The Effectiveness of Indigenous Knowledge-Based Lifestyle Interventions in Preventing Obesity and Type 2 Diabetes Mellitus in Indigenous Children in Canada: A Systematic Review
Maya Kshatriya,1– 3 Kuan-Wen Wang,1,2 Julia Hildebrand,1,2 Rebecca Crawford,1,2,4 Ajantha Nadarajah,1– 3 Michael Youssef,1,2 Angelica Rivas,1,2,5 Ashleen Kaushal,1,2 Laura E Banfield,6 Lehana Thabane,7– 10 M Constantine Samaan1– 3,5,7 1Department of Pediatrics, McMaster University, Hamilton, Ontario...
| Main Authors: | , , , , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Dove Medical Press
2023-09-01
|
| Series: | Adolescent Health, Medicine and Therapeutics |
| Subjects: | |
| Online Access: | https://www.dovepress.com/the-effectiveness-of-indigenous-knowledge-based-lifestyle-intervention-peer-reviewed-fulltext-article-AHMT |
| _version_ | 1797671566076542976 |
|---|---|
| author | Kshatriya M Wang KW Hildebrand J Crawford R Nadarajah A Youssef M Rivas A Kaushal A Banfield LE Thabane L Samaan MC |
| author_facet | Kshatriya M Wang KW Hildebrand J Crawford R Nadarajah A Youssef M Rivas A Kaushal A Banfield LE Thabane L Samaan MC |
| author_sort | Kshatriya M |
| collection | DOAJ |
| description | Maya Kshatriya,1– 3 Kuan-Wen Wang,1,2 Julia Hildebrand,1,2 Rebecca Crawford,1,2,4 Ajantha Nadarajah,1– 3 Michael Youssef,1,2 Angelica Rivas,1,2,5 Ashleen Kaushal,1,2 Laura E Banfield,6 Lehana Thabane,7– 10 M Constantine Samaan1– 3,5,7 1Department of Pediatrics, McMaster University, Hamilton, Ontario, Canada; 2Division of Pediatric Endocrinology, McMaster Children’s Hospital, Hamilton, Ontario, Canada; 3Global Health Graduate Program, McMaster University, Hamilton, Ontario, Canada; 4Indigenous Undergraduate Summer Research Program, McMaster University, Hamilton, Ontario, Canada; 5Michael G. De Groote School of Medicine, McMaster University, Hamilton, Ontario, Canada; 6Health Sciences Library, McMaster University, Hamilton, Ontario, Canada; 7Department of Health Research Methods, Evidence and Impact, McMaster University, Hamilton, Ontario, Canada; 8Biostatistics Unit, St. Joseph’s Healthcare-Hamilton, Hamilton, Ontario, Canada; 9Department of Anesthesia, McMaster University, Hamilton, Ontario, Canada; 10Centre for Evaluation of Medicines, St. Joseph’s Health Care, Hamilton, Ontario, CanadaCorrespondence: M Constantine Samaan, Department of Pediatrics, McMaster University, 1280 Main Street West, HSC-3A57, Hamilton, Ontario, L8S 4K1, Canada, Tel +1-905-521-2100, ext. 75926, Fax +1-905-308-7548, Email samaanc@mcmaster.caBackground: Indigenous children in Canada have high rates of obesity and type 2 diabetes mellitus (T2DM). Culturally appropriate interventions, guided by an Indigenous knowledge-based view of health, are crucial to target these conditions. The objective of this systematic review was to assess the impact of indigenous Knowledge-based lifestyle interventions on the prevention of obesity and T2DM in Indigenous children in Canada.Methods: Database searches were conducted from inception until February 22, 2022. The main outcomes were changes in Body Mass Index (BMI) z-score and the development of T2DM. The other outcomes included adiposity, metabolic, and lifestyle determinants of health. The GRADE approach was used to assess confidence in the evidence.Results: Four non-randomized controlled trials (non-RCTs) and six uncontrolled studies were identified. Peer-led interventions led to a reduction in BMI z-score and waist circumference. GRADE assessment revealed very low quality of evidence due to a lack of randomization and small sample sizes. There were no diabetes-specific reported programs.Conclusion: Limited evidence from non-randomized studies suggest that peer-led indigenous Knowledge-based lifestyle interventions improve BMI z-score and central adiposity. There is a need for community-owned and adequately powered randomized studies for interventions that aim to treat and prevent obesity and T2DM in Indigenous children in Canada.Systematic Review Registration: PROSPERO CRD42017072781.Keywords: child, ethnicity, obesity, diabetes, prevention |
| first_indexed | 2024-03-11T21:17:24Z |
| format | Article |
| id | doaj.art-ee5cc39bbc0542828bc2452bac232547 |
| institution | Directory Open Access Journal |
| issn | 1179-318X |
| language | English |
| last_indexed | 2024-03-11T21:17:24Z |
| publishDate | 2023-09-01 |
| publisher | Dove Medical Press |
| record_format | Article |
| series | Adolescent Health, Medicine and Therapeutics |
