Effectiveness of nutrition education and counseling on metabolic control parameters of diabetes mellitus type 2 patients in primary health care centers

Nikbina, Maryam; Mameneh, Mehdi; Bakaeian, Mehdi; Dehcheshmeh, Nayeb Fadaei; Moradi, Ahmad; Jalilian, Habib; Jabbari, Maryam

doi:10.5603/dk.2020.0030

Cited by 4 publications

(10 citation statements)

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“…In total, 22 articles were selected for qualitative systematic review and 9 articles were eligible for quantitative analysis as the remaining 13 articles did not provide sufficient details required for the analysis ( Figure 1 ). All the 22 studies were eligible for cardiometabolic health outcomes [ 23 , 26 , 27 , 28 , 29 , 30 , 31 , 32 , 33 , 34 , 35 , 36 , 37 , 38 , 39 , 40 , 41 , 42 , 43 , 44 , 45 , 46 ] and the study features and subject characteristics of the selected articles are summarized in Table 2 . A parallel study design was performed in all 22 studies.…”

Section: Resultsmentioning

confidence: 99%

“…The impact of duration of the study was also one of the considerations for this review, however the duration for each study varies greatly. In our review, studies that we collected results for the cardiometabolic outcomes have various length of study duration ranging from 12 weeks to 144 weeks [ 23 , 35 , 39 , 40 , 45 ]. Amongst the studies, a study conducted by Mohammadi et al [ 23 ] with a trial length of 12 weeks has shown favourable response to TG level as compared to a study conducted by Kumanyika et al [ 42 ] with a trial length of 48 weeks.…”

Section: Discussionmentioning

confidence: 99%

“…C, Control; DBP, Diastolic blood pressure; HDL, High-density lipoprotein; I, intervention; LDL, Low-density lipoprotein; SBP, Systolic blood pressure; TC, Total cholesterol; TG, Triglycerides; a Range values of insulin for control group were not reported as there was only one study. TC (Intervention [ 23 , 26 , 27 , 29 , 30 , 31 , 32 , 33 , 34 , 35 , 36 , 37 , 39 , 40 , 42 , 44 , 45 , 46 , 50 ], Control [ 23 , 30 , 33 , 35 , 36 , 37 , 40 , 42 , 45 ]); TG (Intervention [ 23 , 26 , 27 , 29 , 31 , 32 , 34 , 35 , 37 , 39 , 40 , 41 , 42 , 44 , 45 , 46 , 50 ], Control [ 35 , 40 , 41 , 42 , …”

Section: Figurementioning

confidence: 99%

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A Systematic Review and Meta-Analysis of the Impact of Different Intensity of Dietary Counselling on Cardiometabolic Health in Middle-Aged and Older Adults

Low

Toh

et al. 2021

Nutrients

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Dietary counselling has been identified as one of the nutritional strategies to alleviate cardiometabolic health conditions. Its effectiveness however may vary due to factors such as intensity level and provider while this has not been comprehensively studied. This systematic review and meta-analysis aimed to assess the effects of dietary counselling on the cardiometabolic health in middle-aged and older adults and the sub-group analyses with dietary counselling intensity and the provider were also assessed. Four databases including PubMed, CINAHL Plus with Full Text, Cochrane Library and EMBASE were systematically searched. Data from 22 randomised controlled trials (RCTs) were compiled and those from 9 RCTs were utilised for meta-analysis. Dietary counselling lowered total cholesterol (TC) and fasting blood sugar (FBS) but had no impact on triglycerides (TG) and low-density lipoprotein (LDL). Sub-group analysis revealed significant lowering effect of high intensity dietary counselling for TG (weighted mean difference (WMD): −0.24 mmol/L, 95% confidence intervals (CIs): −0.40 to −0.09), TC (WMD: −0.31 mmol/L, 95% CIs: −0.49 to −0.13), LDL (WMD: −0.39 mmol/L, 95% CIs: −0.61 to −0.16) and FBS (WMD: −0.69 mmol/L, 95% CIs: −0.99 to −0.40) while medium or low intensity dietary counselling did not show favouring effects. Counselling provider showed differential responses on cardiometabolic health between dietitian and all other groups. The findings from this systematic review and meta-analysis suggest that dietary counselling is a beneficial dietary strategy to improve cardiometabolic health in middle-aged and older adults with the emphasis on the counselling intensity.

