Research Summary
Analyzed using Evidence Intelligence™

Plant-Based Diet Improves Diabetes Prevention Feasibility

Last updated August 22, 2026

Key finding

Mean weight loss was statistically significant at 5.45 ± 6.14 lbs (2.48% of initial body weight) (p = 0.01).

This study evaluated the feasibility of a worksite plant-based diabetes prevention program, finding significant weight loss among participants.

Quick read

Study at a glance

The essential study design details in one scan.

EvidenceScore™

Moderate

Study type

RCTs

Follow-up

Medium-Term (3–12 mo)

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

This study evaluated the feasibility of a worksite plant-based diabetes prevention program, finding significant weight loss among participants.

Clinical relevance

This study highlights the potential of plant-based dietary interventions in workplace settings to promote weight loss and healthier eating patterns, which are crucial for diabetes prevention. As obesity and diabetes rates continue to rise, effective workplace programs can play a significant role in public health strategies.

Keep in mind

The study had a small sample size, limiting generalizability. Only one arm was defined, restricting comparative analysis. The follow-up duration for assessing long-term effects was not specified.

Published in

Journal Reference

Publication details and source links for this paper.

Zainab A, Isobel RC. Feasibility of a Worksite Plant-Based Diabetes Prevention Program. AJPM Focus. 2023;2(2):100064. doi:10.1016/j.focus.2023.100064

Main Effects

Participants experienced a mean weight loss of 5.45 lbs (p = 0.01).

BMI decreased by an average of 0.92 points.

Consumption of healthy plant-based foods increased, while less healthy options decreased.

Evidence network

How this study fits

Understand where this research contributes within the broader evidence network.

Evidence Context

This study contributes evidence to Peer-support lifestyle program and Body Mass Index (BMI) change, Decreased consumption of less healthy plant-based foods, Efficacy of Cognitive Behavioral Therapy (CBT) in Diabetes Management, and 4 more.

Primary intervention

Peer-support lifestyle program

Primary outcomes

  • Body Mass Index (BMI) change
  • Decreased consumption of less healthy plant-based foods
  • Efficacy of Cognitive Behavioral Therapy (CBT) in Diabetes Management

Evidence relationships

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

7
Evidence pairs
7
Relationships
6
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

6

Related topics

7

Evidence pairs

1115

Related studies

High relevance in at least one topic

Why it is useful

  • Contributes to 7 evidence relationships
  • Includes primary outcome data
  • Linked to 6 direct semantic evidence topics

Topic contributions

Evidence topic

Contributes evidence

Evidence topic

Contributes evidence

Evidence topic

Contributes evidence

Evidence topic

Contributes evidence

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Primary evidence

Evidence relationship

Diabetes Self-Management Education and Support (DSMES) Programs and Body Mass Index

Related evidence

Evidence relationship

Diabetes Self-Management Education and Support (DSMES) Programs and HbA1c

Save evidence

Evidence relationship

Diabetes Self-Management Education and Support (DSMES) Programs and Physical Activity Levels

Save evidence

Core evidence

Study findings

The primary outcomes reported in this study.

Body Mass Index (BMI) change

Peer-support lifestyle program → Body Mass Index (BMI) change

Peer-support lifestyle program → Body Mass Index (BMI) change

Evidence Intelligence™
EvidenceScore™
Emerging
Score 59 · Based on 1 study
ImpactScore™
100
Very Positive
ConsistencyScore™
unclear
Not enough independent studies
Supporting studies: Based on 1 study
Add to Evidence Tracker

Decreased consumption of less healthy plant-based foods

Peer-support lifestyle program → Decreased consumption of less healthy plant-based foods

Peer-support lifestyle program → Decreased consumption of less healthy plant-based foods

Evidence Intelligence™
EvidenceScore™
Emerging
Score 59 · Based on 1 study
ImpactScore™
100
Very Positive
ConsistencyScore™
unclear
Not enough independent studies
Supporting studies: Based on 1 study
Add to Evidence Tracker

Efficacy of Cognitive Behavioral Therapy (CBT) in Diabetes Management

Peer-support lifestyle program → Efficacy of Cognitive Behavioral Therapy (CBT) in Diabetes Management

Peer-support lifestyle program → Efficacy of Cognitive Behavioral Therapy (CBT) in Diabetes Management

Evidence Intelligence™
EvidenceScore™
Emerging
Score 59 · Based on 1 study
ImpactScore™
50
Neutral
ConsistencyScore™
unclear
Not enough independent studies
Supporting studies: Based on 1 study
Add to Evidence Tracker

