Intervention with Delivery of Diabetic Meals Improves Glycemic Control in Patients with Type 2 Diabetes Mellitus

Background: High-quality research methodologies and clear reporting of studies are essential to facilitate confidence in research findings. The aim of the present study was to conduct an in-depth examination of the methodological quality and reporting of studies included in a recent systematic review of dietitians' effectiveness at providing individualised nutrition care to adult patients. Methods: The methodological quality and reporting of 27 Randomised Controlled Trials (RCTs) were appraised using the UK Medical Research Council (MRC) Guidelines for complex interventions and the CONSORT checklist for reporting RCTs. A quality appraisal checklist was developed for each guideline/assessment tool aiming to evaluate the extent to which each study met the designated criteria. Excerpts from studies that best addressed criteria were collated to provide exemplary accounts of how criteria may be achieved in future studies. Results: None of the reviewed studies met more than half of the MRC Guidance criteria, indicating that there is clear room for improvement in reporting the methodological underpinnings of these studies. Similarly, no studies met all criteria of the CONSORT checklist, suggesting that there is also room for improvement in the design and reporting of studies in this field. Conclusions: Dietitians, researchers and journal editors are encouraged to use the results and exemplary accounts from this review to identify key aspects of studies that could be improved in future research. Improving future research will enhance the quality of the evidence-base that investigates the outcomes of dietary interventions involving dietitians.

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“…Twenty‐seven RCTs met the eligibility criteria and were included in the review, as shown in Figure .…”

Section: Resultsmentioning

confidence: 99%

Quality of development and reporting of dietetic intervention studies in primary care: a systematic review of randomised controlled trials

Ball

Sladdin

Mitchell

et al. 2017

J Human Nutrition Diet

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“…11-13 One delivered meals, but patients were free to choose both the frequency and the period of delivery, and patients were encouraged to change their exercise habits. 13 Thus, that study examined the effects of the combination of delivered meals and exercise, and there were no changes in BMI during the course of the 1-year trial. The other 2 studies each lasted for 1 year, but the special meals consisted of 7 meals per week, which were delivered weekly, and there was no description of BW nor were clinical data provided.…”

Section: Discussionmentioning

confidence: 99%

“…studies, meals were not delivered daily to the individual's home, 11,12 and no remarkable changes in BW were observed, 13 despite a long study period of 1 year. In addition, no clinical data were provided.…”

Section: Noda K Et Almentioning

confidence: 99%

Lifestyle Changes Through the Use of Delivered Meals and Dietary Counseling in a Single-Blind Study

Noda

Zhang

Iwata

et al. 2012

Circ J

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“…H 2 can reach relatively high concentrations quickly, and excessive H 2 can be eliminated from the body via breathing, causing no side effects ). In addition, therapeutic H 2 effects on humans have been reported for diabetes mellitus type 2 (Imai et al, 2008), hemodialysis (Nakayama et al, 2010), inflammatory myopathies (Ito et al, 2011), radiotherapy for liver cancer (Kang et al, 2011), and acute erythematous skin diseases (Ono et al, 2012). H 2 can be administered through intravenous injection or drink.…”

Section: Discussionmentioning

confidence: 99%

Protective effect of hydrogen-rich saline on ischemia/reperfusion injury in rat skin flap

Zhao

Wang

Qin

et al. 2013

J. Zhejiang Univ. Sci. B

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Abstract:Objective: Skin damage induced by ischemia/reperfusion (I/R) is a multifactorial process that often occurs in plastic surgery. The mechanisms of I/R injury include hypoxia, inflammation, and oxidative damage. Hydrogen gas has been reported to alleviate cerebral I/R injury by acting as a free radical scavenger. Here, we assessed the protective effect of hydrogen-rich saline (HRS) on skin flap I/R injury. Methods: Abdominal skin flaps of rats were elevated and ischemia was induced for 3 h; subsequently, HRS or physiological saline was administered intraperitoneally 10 min before reperfusion. On postoperative Day 5, flap survival, blood perfusion, the accumulation of reactive oxygen species (ROS), and levels of cytokines were evaluated. Histological examinations were performed to assess inflammatory cell infiltration. Results: Skin flap survival and blood flow perfusion were improved by HRS relative to the controls. The production of malondialdehyde (MDA), an indicator of lipid peroxidation, was markedly reduced. A multiplex cytokine assay revealed that HRS reduced the elevation in the levels of inflammatory cytokines, chemokines and growth factors, with the exception of RANTES (regulated on activation, normal T-cell expressed and secreted) growth factor. HRS treatment also reduced inflammatory cell infiltration induced by I/R injury. Conclusions: Our findings suggest that HRS mitigates I/R injury by decreasing inflammation and, therefore, has the potential for application as a therapy for improving skin flap survival.

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Intervention with Delivery of Diabetic Meals Improves Glycemic Control in Patients with Type 2 Diabetes Mellitus

Cited by 26 publications

References 12 publications

Quality of development and reporting of dietetic intervention studies in primary care: a systematic review of randomised controlled trials

Quality of development and reporting of dietetic intervention studies in primary care: a systematic review of randomised controlled trials

Lifestyle Changes Through the Use of Delivered Meals and Dietary Counseling in a Single-Blind Study

Protective effect of hydrogen-rich saline on ischemia/reperfusion injury in rat skin flap

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