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Research Article

The Effects of Nutrition Education and Diet Therapy on Glycemic and Lipidemic Control in Iranian Patients with Type 2 Diabetes Faezeh

Faezeh Askari1, Samira Rabiei1 and Reza Rastmanesh2*
1Department of Clinical Nutrition & Dietetics, Shahid Beheshti University of Medical Sciences (SBMU), Tehran, Iran
2SBMU, National Nutrition and Food Technology Research Institute, Tehran, Iran
Corresponding Author : Reza Rastmanesh
Clinical Nutrition & Dietetics Department
Shahid Beheshti University of Medical Sciences
National Nutrition and Food Sciences Technology Research Institute
Shahrake Gharb, Farahzadi blvd, 1981619573, Tehran, Iran
Tel: 9821-22357484
Fax: 9821-22360660
E-mail: rezar@sbmu.ac.ir
Received July 18, 2013; Accepted July 28, 2013; Published July 30, 2013
Citation: Askari F, Rabiei S, Rastmanesh R (2013) The Effects of Nutrition Education and Diet Therapy on Glycemic and Lipidemic Control in Iranian Patients with Type 2 Diabetes. J Obes Weight Loss Ther 3:186. doi:10.4172/2165-7904.1000186
Copyright: © 2013 Askari F, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

Abstract

Objective: To evaluate the effects of nutrition education and adherence to a healthy diet on glycemic and lipidemic control in patients with T2DM. Design: A randomized controlled trial. Setting: Aliebneabitaleb hospital in Ghom. Participants: There were 494 patients with T2DM, aged 14-87 years from both sexes who were selected by convenience sampling. Intervention: The participants were divided into two 247 person groups by stratified randomization. Both groups received a diet adjusted based on ideal body weight and the intervention group was additionally educated about healthy food choices regarding to diabetes. Main outcome measures: Information on medications, psychological factors, diet and physical activity was obtained from questionnaires. Blood samples were collected to measure FBS, 2 hPG, HbA1c, cholesterol and triglyceride. After 2 months, weight and biochemical parameters were measured again. Analysis: Independent T-test, Mann-Whitney, Chi-square and Wilcoxon were used as appropriate. Logistic regression was used to determine the odds ratio of abnormal glycemic and lipidemic control according to the intervention. Results: The mean weight, FBS, 2 hPG, cholesterol and triglyceride after intervention were lower than before that (p<0.05). Conclusions and implications: Nutrition education plus a weigh reducer diet is more effective on glycemic and lipidemic control than a weight reducer diet, alone.

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Citations : 1860

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