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

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 im...

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Autores principales: Kshatriya, Maya, Wang, Kuan-Wen, Hildebrand, Julia, Crawford, Rebecca, Nadarajah, Ajantha, Youssef, Michael, Rivas, Angelica, Kaushal, Ashleen, Banfield, Laura E, Thabane, Lehana, Samaan, M Constantine
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Dove 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10544169/
https://www.ncbi.nlm.nih.gov/pubmed/37790916
http://dx.doi.org/10.2147/AHMT.S405814
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author Kshatriya, Maya
Wang, Kuan-Wen
Hildebrand, Julia
Crawford, Rebecca
Nadarajah, Ajantha
Youssef, Michael
Rivas, Angelica
Kaushal, Ashleen
Banfield, Laura E
Thabane, Lehana
Samaan, M Constantine
author_facet Kshatriya, Maya
Wang, Kuan-Wen
Hildebrand, Julia
Crawford, Rebecca
Nadarajah, Ajantha
Youssef, Michael
Rivas, Angelica
Kaushal, Ashleen
Banfield, Laura E
Thabane, Lehana
Samaan, M Constantine
author_sort Kshatriya, Maya
collection PubMed
description 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.
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spelling pubmed-105441692023-10-03 The Effectiveness of Indigenous Knowledge-Based Lifestyle Interventions in Preventing Obesity and Type 2 Diabetes Mellitus in Indigenous Children in Canada: A Systematic Review Kshatriya, Maya Wang, Kuan-Wen Hildebrand, Julia Crawford, Rebecca Nadarajah, Ajantha Youssef, Michael Rivas, Angelica Kaushal, Ashleen Banfield, Laura E Thabane, Lehana Samaan, M Constantine Adolesc Health Med Ther Review 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. Dove 2023-09-28 /pmc/articles/PMC10544169/ /pubmed/37790916 http://dx.doi.org/10.2147/AHMT.S405814 Text en © 2023 Kshatriya et al. https://creativecommons.org/licenses/by-nc/3.0/This work is published and licensed by Dove Medical Press Limited. The full terms of this license are available at https://www.dovepress.com/terms.php and incorporate the Creative Commons Attribution – Non Commercial (unported, v3.0) License (http://creativecommons.org/licenses/by-nc/3.0/ (https://creativecommons.org/licenses/by-nc/3.0/) ). By accessing the work you hereby accept the Terms. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed. For permission for commercial use of this work, please see paragraphs 4.2 and 5 of our Terms (https://www.dovepress.com/terms.php).
spellingShingle Review
Kshatriya, Maya
Wang, Kuan-Wen
Hildebrand, Julia
Crawford, Rebecca
Nadarajah, Ajantha
Youssef, Michael
Rivas, Angelica
Kaushal, Ashleen
Banfield, Laura E
Thabane, Lehana
Samaan, M Constantine
The Effectiveness of Indigenous Knowledge-Based Lifestyle Interventions in Preventing Obesity and Type 2 Diabetes Mellitus in Indigenous Children in Canada: A Systematic Review
title The Effectiveness of Indigenous Knowledge-Based Lifestyle Interventions in Preventing Obesity and Type 2 Diabetes Mellitus in Indigenous Children in Canada: A Systematic Review
title_full The Effectiveness of Indigenous Knowledge-Based Lifestyle Interventions in Preventing Obesity and Type 2 Diabetes Mellitus in Indigenous Children in Canada: A Systematic Review
title_fullStr The Effectiveness of Indigenous Knowledge-Based Lifestyle Interventions in Preventing Obesity and Type 2 Diabetes Mellitus in Indigenous Children in Canada: A Systematic Review
title_full_unstemmed The Effectiveness of Indigenous Knowledge-Based Lifestyle Interventions in Preventing Obesity and Type 2 Diabetes Mellitus in Indigenous Children in Canada: A Systematic Review
title_short The Effectiveness of Indigenous Knowledge-Based Lifestyle Interventions in Preventing Obesity and Type 2 Diabetes Mellitus in Indigenous Children in Canada: A Systematic Review
title_sort effectiveness of indigenous knowledge-based lifestyle interventions in preventing obesity and type 2 diabetes mellitus in indigenous children in canada: a systematic review
topic Review
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10544169/
https://www.ncbi.nlm.nih.gov/pubmed/37790916
http://dx.doi.org/10.2147/AHMT.S405814
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