利用我的餐盘进行营养教育对糖尿病患者血脂、血糖指数和炎症标志物的影响

Clinical nutrition research Pub Date : 2022-07-25 eCollection Date: 2022-07-01 DOI:10.7762/cnr.2022.11.3.171
Mehrnoosh Zakerkish, Shima Shahmoradi, Fatemeh Haidari, Seyed Mahmoud Latifi, Majid Mohammadshahi
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摘要

由于营养转变,包括糖尿病在内的慢性疾病在伊朗有所增加。营养教育是改善饮食和控制糖尿病的一种经济有效的方法。本研究旨在检验使用我的餐盘推荐的营养教育对诊断为2型糖尿病的伊朗成年人的血糖、脂质谱和炎症标志物的影响。对来自伊朗阿瓦士的44名年龄在30-50岁的成年人进行了为期12周的随机临床试验。参与者被分为实验组和对照组。教育参与者学习了“我的餐盘”建议。在基线和研究结束时测量空腹血糖(FBS)、血红蛋白A1c (HbA1c)、脂质谱和炎症标志物(包括高敏c反应蛋白(hs-CRP)、肿瘤坏死因子-α和脂联素)的血清水平。结果显示,在研究结束时,教育组血清FBS水平(p = 0.014)和HbA1c水平(p < 0.001)显著降低。教育组在研究结束时血清低密度脂蛋白水平显著下降(p = 0.043)。此外,在研究结束时,教育组血清hs-CRP水平(p = 0.005)显著下降,脂联素水平(p = 0.035)升高。本研究的证据表明,使用我的餐盘建议进行营养教育是控制糖尿病并发症的有效方法。建议采用更大样本量的纵向分析来证实本研究的证据。试验注册:伊朗临床试验注册中心标识符:IRCT2015031921443N2。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

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The Effect of Nutrition Education Using MyPlate on Lipid Profiles, Glycemic Indices, and Inflammatory Markers in Diabetic Patients.

As a result of a nutrition transition, chronic diseases, including diabetes, have increased in Iran. Nutrition education is a cost-effective method for modifying diet and controlling diabetes. This study aimed to examine the effect of nutrition education using MyPlate recommendations on glycemic and lipid profiles and inflammatory markers in Iranian adults diagnosed with type 2 diabetes. A 12-week randomized clinical trial was conducted on 44 adults aged 30-50 years from Ahvaz, Iran. The participants were divided into education and control groups. The education participants were taught the MyPlate recommendations. Serum levels of fasting blood sugar (FBS), hemoglobin A1c (HbA1c), lipid profiles, and inflammatory markers, including high sensitivity C-reactive protein (hs-CRP), tumor necrosis factor-α, and adiponectin, were measured at the baseline and the end of the study. The results showed that serum levels of FBS (p = 0.014) and HbA1c (p < 0.001) decreased significantly in the education group at the end of the study. The serum level of low-density lipoprotein in the education group declined significantly at the end of the study (p = 0.043). Furthermore, the serum level of hs-CRP (p = 0.005) declined significantly while the level of adiponectin (p = 0.035) increased in the education group at the end of the study. The evidence of this study showed that nutrition education using MyPlate recommendations is an effective method for controlling diabetes complications. A longitudinal analysis with a larger sample size is recommended to confirm the evidence of this study.

Trial registration: Iranian Registry of Clinical Trials Identifier: IRCT2015031921443N2.

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