[{"data":1,"prerenderedAt":105},["ShallowReactive",2],{"pages-6aa01ed1c496134494d737f8":3},{"_id":4,"state":5,"name":6,"category":7,"theme":8,"components":9,"keywords":95},"6aa01ed1c496134494d737f8","active","Clinical study Adults Type 2 Diabetes","discover","food_healthcare",[10,22,29,37,44,50,72],{"type":11,"index":12,"variation":13,"imageURL":14,"title":15,"description":17,"button":19},"header",0,"image_left","https://planeateu.retool.com/api/file/661f6f6d-8fd4-4f56-8df8-4b00bfb66879",{"en_GB":16},"A CULTURALLY ADAPTED LIFESTYLE INTERVENTION IN TYPE 2 DIABETES",{"en_GB":18},"Patients from four cultural groups  chose between a culturally tailored diet plus physical activity programme or standard dietary recommendations, for a 12-month period.",{"label":20,"URL":21},{"en_GB":21},"",{"type":23,"index":24,"variation":25,"imageURL":21,"title":26,"description":27},"title_and_text",1,"title_description",{"en_GB":21},{"en_GB":28},"The 4DI study followed 101 patients with type 2 diabetes from four cultural groups (South Asian, North African, Eastern European, and Italian) living in a low socio-economic status area, over 12 months. Both arms achieved significant improvements in glycaemic control and body weight, but cultural tailoring did not add benefit over standard care.",{"type":30,"index":31,"variation":13,"imageURL":32,"title":33,"description":35},"image_and_text",2,"https://planeateu.retool.com/api/file/0d821157-40e0-4d53-8c76-8e2d1c266f78",{"en_GB":34},"KEY FINDINGS",{"en_GB":36},"**Both approaches improved metabolic control**\n- HbA1c fell from 56.9 to 50.7 mmol/mol (p=0.004), bringing the cohort into the recommended target for Type 2 Diabetes;\n- Body weight and LDL cholesterol also improved significantly; \n- Waist circumference remained stable;\n- Improvement was similar in both study arms;\n- All patients received regular visits, dietetic follow-up and medication adjustment: structured clinical support may be the main driver of these results.",{"type":30,"index":38,"variation":39,"imageURL":40,"title":41,"description":42},3,"image_right","https://planeateu.retool.com/api/file/0f14921a-307f-4239-8bee-160c1d55e950",{"en_GB":21},{"en_GB":43},"**Cultural adaptation did not add measurable benefit**\n- No difference between the two arms for any of the four outcomes (HbA1c, body weight, waist circumference, LDL cholesterol);\n- Only 14 of the 42 patients in the intensive, culturally adapted arm fully adhered to the programme over 12 months;\n- Among fully adherent patients, body weight fell significantly at 6 months;\n- Adherence plays a critical role, as in any lifestyle modification programme.",{"type":30,"index":45,"variation":13,"imageURL":46,"title":47,"description":48},4,"https://planeateu.retool.com/api/file/eb280cab-1999-4641-804f-a7295b7d1a78",{"en_GB":21},{"en_GB":49},"**Differences between cultural groups were large and stable over the 12-month follow-up**\n- Body weight (p=0.001) and waist circumference (p\u003C0.001) differed significantly across the four groups, and remained so throughout the study;\n- South Asian patients had the lowest values for BMI and waist circumference, but international guidelines set lower risk thresholds for this group;\n- Eastern European patients were less likely to choose the intensive programme (OR 0.26; p=0.03);\n- North African patients showed the greatest weight improvement; Italian patients the greatest glycaemic improvement.",{"type":51,"index":52,"variation":53,"title":54,"button1":56,"button2":60,"button3":64,"button4":68},"button_group",5,"title_top",{"en_GB":55},"Read more",{"URL":57,"label":58},"https://planeateu.retool.com/api/file/8d827399-d7f1-4f67-9eb9-f9ae51b220c9",{"en_GB":59},"Summary",{"URL":61,"label":62},"https://planeateu.retool.com/api/file/71036ab7-e4a5-4136-aa1f-51859c49ee81",{"en_GB":63},"Report",{"URL":65,"label":66},"https://academic.oup.com/ejendo/article/195/Supplement_1/lvag096.910/8755449",{"en_GB":67},"Scientific publication",{"URL":69,"label":70},"https://planeateu.retool.com/api/file/cfb652fa-b760-433e-9c25-6120e3e6224b",{"en_GB":71},"Initiation Package",{"type":73,"index":74,"variation":53,"title":75,"contact1":77,"contact2":83,"contact3":89},"contacts",6,{"en_GB":76},"Contacts",{"imageURL":78,"name":79,"description":81},"https://planeateu.retool.com/api/file/6e35db13-b4bc-413b-862d-89a6655547d1",{"en_GB":80},"Uberto Pagotto",{"en_GB":82},"Clinician, Full Professor of Endocrinology and Metabolism",{"imageURL":84,"name":85,"description":87},"https://planeateu.retool.com/api/file/88febef7-1f71-46d1-998b-0c62c54627fa",{"en_GB":86},"Sabrina Berti",{"en_GB":88},"Medical Doctor, sabrina.berti@studio.unibo.it",{"imageURL":90,"name":91,"description":93},"https://planeateu.retool.com/api/file/e2f7e3a6-02a0-4c5b-bc5a-2596bf296303",{"en_GB":92},"Vania Campanella",{"en_GB":94},"Dietitian, vania.campanella3@unibo.it",[96,97,98,99,100,101,102,103,104],"type 2 diabetes","ethnic","cultural","lifestyle intervention","diet","planeat","migrants","culturally tailored","overweight",1789577658226]