Type 2 & other diabetes

Cancer Outcomes Among Prediabetes and Type 2 Diabetes Populations With Dietary and Physical Activity–based Lifestyle Interventions

J Clin Endocrinol MetabPublished Systematic review and meta-analysis of randomised trials

Pooled result · Cancer mortalityResult — go to the resultRelative risk 0.94 95% CI 0.81–1.10

Authors' conclusion

Based on the limited data available, dietary and physical activity-based lifestyle interventions had no superiority to usual care on reducing cancer risk in populations with prediabetes and T2D. Lifestyle interventions focused on cancer outcomes should be tested to better explore their effects.

Study context

Population
Prediabetes or T2D populations in RCTs with at least 24 months of lifestyle interventions
Participants
12,841 participants6 trials
Comparison
Dietary and physical activity-based lifestyle interventions vs usual care
Outcome
Cancer mortality
Methodological detailsrandom-effects model, general linear mixed model (GLMM), GRADE certainty assessment, trial sequential analysis, subgroup analysis by glycemic status
  • Random-effects model
  • General linear mixed model (GLMM)
  • GRADE certainty assessment
  • Trial sequential analysis
  • Subgroup analysis by glycemic status

Pooled result

As reported in the abstract

Relative risk

0.94

95% CI 0.81–1.10

Lifestyle interventionsvs Usual care
RR 0.94 (95% CI 0.81–1.10)

Further pooled results

Trial sequential analysis

Cumulative Z curve reached futility boundary; total number did not reach detection boundary

Original publication

Cancer Outcomes Among Prediabetes and Type 2 Diabetes Populations With Dietary and Physical Activity–based Lifestyle Interventions. J Clin Endocrinol Metab. Published 3 March 2023. doi:10.1210/clinem/dgad123

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