| spelling | doaj.art-ee5cc39bbc0542828bc2452bac2325472023-09-28T18:12:52ZengDove Medical PressAdolescent Health, Medicine and Therapeutics1179-318X2023-09-01Volume 1417519387025The Effectiveness of Indigenous Knowledge-Based Lifestyle Interventions in Preventing Obesity and Type 2 Diabetes Mellitus in Indigenous Children in Canada: A Systematic ReviewKshatriya MWang KWHildebrand JCrawford RNadarajah AYoussef MRivas AKaushal ABanfield LEThabane LSamaan MCMaya Kshatriya,1– 3 Kuan-Wen Wang,1,2 Julia Hildebrand,1,2 Rebecca Crawford,1,2,4 Ajantha Nadarajah,1– 3 Michael Youssef,1,2 Angelica Rivas,1,2,5 Ashleen Kaushal,1,2 Laura E Banfield,6 Lehana Thabane,7– 10 M Constantine Samaan1– 3,5,7 1Department of Pediatrics, McMaster University, Hamilton, Ontario, Canada; 2Division of Pediatric Endocrinology, McMaster Children’s Hospital, Hamilton, Ontario, Canada; 3Global Health Graduate Program, McMaster University, Hamilton, Ontario, Canada; 4Indigenous Undergraduate Summer Research Program, McMaster University, Hamilton, Ontario, Canada; 5Michael G. De Groote School of Medicine, McMaster University, Hamilton, Ontario, Canada; 6Health Sciences Library, McMaster University, Hamilton, Ontario, Canada; 7Department of Health Research Methods, Evidence and Impact, McMaster University, Hamilton, Ontario, Canada; 8Biostatistics Unit, St. Joseph’s Healthcare-Hamilton, Hamilton, Ontario, Canada; 9Department of Anesthesia, McMaster University, Hamilton, Ontario, Canada; 10Centre for Evaluation of Medicines, St. Joseph’s Health Care, Hamilton, Ontario, CanadaCorrespondence: M Constantine Samaan, Department of Pediatrics, McMaster University, 1280 Main Street West, HSC-3A57, Hamilton, Ontario, L8S 4K1, Canada, Tel +1-905-521-2100, ext. 75926, Fax +1-905-308-7548, Email samaanc@mcmaster.caBackground: Indigenous children in Canada have high rates of obesity and type 2 diabetes mellitus (T2DM). Culturally appropriate interventions, guided by an Indigenous knowledge-based view of health, are crucial to target these conditions. The objective of this systematic review was to assess the impact of indigenous Knowledge-based lifestyle interventions on the prevention of obesity and T2DM in Indigenous children in Canada.Methods: Database searches were conducted from inception until February 22, 2022. The main outcomes were changes in Body Mass Index (BMI) z-score and the development of T2DM. The other outcomes included adiposity, metabolic, and lifestyle determinants of health. The GRADE approach was used to assess confidence in the evidence.Results: Four non-randomized controlled trials (non-RCTs) and six uncontrolled studies were identified. Peer-led interventions led to a reduction in BMI z-score and waist circumference. GRADE assessment revealed very low quality of evidence due to a lack of randomization and small sample sizes. There were no diabetes-specific reported programs.Conclusion: Limited evidence from non-randomized studies suggest that peer-led indigenous Knowledge-based lifestyle interventions improve BMI z-score and central adiposity. There is a need for community-owned and adequately powered randomized studies for interventions that aim to treat and prevent obesity and T2DM in Indigenous children in Canada.Systematic Review Registration: PROSPERO CRD42017072781.Keywords: child, ethnicity, obesity, diabetes, preventionhttps://www.dovepress.com/the-effectiveness-of-indigenous-knowledge-based-lifestyle-intervention-peer-reviewed-fulltext-article-AHMTchildethnicityobesitydiabetesprevention |
| spellingShingle | Kshatriya M Wang KW Hildebrand J Crawford R Nadarajah A Youssef M Rivas A Kaushal A Banfield LE Thabane L Samaan MC The Effectiveness of Indigenous Knowledge-Based Lifestyle Interventions in Preventing Obesity and Type 2 Diabetes Mellitus in Indigenous Children in Canada: A Systematic Review Adolescent Health, Medicine and Therapeutics child ethnicity obesity diabetes prevention |
| title | The Effectiveness of Indigenous Knowledge-Based Lifestyle Interventions in Preventing Obesity and Type 2 Diabetes Mellitus in Indigenous Children in Canada: A Systematic Review |
| title_full | The Effectiveness of Indigenous Knowledge-Based Lifestyle Interventions in Preventing Obesity and Type 2 Diabetes Mellitus in Indigenous Children in Canada: A Systematic Review |
| title_fullStr | The Effectiveness of Indigenous Knowledge-Based Lifestyle Interventions in Preventing Obesity and Type 2 Diabetes Mellitus in Indigenous Children in Canada: A Systematic Review |
