur ◽

Wei Cheng ◽

Sasha Mazzarello ◽

Mark Clemons ◽

Lisa Vandermeer ◽

...

Keyword(s):

Systematic Review ◽

Weight Loss ◽

Cancer Patients ◽

Standard Care ◽

Meta Analysis ◽

Lifestyle Interventions ◽

Dietary Interventions ◽

Anthropometric Measures ◽

Combination Strategies ◽

Diet And Exercise

Background Excess weight has been associated with increased morbidity and a worse prognosis in adult patients with early-stage cancer. The optimal lifestyle interventions to optimize anthropometric measures amongst cancer patients and survivors remain inconsistent. Objective To conduct a systematic review and network meta-analysis (NMA) of randomized controlled trials (RCTs) comparing the effects of exercise and dietary interventions alone or in combination on anthropometric measures of adult cancer patients and survivors. Methods A systematic search of Medline, Embase and the Cochrane Trials Registry was performed. Outcomes of interest included changes in weight, body mass index (BMI), and waist circumference. Screening and data collection were performed by two reviewers. Bayesian NMAs were performed. Results Overall, 98 RCTs were included; 75 were incorporated in NMAs (n = 12,199). Groups of intervention strategies included: 3 exercise interventions, 8 dietary interventions, 7 combination interventions of diet and exercise and standard care. Median intervention duration was 26 weeks. NMA suggested that diet alone (mean difference [MD] -2.25kg, 95% CrI -3.43 to -0.91kg) and combination strategies (MD -2.52kg, 95% CrI -3.54 to -1.62kg) were associated with more weight loss compared to standard care. All dietary interventions achieved a similar magnitude of weight loss (MD range from -2.03kg to -2.52kg). Both diet alone and combination strategies demonstrated greater BMI reductions versus standard care, and each of diet alone, exercise alone and combination strategies demonstrated greater reductions in waist circumference than standard care. Conclusion Diet and exercise alone or in combination are effective lifestyle interventions to improve anthropometric measures in cancer patients and survivors. All reputable diets appear to be similarly effective to achieve weight loss.

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Recommendation Framework for Diet and Exercise Based on Clinical Data: A Systematic Review

Lecture Notes on Data Engineering and Communications Technologies - Data Science and Big Data Analytics ◽

10.1007/978-981-10-7641-1_29 ◽

2018 ◽

pp. 333-346

Author(s):

Vaishali S. Vairale ◽

Samiksha Shukla

Keyword(s):

Systematic Review ◽

Clinical Data ◽

Diet And Exercise

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A Systematic Review of Barriers to Access-to-Care in Hispanics With Type 2 Diabetes

Journal of Transcultural Nursing ◽

10.1177/1043659618810120 ◽

2018 ◽

Vol 30 (3) ◽

pp. 280-290 ◽

Cited By ~ 1

Author(s):

Sharon K. Titus ◽

Merle Kataoka-Yahiro

Keyword(s):

Systematic Review ◽

Type 2 Diabetes ◽

Access To Care ◽

A Priori ◽

Quantitative Studies ◽

Barriers To Access ◽

Diet And Exercise ◽

Cost Factors

Introduction: A systematic review was conducted to highlight current barriers to access-to-care for Hispanics with type 2 diabetes (T2D). Method: PubMed and CINAHL databases (2010-2015) using PRISMA guidelines. 84 studies were identified, 12 quantitative studies were selected for review remained based on inclusion/exclusion criteria. There were five research questions: (1) What samples/settings were included? (2) What theories guided each study? (3) What were the study aims and (4) designs? (5) What barriers of access-to-care were identified? Barriers were placed into three categories set a priori. Results: The word “barrier” was in one study aim. Barriers of self (92%), provider (50%), and environment (25%) were identified. Self-care behaviors (diet and exercise), individual resources (cost factors), lack of providers specializing in T2D, and environmental factors affect Hispanics with T2D access-to-care. Discussion: These barriers to access underscore current importance to Hispanics with T2D. A follow-up review should be conducted as new barriers are expected to emerge.

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Social media interventions for diet and exercise behaviours: a systematic review and meta-analysis of randomised controlled trials

BMJ Open ◽

10.1136/bmjopen-2013-003926 ◽

2014 ◽

Vol 4 (2) ◽

pp. e003926 ◽

Cited By ~ 112

Author(s):

Gillian Williams ◽

Michele P Hamm ◽

Jocelyn Shulhan ◽

Ben Vandermeer ◽

Lisa Hartling

Keyword(s):

Systematic Review ◽

Social Media ◽

Randomised Controlled Trials ◽

Meta Analysis ◽

Controlled Trials ◽

Diet And Exercise ◽

Randomised Controlled ◽

Media Interventions

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Non-Pharmacological Interventions to Manage Type 2 Diabetes in Older Hispanics: A Systematic Review

Innovation in Aging ◽

10.1093/geroni/igab046.3505 ◽

2021 ◽

Vol 5 (Supplement_1) ◽

pp. 983-984

Author(s):

Edgar Vieira ◽

Kayleigh Sherbutt ◽

Madison Scanlan ◽

Heather Frederick

Keyword(s):

Physical Activity ◽

Systematic Review ◽

Type 2 Diabetes ◽

Diabetes Management ◽

Glycosylated Hemoglobin ◽

Pharmacological Interventions ◽

Exercise Interventions ◽

Diet And Exercise ◽

Hba1c Levels

Abstract Type 2 diabetes is a serious public health problem that affects millions of Americans. Hispanics are disproportionately affected and have high incidence of type 2 diabetes. Lifestyle modifications in diet and increased physical activity are recommended in addition to medication. The purpose of this systematic review was to analyze the scientific literature concerning the effects of exercise, nutrition, and combined diet and exercise interventions on type 2 diabetes management in older Hispanics. We searched three databases for studies that included dietary interventions, exercise interventions, or a combination to manage type 2 diabetes in older Hispanics. A total of 653 studies were screened and reviewed, with seven being included in the review. Our findings indicate that physical activity interventions significantly reduce glycosylated hemoglobin, and diet interventions also led to decreased levels of HbA1c. There is a significant effect in HbA1c levels on individuals receiving a combination of diet and exercise interventions compared to control groups. Implementing diet or exercise interventions in older Hispanics with Type 2 diabetes leads to significantly reduced glycosylated hemoglobin levels; the effects of combined diet and exercise interventions were not superior to the effects of single interventions in HbA1c levels. Exercise and diet seem to be effective non-pharmacological interventions to manage type 2 diabetes in older Hispanics, but additional research is needed.

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