HbA1c

Peer-support lifestyle program → HbA1c

Peer-support lifestyle program → HbA1c

Evidence Intelligence™
EvidenceScore™
75
Moderate
ImpactScore™
100
Very Positive
ConsistencyScore™
100
consistent
Supporting studies: Based on 3 studies
Add to Evidence Tracker

Increased consumption of healthy plant-based foods

Peer-support lifestyle program → Increased consumption of healthy plant-based foods

Peer-support lifestyle program → Increased consumption of healthy plant-based foods

Evidence Intelligence™
EvidenceScore™
Emerging
Score 59 · Based on 1 study
ImpactScore™
100
Very Positive
ConsistencyScore™
unclear
Not enough independent studies
Supporting studies: Based on 1 study
Add to Evidence Tracker

Physical activity level (MET-minutes per week)

Peer-support lifestyle program → Physical activity level (MET-minutes per week)

Peer-support lifestyle program → Physical activity level (MET-minutes per week)

Evidence Intelligence™
EvidenceScore™
Strong
Score 79 · Based on 3 studies
ImpactScore™
67
Slightly Positive
ConsistencyScore™
67
generally_consistent
Supporting studies: Based on 3 studies
Add to Evidence Tracker

Weight change

Peer-support lifestyle program → Weight change

Peer-support lifestyle program → Weight change

Evidence Intelligence™
EvidenceScore™
Emerging
Score 59 · Based on 1 study
ImpactScore™
100
Very Positive
ConsistencyScore™
unclear
Not enough independent studies
Supporting studies: Based on 1 study
Add to Evidence Tracker

Evidence Library

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evidence suggest

Evidence Suggest

  • Mean weight loss of 5.45 lbs was statistically significant (p = 0.01).
  • BMI decreased by 0.92 points on average.
  • Consumption of less healthy plant-based foods decreased across all groups.
who this applies

Who this applies to

  • Adults at risk for diabetes in workplace settings.
  • Individuals seeking dietary interventions for weight management.
keep in mind

Keep in Mind

  • Results may not be applicable to populations outside the workplace.
  • The study did not include a control group for comparison.
  • Long-term sustainability of dietary changes was not assessed.
between the lines

Between the Lines

  • The study had a small sample size, limiting generalizability.
  • Only one arm was defined, restricting comparative analysis.
  • The follow-up duration for assessing long-term effects was not specified.

Evidence Library

Build your evidence library

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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 Physical Activity Levels, Diabetes Self-Management Education and Support (DSMES) Programs and HbA1c.

Related evidence relationships

Explore in Evidence Explorer

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

Questions answered by this study

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

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

Strong Evidence

Diabetes Self-Management Education and Support (DSMES) Programs may improve Body Mass Index.

ConsistencyScore™: Results are generally consistent across studies.

Ranked evidence signals

  1. 1

    Body Mass Index (BMI) change

    EvidenceScore™ Emerging | EvidenceScore™ 59.0 | strong positive | ConsistencyScore™ Unclear | 1 study

Why this answer: This answer is based on 15 supporting studies with generally consistent results and a positive effect signal.

Limitations

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

Does Diabetes Self-Management Education and Support (DSMES) Programs improve HbA1c?

Strong Evidence

Diabetes Self-Management Education and Support (DSMES) Programs may improve HbA1c.

ConsistencyScore™: Results are generally consistent across studies.

Ranked evidence signals

  1. 1

    HbA1c

    EvidenceScore™ Moderate | EvidenceScore™ 74.5 | strong positive | ConsistencyScore™ Consistent | 1 study

Why this answer: This answer is based on 38 supporting studies with generally consistent results and a positive effect signal.

Limitations

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

Does Diabetes Self-Management Education and Support (DSMES) Programs improve physical activity levels?

Strong Evidence

Diabetes Self-Management Education and Support (DSMES) Programs may improve Physical Activity Levels.

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

Evidence caveat: The available evidence reports mixed findings.

Ranked evidence signals

  1. 1

    Physical activity level (MET-minutes per week)

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

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

Limitations

  • Population details are unavailable.
9 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™ Emerging | EvidenceScore™ 59.0 | strong positive | ConsistencyScore™ Unclear | 1 study

Why this answer: This answer is based on 12 supporting studies with consistent results and a positive effect signal.

Limitations

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