PrediabetesPreventionBehavioral Intervention
Resumen de Investigación
Community lifestyle programme improves multiple diabetes risk factors in adults with prediabetes
Moderate confidence
Some Concerns bias
Última actualización 15 de junio de 2026Conclusión Clave:
This study tested a community lifestyle programme for adults with prediabetes in Malaysia. After 12 months, people in the programme had lower blood sugar, better cholesterol, smaller waists, and improved quality of life compared to those receiving usual care. The programme was delivered through existing community volunteers.
Estudio de un Vistazo
Qué se estudió
Community-based lifestyle intervention (Co-HELP) for adults with prediabetes in Malaysia
Participantes
Young Adult (19–39), Middle Aged (40-64)
Male, Female
with Prediabetes
Intervención
Lifestyle intervention for prediabetes
Resultados
Fasting blood sugar (FBS), 2-hour plasma glucose, HbA1c, Body weight, Waist circumference, Diastolic blood pressure, HDL cholesterol, Quality of life, Physical activity level
Financiamiento
No Patrocinado por la Industria
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Efectos Principales
↓ Fasting glucose −0.40 mmol/L, HbA1c −0.24%, and 2-hour glucose −0.58 mmol/L vs usual care (all p<0.001)
↓ Diastolic BP −2.63 mmHg, waist −2.44 cm; ↑ HDL cholesterol +0.12 mmol/L
↑ Quality of life: physical +6.51, mental +7.79 points (both p<0.001)
Resumen de Evidencia
| Intervention | Outcome | Measured Change | Study Effect |
|---|---|---|---|
 Lifestyle intervention for prediabetes (Behavioral & Lifestyle) |  2-hour plasma glucose (Glycemic Control) | Decrease | Strong |
Lifestyle intervention for prediabetes (Behavioral & Lifestyle) |  Body weight (Weight & Anthropometrics) | Decrease | Strong |
Lifestyle intervention for prediabetes (Behavioral & Lifestyle) |  Diastolic blood pressure (Metabolic Health) | Decrease | Strong |
Lifestyle intervention for prediabetes (Behavioral & Lifestyle) | Fasting blood sugar (FBS) (Glycemic Control) | Decrease | Strong |
Lifestyle intervention for prediabetes (Behavioral & Lifestyle) | HbA1c (Glycemic Control) | Decrease | Strong |
Lifestyle intervention for prediabetes (Behavioral & Lifestyle) | HDL cholesterol (Metabolic Health) | Increase | Strong |
Lifestyle intervention for prediabetes (Behavioral & Lifestyle) |  Physical activity level (MET-minutes per week) (Adherence & Engagement) | Increase | Strong |
Lifestyle intervention for prediabetes (Behavioral & Lifestyle) |  Quality of life (Patient-Reported) | Increase | Strong |
Lifestyle intervention for prediabetes (Behavioral & Lifestyle) | Waist circumference (Weight & Anthropometrics) | Decrease | Strong |
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Tener en Cuenta
- Non-randomised (quasi-experimental) design with potential selection bias Uneven group sizes (122 vs 146) due to non-random allocation Single geographic region in Malaysia — may not generalise broadly No long-term follow-up beyond 12 months
Entre Líneas
- Non-randomised (quasi-experimental) design with potential selection bias Uneven group sizes (122 vs 146) due to non-random allocation Single geographic region in Malaysia — may not generalise broadly No long-term follow-up beyond 12 months
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Connected Evidence
Discover how this study fits into the broader diabetes evidence landscape.
This study contributes to evidence on Lifestyle Programs and Body Weight, Lifestyle Programs and Blood Pressure.
Relaciones de evidencia relacionadas
Explore in Evidence ArchiveThis study contributes to the evidence on the following intervention–outcome relationships.
Incluido en estas colecciones de evidencia
Curated evidence collections and hubs this study is part of.
Body Weight Evidence Hub
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outcome_hubMeasures Body Weight as a key outcome.
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intervention_hubContributes to Lifestyle Programs evidence base.
Blood Pressure Evidence Hub
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outcome_hubMeasures Blood Pressure as a key outcome.
Lipid Profile Evidence Hub
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outcome_hubMeasures Lipid Profile as a key outcome.
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Preguntas que esta evidencia ayuda a responder
Key clinical and research questions this study contributes to.
Does lifestyle intervention for prediabetes improve Body weight?
Based on connected evidence for Lifestyle intervention for prediabetes and Body weight.
Does lifestyle intervention for prediabetes affect Diastolic blood pressure in people with diabetes?
Exploring evidence on Lifestyle intervention for prediabetes and Diastolic blood pressure outcomes.
What does the evidence say about lifestyle intervention for prediabetes and HDL cholesterol?
Review of studies examining Lifestyle intervention for prediabetes and HDL cholesterol.
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