| title_full_unstemmed | The Effectiveness of Indigenous Knowledge-Based Lifestyle Interventions in Preventing Obesity and Type 2 Diabetes Mellitus in Indigenous Children in Canada: A Systematic Review |
| title_short | The Effectiveness of Indigenous Knowledge-Based Lifestyle Interventions in Preventing Obesity and Type 2 Diabetes Mellitus in Indigenous Children in Canada: A Systematic Review |
| title_sort | effectiveness of indigenous knowledge based lifestyle interventions in preventing obesity and type 2 diabetes mellitus in indigenous children in canada a systematic review |
| topic | child ethnicity obesity diabetes prevention |
| url | https://www.dovepress.com/the-effectiveness-of-indigenous-knowledge-based-lifestyle-intervention-peer-reviewed-fulltext-article-AHMT |
| work_keys_str_mv | AT kshatriyam theeffectivenessofindigenousknowledgebasedlifestyleinterventionsinpreventingobesityandtype2diabetesmellitusinindigenouschildrenincanadaasystematicreview AT wangkw theeffectivenessofindigenousknowledgebasedlifestyleinterventionsinpreventingobesityandtype2diabetesmellitusinindigenouschildrenincanadaasystematicreview AT hildebrandj theeffectivenessofindigenousknowledgebasedlifestyleinterventionsinpreventingobesityandtype2diabetesmellitusinindigenouschildrenincanadaasystematicreview AT crawfordr theeffectivenessofindigenousknowledgebasedlifestyleinterventionsinpreventingobesityandtype2diabetesmellitusinindigenouschildrenincanadaasystematicreview AT nadarajaha theeffectivenessofindigenousknowledgebasedlifestyleinterventionsinpreventingobesityandtype2diabetesmellitusinindigenouschildrenincanadaasystematicreview AT youssefm theeffectivenessofindigenousknowledgebasedlifestyleinterventionsinpreventingobesityandtype2diabetesmellitusinindigenouschildrenincanadaasystematicreview AT rivasa theeffectivenessofindigenousknowledgebasedlifestyleinterventionsinpreventingobesityandtype2diabetesmellitusinindigenouschildrenincanadaasystematicreview AT kaushala theeffectivenessofindigenousknowledgebasedlifestyleinterventionsinpreventingobesityandtype2diabetesmellitusinindigenouschildrenincanadaasystematicreview AT banfieldle theeffectivenessofindigenousknowledgebasedlifestyleinterventionsinpreventingobesityandtype2diabetesmellitusinindigenouschildrenincanadaasystematicreview AT thabanel theeffectivenessofindigenousknowledgebasedlifestyleinterventionsinpreventingobesityandtype2diabetesmellitusinindigenouschildrenincanadaasystematicreview AT samaanmc theeffectivenessofindigenousknowledgebasedlifestyleinterventionsinpreventingobesityandtype2diabetesmellitusinindigenouschildrenincanadaasystematicreview AT kshatriyam effectivenessofindigenousknowledgebasedlifestyleinterventionsinpreventingobesityandtype2diabetesmellitusinindigenouschildrenincanadaasystematicreview AT wangkw effectivenessofindigenousknowledgebasedlifestyleinterventionsinpreventingobesityandtype2diabetesmellitusinindigenouschildrenincanadaasystematicreview AT hildebrandj effectivenessofindigenousknowledgebasedlifestyleinterventionsinpreventingobesityandtype2diabetesmellitusinindigenouschildrenincanadaasystematicreview AT crawfordr effectivenessofindigenousknowledgebasedlifestyleinterventionsinpreventingobesityandtype2diabetesmellitusinindigenouschildrenincanadaasystematicreview AT nadarajaha effectivenessofindigenousknowledgebasedlifestyleinterventionsinpreventingobesityandtype2diabetesmellitusinindigenouschildrenincanadaasystematicreview AT youssefm effectivenessofindigenousknowledgebasedlifestyleinterventionsinpreventingobesityandtype2diabetesmellitusinindigenouschildrenincanadaasystematicreview AT rivasa effectivenessofindigenousknowledgebasedlifestyleinterventionsinpreventingobesityandtype2diabetesmellitusinindigenouschildrenincanadaasystematicreview AT kaushala effectivenessofindigenousknowledgebasedlifestyleinterventionsinpreventingobesityandtype2diabetesmellitusinindigenouschildrenincanadaasystematicreview AT banfieldle effectivenessofindigenousknowledgebasedlifestyleinterventionsinpreventingobesityandtype2diabetesmellitusinindigenouschildrenincanadaasystematicreview AT thabanel effectivenessofindigenousknowledgebasedlifestyleinterventionsinpreventingobesityandtype2diabetesmellitusinindigenouschildrenincanadaasystematicreview AT samaanmc effectivenessofindigenousknowledgebasedlifestyleinterventionsinpreventingobesityandtype2diabetesmellitusinindigenouschildrenincanadaasystematicreview |