Lifestyle interventions to prevent gestational and type 2 diabetes among migrant women from low- and middle-income countries: a systematic review.
Blessing Jaka Akombi-Inyang, Shirin Mumu, Azeb Gebresilassie Tesema et al.
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In 30 seconds
This systematic review examined culturally adapted lifestyle interventions aimed at preventing gestational diabetes mellitus (GDM) and type 2 diabetes mellitus (T2DM) among migrant women from low- and middle-income countries (LMICs) in high-income settings. Eight studies were included, revealing that multi-component interventions showed modest improvements in dietary behaviors and glycaemic measures, although effect sizes were inconsistent and overall evidence quality was low to moderate.
Key findings
- Culturally adapted interventions showed modest improvements in dietary behaviors and physical activity.
- Interventions combining dietary modification and physical activity had greater effects than exercise-only or digital-only programs.
- Overall certainty of evidence for the interventions ranged from low to moderate.
- Sample sizes of included studies varied from 28 to 641 participants.
Why it matters
Understanding the effectiveness of culturally tailored interventions is crucial for addressing the high risk of diabetes among migrant women from LMICs, which can inform public health strategies and improve maternal health outcomes.