Resumen de Investigación
Analyzed using Evidence Intelligence™

Community-based lifestyle intervention improves health-related quality of life in high-risk individuals.

Última actualización 25 de agosto de 2026

Key finding

HRQOL score increased from baseline value (0.88±0.9) to post-intervention (0.90±0.87, P<0.001).

A community-based lifestyle intervention program improved health-related quality of life in participants at risk for type 2 diabetes.

Quick read

Study at a glance

The essential study design details in one scan.

EvidenceScore™

Moderate

Study type

RCTs

Follow-up

Long-Term (1–5 y)

Risk of bias

Some Concerns

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Plain-language summary

What this paper says

A plain-language read of the study’s main message and where it applies.

Study focus

A community-based lifestyle intervention program improved health-related quality of life in participants at risk for type 2 diabetes.

Clinical relevance

Improving health-related quality of life is crucial for individuals at risk of type 2 diabetes, as it can enhance overall well-being and potentially reduce the risk of developing diabetes. The weight loss observed suggests that lifestyle interventions can be effective in managing health risks associated with diabetes.

Keep in mind

The study had a single-arm design, limiting comparisons. The population was heterogeneous, which may affect generalizability. No significant changes were noted in several metabolic outcomes.

Published in

Referencia de la Revista

Publication details and source links for this paper.

Georgios K, Bernardo C, Aleksandra G, et al. A community-based lifestyle intervention programme aiming at T2D prevention, applied on a heterogeneous population and with varied methods, was shown to improve overall health-related quality of life to a clinically meaningful degree. PLOS ONE. 2019;14(10):e0221467. doi:10.1371/journal.pone.0221467

Efectos Principales

Health-related quality of life score increased from 0.88±0.9 to 0.90±0.87 (P<0.001).

Weight decreased by 0.8±4.0 kg (P<0.001).

No significant changes were observed in blood pressure or cholesterol levels.

Evidence network

How this study fits

Understand where this research contributes within the broader evidence network.

Evidence Context

This study contributes evidence to Intensive lifestyle intervention for type 2 diabetes remission and Diastolic blood pressure, Fasting Plasma Glucose (FPG), HDL cholesterol, and 6 more.

Primary intervention

Intensive lifestyle intervention for type 2 diabetes remission

Primary outcomes

  • Diastolic blood pressure
  • Fasting Plasma Glucose (FPG)
  • HDL cholesterol

Evidence relationships

Intervention and outcome relationships this study adds to the evidence network.

9
Evidence pairs
9
Relationships
3
Evidence topics
contributes_evidence

Editorial context

Why this study matters

See why this paper is useful beyond its individual results.

Evidence network role

This section describes how the study fits into the current evidence network. It does not determine whether an intervention works on its own.

Moderate contributionModerate confidenceNetwork score: 68

3

Related topics

9

Evidence pairs

721

Related studies

High relevance in at least one topic

Why it is useful

  • Contributes to 9 evidence relationships
  • Includes primary outcome data
  • Linked to 3 direct semantic evidence topics

Topic contributions

Evidence topic

Contributes evidence

Evidence topic

Contributes evidence

Evidence topic

Contributes evidence

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Evidencia principal

Relación de evidencia

Diabetes Self-Management Education and Support (DSMES) Programs and Fasting Glucose

Evidencia relacionada

Relación de evidencia

Diabetes Self-Management Education and Support (DSMES) Programs and Blood Pressure

Guardar evidencia

Relación de evidencia

Diabetes Self-Management Education and Support (DSMES) Programs and Adipokine and Angiogenic Markers

Guardar evidencia

Core evidence

Study findings

The primary outcomes reported in this study.