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Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Figurementioning

confidence: 99%

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A Systematic Review and Meta-Analysis of the Impact of Different Intensity of Dietary Counselling on Cardiometabolic Health in Middle-Aged and Older Adults

Low

Toh

et al. 2021

Nutrients

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“…The prevalence of pre-diabetes and diabetes has been on the rise in recent years, with the WHO estimating that about 422 million people worldwide have diabetes, most of them living in low-and middle-income countries. Diabetes also causes 1.6 million deaths annually [6]. Prediabetes is a complication in which the fasting blood sugar level is higher than normal, but this increase is not enough to be considered diabetes [5].…”

Section: Introductionmentioning

confidence: 99%

“…Studies have shown that modifying the pre-diabetes stage can reduce the chances of developing type 2 diabetes in pre-diabetic people by up to 60%. Also, by changing the lifestyle, 90% of type 2 diabetes can be prevented [5,6].…”

Section: Introductionmentioning

confidence: 99%

Pre-diabetic women’s understanding of the role of diet in preventing diabetes using the PEN-3 cultural model

Alimehr

Malayen

Karimipour

et al. 2021

Clinical Diabetology

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Background. Pre-diabetes is one of the most widespread epidemics in the world. Pre-diabetics are the most susceptible to diabetes. The prevalence of prediabetes status is higher than that of diabetes. Lifestyle modification at this stage may delay the onset of type 2 diabetes for ten years. The present study aims at determining the Dezful pre-diabetic women's experiences of diabetic preventive eating behaviors. Methods. The present study employed a directed qualitative content analysis (DQlCA) conducted in Dezful in 2020. The experiences of 41 pre-diabetic women aged 30-65 years and 9 health care providers (physicians, nutritionists, public health experts) were explained using the in-depth interviewing technique on the factors affecting diabetes preventive behaviors, including nutritional behaviors and physical activities, based on the constructions of the PEN-3 model. The participants were selected from Dezful health centers. Analysis of the qualitative data was done via a directed qualitative content analysis (DQlCA). Data validity was estimated by assessing acceptability, reliability, adaptability, and transferability. Results: the most appropriate and accessible way to promote diabetes prevention behaviors in pre-diabet-ics is to hold training classes with a health promotion approach implemented by health care providers. Conclusion. Pre-diabetic women have a variety of beliefs and habits influenced by awareness, food culture, and temporal and spatial constraints. By identifying the positive and negative beliefs affecting diet, researchers who want to promote the nutritional behavior of pre-diabetic women should correct and eliminate negative and inhibitory beliefs by targeting these beliefs, emphasizing positive and motivating beliefs. They also should use the mentioned points in their educational interventions. (Clin Diabetol 2021; 10

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Patient-centered nutrition education improved the eating behavior of persons with uncontrolled type 2 diabetes mellitus in North Ethiopia: a quasi-experimental study

Gebreyesus,

Abreha,

Beshirie

et al. 2024

Front. Nutr.

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BackgroundImproving the clinical outcome of people with type 2 diabetes mellitus by modifying their eating behavior through nutrition education is an important element of diabetes self-management. Significant data from the literature supports this idea, however in the Ethiopian setting, there is a practice gap. Therefore, the purpose of this study was to assess how patient-centered nutrition education affected the eating behavior and clinical outcomes of people with uncontrolled type 2 diabetes mellitus.MethodIn this quasi-experimental trial, 178 people with uncontrolled type 2 diabetes were purposely assigned to the intervention (n = 89) or control (n = 89) arm. The intervention arm was given patient-centered nutrition education, whereas the control arm received the routine care. Eating behavior and clinical outcome indicators such as HbAc, lipid profile, anthropometric indices, and blood pressure were assessed in both groups at the start and completion of the intervention. All scale variables were tested for normality and log transformed when appropriate. The baseline characteristics of the intervention and control groups were compared using the t-test for continuous variables and the chi-square test for categorical variables. The effect of nutrition education was determined using a difference in differences (DID) approach. P < 0.05 was established as the criterion of significance.ResultFood selection (DID = 15.84, P < 0.001), meal planning (DID = 31.11, P < 0.001), and calorie needs (DID = 37.65, P < 0.001) scores were statistically higher in the nutrition education arm. Furthermore, their overall eating behavior score (DID = 27.06, P < 0.001) was statistically greater than the controls. In terms of clinical outcomes, the overall picture reveals that the intervention did not outperform over the routine care. However, in comparison to the controls, the intervention arm showed clinically significant improvement in HbA1c (DID = −0.258, P = 0.485).ConclusionPatient-centered nutrition education has resulted in positive adjustments in the eating behavior of people with uncontrolled type 2 diabetes mellitus. Furthermore, it has shown a great potential for improving their glycemic control.

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Effectiveness of nutrition education and counseling on metabolic control parameters of diabetes mellitus type 2 patients in primary health care centers

Cited by 4 publications

References 0 publications

A Systematic Review and Meta-Analysis of the Impact of Different Intensity of Dietary Counselling on Cardiometabolic Health in Middle-Aged and Older Adults

A Systematic Review and Meta-Analysis of the Impact of Different Intensity of Dietary Counselling on Cardiometabolic Health in Middle-Aged and Older Adults

Pre-diabetic women’s understanding of the role of diet in preventing diabetes using the PEN-3 cultural model

Patient-centered nutrition education improved the eating behavior of persons with uncontrolled type 2 diabetes mellitus in North Ethiopia: a quasi-experimental study

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