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TL;DR
The paper highlights that sustained lifestyle changes are achievable with long-term professional support but notes challenges in scaling up interventions to population level.
Journal of Clinical Medicine · 4 authors, 6 centres
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The paper highlights that sustained lifestyle changes are achievable with long-term professional support but notes challenges in scaling up interventions to population level.
The authors describe how the DPS intervention group achieved 5.1% weight loss versus 1.2% in the control group after one year, and importantly, former intervention participants maintained lower dietary fat, higher fiber intake, and remained slightly below baseline weight after 10 years. Achievement of lifestyle goals was directly associated with T2D risk reduction during the intervention period. The review discusses how findings were translated to real-life settings, including adaptations for different populations and the development of national prevention policies. Barriers and opportunities in scaling up interventions are addressed, along with international policy frameworks such as WHO resolutions and UN targets for non-communicable diseases. The authors note that the 2011 UN Summit targets for obesity and diabetes were conservative at 0% change. The review emphasizes that successful T2D prevention requires agreed diagnostic criteria, knowledge of risk factors, acceptable screening methods, and proven intervention approaches, supported by international cooperation and multisectoral evidence-based public health measures.