Diastolic blood pressure

Intensive lifestyle intervention for type 2 diabetes remission → Diastolic blood pressure

Intensive lifestyle intervention for type 2 diabetes remission → Diastolic blood pressure

Evidence Intelligence™
EvidenceScore™
Emerging
Score 59 · Based on 1 study
ImpactScore™
50
Neutral
ConsistencyScore™
unclear
Not enough independent studies
Estudios de apoyo: Basado en 1 estudio
Add to Evidence Tracker

Fasting Plasma Glucose (FPG)

Intensive lifestyle intervention for type 2 diabetes remission → Fasting Plasma Glucose (FPG)

Intensive lifestyle intervention for type 2 diabetes remission → Fasting Plasma Glucose (FPG)

Evidence Intelligence™
EvidenceScore™
Emerging
Score 59 · Based on 1 study
ImpactScore™
50
Neutral
ConsistencyScore™
unclear
Not enough independent studies
Estudios de apoyo: Basado en 1 estudio
Add to Evidence Tracker

HDL cholesterol

Intensive lifestyle intervention for type 2 diabetes remission → HDL cholesterol

Intensive lifestyle intervention for type 2 diabetes remission → HDL cholesterol

Evidence Intelligence™
EvidenceScore™
Emerging
Score 59 · Based on 1 study
ImpactScore™
50
Neutral
ConsistencyScore™
unclear
Not enough independent studies
Estudios de apoyo: Basado en 1 estudio
Add to Evidence Tracker

Health-related quality of life

Intensive lifestyle intervention for type 2 diabetes remission → Health-related quality of life

Intensive lifestyle intervention for type 2 diabetes remission → Health-related quality of life

Evidence Intelligence™
EvidenceScore™
Emerging
Score 59 · Based on 1 study
ImpactScore™
100
Very Positive
ConsistencyScore™
unclear
Not enough independent studies
Estudios de apoyo: Basado en 1 estudio
Add to Evidence Tracker

LDL cholesterol

Intensive lifestyle intervention for type 2 diabetes remission → LDL cholesterol

Intensive lifestyle intervention for type 2 diabetes remission → LDL cholesterol

Evidence Intelligence™
EvidenceScore™
Moderate
Score 69 · Based on 2 studies
ImpactScore™
50
Neutral
ConsistencyScore™
100
consistent
Estudios de apoyo: Basado en 2 estudios
Add to Evidence Tracker

Systolic blood pressure

Intensive lifestyle intervention for type 2 diabetes remission → Systolic blood pressure

Intensive lifestyle intervention for type 2 diabetes remission → Systolic blood pressure

Evidence Intelligence™
EvidenceScore™
Strong
Score 79 · Based on 3 studies
ImpactScore™
67
Slightly Positive
ConsistencyScore™
67
generally_consistent
Estudios de apoyo: Basado en 3 estudios
Add to Evidence Tracker

Total cholesterol

Intensive lifestyle intervention for type 2 diabetes remission → Total cholesterol

Intensive lifestyle intervention for type 2 diabetes remission → Total cholesterol

Evidence Intelligence™
EvidenceScore™
Emerging
Score 59 · Based on 1 study
ImpactScore™
50
Neutral
ConsistencyScore™
unclear
Not enough independent studies
Estudios de apoyo: Basado en 1 estudio
Add to Evidence Tracker

Triglycerides

Intensive lifestyle intervention for type 2 diabetes remission → Triglycerides

Intensive lifestyle intervention for type 2 diabetes remission → Triglycerides

Evidence Intelligence™
EvidenceScore™
Moderate
Score 69 · Based on 2 studies
ImpactScore™
50
Neutral
ConsistencyScore™
100
consistent
Estudios de apoyo: Basado en 2 estudios
Add to Evidence Tracker

Weight change

Intensive lifestyle intervention for type 2 diabetes remission → Weight change

Intensive lifestyle intervention for type 2 diabetes remission → Weight change

Evidence Intelligence™
EvidenceScore™
Moderate
Score 69 · Based on 2 studies
ImpactScore™
100
Very Positive
ConsistencyScore™
100
consistent
Estudios de apoyo: Basado en 2 estudios
Add to Evidence Tracker

Evidence Library

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evidence suggest

La Evidencia Sugiere

  • Health-related quality of life improved significantly (P<0.001).
  • Participants lost an average of 0.8 kg (P<0.001).
  • No significant changes in blood pressure or cholesterol were found.
who this applies

A quién se aplica

  • Adults at risk for type 2 diabetes.
  • Individuals seeking lifestyle modifications for health improvement.
keep in mind

Tener en Cuenta

  • Results may not be generalizable to all populations due to heterogeneity.
  • The lack of significant changes in metabolic parameters suggests limited impact on some health aspects.
  • Further research is needed to confirm long-term benefits of the intervention.
between the lines

Entre Líneas

  • The study had a single-arm design, limiting comparisons.
  • The population was heterogeneous, which may affect generalizability.
  • No significant changes were noted in several metabolic outcomes.

