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.
