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Systematic review with meta analysis
Structured diet and physical activity programmes provide strong evidence of effectiveness for type 2 diabetes prevention and improvement of cardiometabolic health
  1. Nicolaas P Pronk
  1. Department of HPD, HealthPartners and Harvard T.H. Chan School of Public Health, Bloomington, Minnesota, USA
  1. Correspondence to : Dr Nicolaas P Pronk, Department of HPD, HealthPartners and Harvard T.H. Chan School of Public Health, 8170 33rd Avenue South, Bloomington, MN 55425, USA; nico.p.pronk{at}healthpartners.com

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Type 2 diabetes mellitus (T2DM) is a significant and growing medical problem affecting close to 400 million people worldwide1 and almost 10% of the US population2 while imposing a major financial burden on society.3 Furthermore, an estimated 37% of the US adult population is at risk of T2DM, making primary prevention of T2DM a critical public health objective. Large clinical trials have shown that combined diet and physical activity promotion programmes …

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