Evidence Library

Build your evidence library

Save research, organize studies, and quickly find important evidence again.

Connected Evidence

Explore related studies, evidence collections, and research questions.

Relationships organized using the Dediabetes Evidence Intelligence™ framework.

This study contributes to evidence on Diabetes Self-Management Education and Support (DSMES) Programs and Blood Pressure, Diabetes Self-Management Education and Support (DSMES) Programs and Adipokine and Angiogenic Markers.

Relaciones de evidencia relacionadas

Explore in Evidence Explorer

This study contributes to the evidence on the following intervention-outcome relationships.

Explora más en Evidence Explorer

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Questions answered by this study

Generated from the study's connected evidence using Evidence Intelligence™.

Does Diabetes Self-Management Education and Support (DSMES) Programs improve fasting glucose?

Strong Evidence

Diabetes Self-Management Education and Support (DSMES) Programs may improve Fasting Glucose.

ConsistencyScore™: Results are mixed and should be interpreted cautiously.

Evidence caveat: The available evidence reports mixed findings.

Ranked evidence signals

  1. 1

    Fasting Plasma Glucose (FPG)

    EvidenceScore™ Emerging | EvidenceScore™ 59.0 | neutral | ConsistencyScore™ Unclear | 1 study

Why this answer: This answer is cautious because the available studies report mixed findings.

Limitations

  • Population details are unavailable.
20 supporting studiesUpdated: Aug 2026

Does Diabetes Self-Management Education and Support (DSMES) Programs improve blood pressure?

Strong Evidence

Diabetes Self-Management Education and Support (DSMES) Programs may improve Blood Pressure.

ConsistencyScore™: Results are mixed and should be interpreted cautiously.

Evidence caveat: The available evidence reports mixed findings.

Ranked evidence signals

  1. 1

    Systolic blood pressure

    EvidenceScore™ Strong | EvidenceScore™ 79.0 | weak positive | ConsistencyScore™ Generally Consistent | 1 study

  2. 2

    Diastolic blood pressure

    EvidenceScore™ Emerging | EvidenceScore™ 59.0 | neutral | ConsistencyScore™ Unclear | 1 study

Why this answer: This answer is cautious because the available studies report mixed findings.

Limitations

  • Population details are unavailable.
11 supporting studiesUpdated: Aug 2026

Does Diabetes Self-Management Education and Support (DSMES) Programs improve adipokine and angiogenic markers?

Strong Evidence

Diabetes Self-Management Education and Support (DSMES) Programs may improve Adipokine and Angiogenic Markers.

ConsistencyScore™: Results are generally consistent across studies.

Ranked evidence signals

  1. 1

    LDL cholesterol

    EvidenceScore™ Moderate | EvidenceScore™ 69.0 | neutral | ConsistencyScore™ Consistent | 1 study

  2. 2

    Triglycerides

    EvidenceScore™ Moderate | EvidenceScore™ 69.0 | neutral | ConsistencyScore™ Consistent | 1 study

  3. 3

    HDL cholesterol

    EvidenceScore™ Emerging | EvidenceScore™ 59.0 | neutral | ConsistencyScore™ Unclear | 1 study

Why this answer: This answer is based on 11 supporting studies with generally consistent results and a positive effect signal.

Limitations

  • Population details are unavailable.
11 supporting studiesUpdated: Aug 2026

Does Diabetes Self-Management Education and Support (DSMES) Programs affect body weight?

Strong Evidence

Diabetes Self-Management Education and Support (DSMES) Programs appears to improve Body Weight.

ConsistencyScore™: Results are consistent across studies.

Ranked evidence signals

  1. 1

    Weight change

    EvidenceScore™ Moderate | EvidenceScore™ 69.0 | strong positive | ConsistencyScore™ Consistent | 1 study

Why this answer: This answer is based on 13 supporting studies with consistent results and a positive effect signal.

Limitations

  • Population details are unavailable.
13 supporting studiesUpdated: Aug 2026
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