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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 …
Competing interests None declared.
Provenance and peer review Commissioned; internally peer reviewed.