Evidence map›Paper›PMID 39815443›Full record

ArticlePhysiological reports2025

A patient choice-driven lifestyle intervention lowers HbA1c in type 2 diabetes: A feasibility study.

Nathan R Weeldreyer, Mindy L McEntee, Matthew P Martin, Chong D Lee, Farshad Fani Marvasti, Glenn A Gaesser, Rodger Kessler, Siddhartha S Angadi

Abstract read
In one paragraph

Article in Physiological reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Nathan R WeeldreyerDepartment of Kinesiology, School of Education and Human Development, University of Virginia, Charlottesville, Virginia, USA.ORCID https://orcid.org/0000-0002-0314-7679
Mindy L McEnteeCollege of Health Solutions, Arizona State University, Phoenix, Arizona, USA.
Matthew P MartinCollege of Health Solutions, Arizona State University, Phoenix, Arizona, USA.
Chong D LeeCollege of Health Solutions, Arizona State University, Phoenix, Arizona, USA.
Farshad Fani MarvastiCollege of Medicine, University of Arizona, Phoenix, Arizona, USA.
Glenn A GaesserCollege of Health Solutions, Arizona State University, Phoenix, Arizona, USA.ORCID https://orcid.org/0000-0001-5127-5336
Rodger KesslerDepartment of Family Medicine, University of Colorado School of Medicine, Denver, Colorado, USA.
Siddhartha S AngadiDepartment of Kinesiology, School of Education and Human Development, University of Virginia, Charlottesville, Virginia, USA.ORCID https://orcid.org/0000-0002-2932-7926

Funding

New York Regional Center for Diabetes Translation Research - Translational Intervention Methodology CoreP30DK111022 · NIDDK · ALBERT EINSTEIN COLLEGE OF MEDICINE, INC · PI JEFFREY GONZALEZ · 2016 to 2026
$7.8M
Dignity Health and Arizona State University Collaborative Strategic Initiatives ProgramNIDDK NIH HHS P30 DK111022
6 · The paper itself

Abstract

Type 2 diabetes (T2D) is a common metabolic disorder in which only 25% of patients meet management targets. While the primary care setting is positioned to provide lifestyle management education, studies are lacking which integrate behavior interventions in this setting utilizing clinic staff. Thus, we evaluated a 90-day lifestyle intervention for management of glycemia at a family practice clinic administered by clinic medical assistants. Twenty patients with non-insulin-dependent T2D completed a 90-day intervention driven by patient choices of nutrition and physical activity. Medical assistants were trained by members of the study team and administered the intervention under nurse practitioner supervision. HbA1c trended toward significant reduction 8.59 ± 0.9% to 8.15 ± 1.2% (p = 0.051, 95% CI: -0.88 to 0.003). Modest reductions were observed for waist circumference (115.5 ± 12.6 vs. 112.5 ± 15.2 cm; p = 0.014, 95% CI: -5.66 to -0.26), body weight (97.7 ± 21.9 vs. 95.6 ± 23.9 kg; p = 0.016. 95% CI: -3.84 to -0.31), and BMI (33.7 ± 7.2 vs. 32.8 ± 7.5 kg/m

Indexed as

Diabetes Mellitus, Type 2Glycated HemoglobinLife StyleAgedBlood GlucoseChoice BehaviorExerciseFeasibility StudiesFemaleHumansMaleMiddle AgedBlood GlucoseGlycated Hemoglobinhemoglobin A1c protein, humanexerciseHbA1cnutritiontype 2 diabetes

Identifiers

PMID39815443
PMCPMC11735460

What Socratic holds

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LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.