Date of download: 7/5/2016 From: Combined Diet and Physical Activity Promotion Programs to Prevent Type 2 Diabetes Among Persons at Increased Risk: A Systematic.

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Date of download: 7/5/2016 From: Combined Diet and Physical Activity Promotion Programs to Prevent Type 2 Diabetes Among Persons at Increased Risk: A Systematic Review for the Community Preventive Services Task Force Ann Intern Med. 2015;163(6): doi: /M Summary of evidence search and selection. * Not already screened. † Not a population of interest (n = 70), diet or physical activity alone (n = 47), no outcome of interest reported (n = 36), not intervention of interest (n = 31), single-group study with 10% of participants did not meet eligibility criteria (n = 15), intervention lasted <3 mo or involved only 1 session (n = 13), <6 mo of follow-up (n = 13), no analyses of interest (n = 10), abstract only (n = 6), retrospective study or retracted or unavailable article (n = 4). ‡ Excludes 1 prospective nonrandomized comparative study that was not analyzed because of limited quality of execution. Figure Legend: Copyright © American College of Physicians. All rights reserved.American College of Physicians

Date of download: 7/5/2016 From: Combined Diet and Physical Activity Promotion Programs to Prevent Type 2 Diabetes Among Persons at Increased Risk: A Systematic Review for the Community Preventive Services Task Force Ann Intern Med. 2015;163(6): doi: /M Random-effects model meta-analysis of RR of incident diabetes in at-risk participants in combined diet and physical activity promotion programs versus usual care. The meta-analysis of the overall RR (black diamond) used data from the longest follow-up from each study, as indicated by the asterisks. Subgroup meta-analyses by follow-up time (open diamonds) were conducted for time points with data from ≥3 studies. ND = no data; P Het = chi-square P value of heterogeneity; PY = person-year; RD = risk difference; RR = risk ratio. * Included in overall meta-analysis. † To avoid biased meta-analyses due to inclusion of correlated analyses, this comparison between the lower-intensity intervention and control was excluded. Figure Legend: Copyright © American College of Physicians. All rights reserved.American College of Physicians

Date of download: 7/5/2016 From: Combined Diet and Physical Activity Promotion Programs to Prevent Type 2 Diabetes Among Persons at Increased Risk: A Systematic Review for the Community Preventive Services Task Force Ann Intern Med. 2015;163(6): doi: /M Forest plot of RR of incident diabetes in at-risk participants in more intensive versus less intensive combined diet and physical activity promotion programs. RD = risk difference; RR = risk ratio. Figure Legend: Copyright © American College of Physicians. All rights reserved.American College of Physicians

Date of download: 7/5/2016 From: Combined Diet and Physical Activity Promotion Programs to Prevent Type 2 Diabetes Among Persons at Increased Risk: A Systematic Review for the Community Preventive Services Task Force Ann Intern Med. 2015;163(6): doi: /M Random-effects model meta-analysis of RR of reversion to normoglycemia in at-risk participants in combined diet and physical activity promotion programs versus usual care. The meta-analysis of the overall RR (black diamond) used data from the longest follow-up from each study, as indicated by the asterisks. Subgroup meta-analysis by follow-up time (open diamond) was conducted for the time point with data from >3 studies. P Het = chi-square P value of heterogeneity; RD = risk difference; RR = risk ratio. * Included in overall meta-analysis. Figure Legend: Copyright © American College of Physicians. All rights reserved.American College of Physicians

Date of download: 7/5/2016 From: Combined Diet and Physical Activity Promotion Programs to Prevent Type 2 Diabetes Among Persons at Increased Risk: A Systematic Review for the Community Preventive Services Task Force Ann Intern Med. 2015;163(6): doi: /M Forest plot of RR of reversion to normoglycemia in at-risk participants in more intensive versus less intensive combined diet and physical activity promotion programs. RD = risk difference; RR = risk ratio. Figure Legend: Copyright © American College of Physicians. All rights reserved.American College of Physicians

Date of download: 7/5/2016 From: Combined Diet and Physical Activity Promotion Programs to Prevent Type 2 Diabetes Among Persons at Increased Risk: A Systematic Review for the Community Preventive Services Task Force Ann Intern Med. 2015;163(6): doi: /M Random-effects model meta-analysis of net percentage change in weight (from baseline) in at-risk participants in combined diet and physical activity promotion programs versus usual care. The meta-analysis of the overall net percentage change in weight (black diamond) used data from follow-up durations closest to 1 y, as indicated by the asterisks. Subgroup meta-analyses by follow-up time (open diamonds) were conducted for time points with data from ≥3 studies. P Het = chi-square P value of heterogeneity; RR = risk ratio. * Included in overall meta-analysis. † To avoid biased meta-analyses due to inclusion of correlated analyses, this comparison between the lower-intensity intervention and control was excluded. Figure Legend: Copyright © American College of Physicians. All rights reserved.American College of Physicians

Date of download: 7/5/2016 From: Combined Diet and Physical Activity Promotion Programs to Prevent Type 2 Diabetes Among Persons at Increased Risk: A Systematic Review for the Community Preventive Services Task Force Ann Intern Med. 2015;163(6): doi: /M Forest plot of net percentage change in weight (from baseline) in at-risk participants in more intensive versus less intensive combined diet and physical activity promotion programs. Blue lines show percentage weight change in less intensive groups. The study by Ackermann and colleagues (35) was not included because it reported only that there was no significant difference between the more intensive and less intensive interventions at 12 mo (overall mean weight loss, 3.3% [CI, 2.7% to 3.9%]; P = 0.26 between interventions). Figure Legend: Copyright © American College of Physicians. All rights reserved.American College of Physicians

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