Evidence mapPaperPMID 40806103Full record

Trial reportNutrients2025

A Multicenter Pilot Randomized Trial of a Lifestyle Intervention to Prevent Type 2 Diabetes in High-Risk Individuals.

Raira Pagano, Thatiane Lopes Valentim Di Paschoale Ostolin, Danielle Cristina Fonseca, Aline Marcadenti, Ana Paula Perillo Ferreira Carvalho, Bernardete Weber, Carla Daltro, Enilda Lara, Fernanda Carneiro Marinho Noleto, Josefina Bressan and 11 more

Abstract readRandomized Controlled TrialMulticenter Study
In one paragraph

Trial report in Nutrients, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

21 authors.

Raira PaganoBP-A Beneficência Portuguesa de São Paulo-PROADI-SUS, São Paulo 01323-000, SP, Brazil.ORCID 0000-0002-7663-1787
Thatiane Lopes Valentim Di Paschoale OstolinBP-A Beneficência Portuguesa de São Paulo-PROADI-SUS, São Paulo 01323-000, SP, Brazil.ORCID 0000-0002-8492-2840
Danielle Cristina FonsecaBP-A Beneficência Portuguesa de São Paulo-PROADI-SUS, São Paulo 01323-000, SP, Brazil.
Aline MarcadentiHcor Research Institute (IP-Hcor), São Paulo 04004-030, SP, Brazil.ORCID 0000-0003-1994-4610
Ana Paula Perillo Ferreira CarvalhoUnidade de Hipertensão Arterial, Hospital das Clínicas da Universidade Federal de Goiás, Goiânia 74605-020, GO, Brazil.
Bernardete WeberBP-A Beneficência Portuguesa de São Paulo-PROADI-SUS, São Paulo 01323-000, SP, Brazil.
Carla DaltroDepartamento Ciência da Nutrição, Escola de Nutrição, UFBA-Universidade Federal da Bahia, Salvador 40110-907, BA, Brazil.ORCID 0000-0003-1115-688X
Enilda LaraIndependent Researcher, São Paulo 04143-010, SP, Brazil.
Fernanda Carneiro Marinho NoletoPrograma de Pós Graduação em Ciências da Saúde, Curso de Nutrição, UFT-Universidade Federal do Tocantins, Palmas 77020-021, TO, Brazil.
Josefina BressanGraduate Program in Nutrition Science, Department of Health and Nutrition, Universidade Federal de Viçosa, Viçosa 36570-900, MG, Brazil.ORCID 0000-0002-4993-9436
Jussara Carnevale de AlmeidaDepartamento de Nutrição, Faculdade de Medicina, Universidade Federal do Rio Grande do Sul (UFRGS), Porto Alegre 90610-264, RS, Brazil.ORCID 0000-0002-8500-8145
Malaine Morais Alves MachadoUnidade de Hipertensão Arterial, Hospital das Clínicas da Universidade Federal de Goiás, Goiânia 74605-020, GO, Brazil.
Marcelo Macedo RogeroDepartment of Nutrition, School of Public Health, University of São Paulo, São Paulo 01246-904, SP, Brazil.ORCID 0000-0003-0517-1645
Olivia Garbin KollerPrograma de Pós Graduação em Alimentação, Nutrição e Saude, Programa de Pós Graduação em Ciências Médicas: Endocrinologia, Universidade Federal do Rio Grande do Sul (UFRGS), Porto Alegre 90035-003, RS, Brazil.ORCID 0000-0003-4769-1163
Rita de Cássia Santos SoaresGraduate Program in Nutrition Science, Department of Health and Nutrition, Universidade Federal de Viçosa, Viçosa 36570-900, MG, Brazil.
Sônia Lopes PintoPrograma de Pós Graduação em Ciências da Saúde, Curso de Nutrição, UFT-Universidade Federal do Tocantins, Palmas 77020-021, TO, Brazil.
Viviane SahadeDepartamento Ciência da Nutrição, Escola de Nutrição, UFBA-Universidade Federal da Bahia, Salvador 40110-907, BA, Brazil.ORCID 0000-0002-2590-9355
Cleyton Zanardo de OliveiraBP-A Beneficência Portuguesa de São Paulo-PROADI-SUS, São Paulo 01323-000, SP, Brazil.
Guilherme William MarcelinoBP-A Beneficência Portuguesa de São Paulo-PROADI-SUS, São Paulo 01323-000, SP, Brazil.
Camila Martins TrevisanBP-A Beneficência Portuguesa de São Paulo-PROADI-SUS, São Paulo 01323-000, SP, Brazil.ORCID 0000-0003-2125-5566
Angela Cristine Bersch-FerreiraBP-A Beneficência Portuguesa de São Paulo-PROADI-SUS, São Paulo 01323-000, SP, Brazil.ORCID 0000-0003-3478-781X

Funding

This research was funded by Beneficência Portuguesa de São Paulo in partnership with the Insti-tutional Development Support Program of the Unified Health System (PROADI-SUS)/Brazilian Ministry of Health NUP 25000.111668.2022-26
6 · The paper itself

Abstract

backgroundType 2 diabetes (T2D) is a growing public health concern, particularly in low- and middle-income countries. Although prediabetes is a major risk factor for T2D, it remains largely underdiagnosed and untreated. Structured lifestyle interventions have proven effective in preventing diabetes, but their feasibility within the Brazilian public health system remains unclear.

methodsThis multicenter pilot randomized controlled trial assessed the feasibility of a culturally adapted lifestyle intervention (PROVEN-DIA) across the five regions of Brazil. A total of 220 adults at high risk for T2D were randomized to an intervention group or a control group (usual care) and followed for three months. Both groups received similar educational content on healthy eating and physical activity, but the intervention group participated in a structured and personalized lifestyle program with regular follow-up sessions. The primary outcome was adherence to dietary recommendations, assessed using the BALANCE Index-a validated dietary score (range: 0-40) based on the Brazilian Cardioprotective Diet that classifies foods into color-coded groups according to nutritional quality-along with engagement in moderate-to-vigorous physical activity (MVPA). Secondary outcomes included diet quality (DQIR), anthropometric and metabolic parameters.

resultsFeasibility was demonstrated by a 93.2% retention rate (n = 205). There was no significant difference in the primary outcome (simultaneous improvement in diet and MVPA). However, the PROVEN-DIA group exhibited significantly greater improvements in diet quality, with a 2.8-point increase in the BALANCE Index (vs. 0.5 in the control,

conclusionsThe PROVEN-DIA intervention proved feasible within the Brazilian public health context, resulting in significant improvements in dietary quality among individuals at high risk for T2D. A larger trial with longer follow-up is warranted to evaluate its effectiveness in preventing the progression to diabetes. However, to enhance physical activity outcomes, specific adaptations and targeted strategies may be required to better support participant engagement in exercise.

Indexed as

Diabetes Mellitus, Type 2Life StyleAdultAgedBrazilDietDiet, HealthyExerciseFeasibility StudiesFemaleHumansMaleMiddle AgedPilot ProjectsRisk FactorsBALANCE programBrazilian public healthdietary qualityfeasibility studylifestyle interventionphysical activityrandomized controlled trialtype 2 diabetes prevention

Identifiers

PMID40806103
PMCPMC12348132

What Socratic holds

Textmetadata
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.