Dietary advice for treatment of type 2 diabetes mellitus in adults

Hdl Handle:
http://hdl.handle.net/10149/58232
Title:
Dietary advice for treatment of type 2 diabetes mellitus in adults
Authors:
Nield, L. (Lucie); Moore, H. J. (Helen); Cruickshank, K. (Kennedy); Hooper, L. (Lee); Vyas, A. (Avni); Whittaker, V. J. (Victoria); Summerbell, C. D. (Carolyn)
Affiliation:
University of Teesside. School of Health and Social Care; University of East Anglia. School of Medicine, Health Policy & Practice; University of Manchester. Department of Public Health and Epidemiology; University of Manchester. Division of Cardiovascular and Endocrine Sciences. Core Technology Facility; University of Teesside. Postgraduate Institute of Health; Durham University. School of Medicine and Health. Wolfson Research Institute.
Citation:
Nield, L. et al. (2007) 'Dietary advice for treatment of type 2 diabetes mellitus in adults', Cochrane Database of Systematic Reviews. 3, pp.1-73
Publisher:
Wiley-Blackwell
Journal:
Cochrane Database of Systematic Reviews
Issue Date:
Jul-2007
URI:
http://hdl.handle.net/10149/58232
DOI:
10.1002/14651858.CD004097.pub3
Abstract:
Background: While initial dietary management immediately after formal diagnosis is an ’accepted’ cornerstone of treatment of type 2 diabetes mellitus, a formal and systematic overview of its efficacy and method of delivery is not currently available. Objectives: To assess the effects of type and frequency of different types of dietary advice for adults with type 2 diabetes. Search strategy: We carried out a comprehensive search of The Cochrane Library, MEDLINE, EMBASE, CINAHL, AMED, bibliographies and contacted relevant experts. Selection criteria: All randomised controlled trials, of six months or longer, in which dietary advice was the main intervention. Data collection and analysis: The lead investigator performed all data extraction and quality scoring with duplication being carried out by one of the other six investigators independently with discrepancies resolved by discussion and consensus. Authors were contacted for missing data. Main results: Thirty-six articles reporting a total of eighteen trials following 1467 participants were included. Dietary approaches assessed in this review were low-fat/high-carbohydrate diets, high-fat/low-carbohydrate diets, low-calorie (1000 kcal per day) and very-low-calorie (500 kcal per day) diets and modified fat diets. Two trials compared the American Diabetes Association exchange diet with a standard reduced fat diet and five studies assessed low-fat diets versus moderate fat or low-carbohydrate diets. Two studies assessed the effect of a very-low-calorie diet versus a low-calorie diet. Six studies compared dietary advice with dietary advice plus exercise and three other studies assessed dietary advice versus dietary advice plus behavioural approaches. The studies all measured weight and measures of glycaemic control although not all studies reported these in the articles published. Other outcomes which were measured in these studies included mortality, blood pressure, serum cholesterol (including LDL and HDL cholesterol), serum triglycerides, maximal exercise capacity and compliance. The results suggest that adoption of regular exercise is a good way to promote better glycaemic control in type 2 diabetic patients, however all of these studies were at high risk of bias.
Type:
Article
Keywords:
type 2 diabetes; dietary advice; dietary management; diabetes; diabetes mellitus; mortality; blood pressure; serum cholesterol; serum triglycerides; exercise capacity; glycaemic control
ISSN:
1469-493X
Rights:
In return for the grant of the licence, the author(s) shall have the following rights: The right to post the review as an electronic file on the author's own website and/or the author's institution's website, using the PDF version of the review available in the Cochrane Database of Systematic Reviews. [Advice from CEO of The Cochrane Collaboration]
Citation Count:
10 [Scopus, 15/12/09]

Full metadata record

DC FieldValue Language
dc.contributor.authorNield, L. (Lucie)-
dc.contributor.authorMoore, H. J. (Helen)-
dc.contributor.authorCruickshank, K. (Kennedy)-
dc.contributor.authorHooper, L. (Lee)-
dc.contributor.authorVyas, A. (Avni)-
dc.contributor.authorWhittaker, V. J. (Victoria)-
dc.contributor.authorSummerbell, C. D. (Carolyn)-
dc.date.accessioned2009-04-01T10:46:38Z-
dc.date.available2009-04-01T10:46:38Z-
dc.date.issued2007-07-
dc.identifier.citationCochrane Database of Systematic Reviews; 3: 1-73-
dc.identifier.issn1469-493X-
dc.identifier.doi10.1002/14651858.CD004097.pub3-
dc.identifier.urihttp://hdl.handle.net/10149/58232-
dc.description.abstractBackground: While initial dietary management immediately after formal diagnosis is an ’accepted’ cornerstone of treatment of type 2 diabetes mellitus, a formal and systematic overview of its efficacy and method of delivery is not currently available. Objectives: To assess the effects of type and frequency of different types of dietary advice for adults with type 2 diabetes. Search strategy: We carried out a comprehensive search of The Cochrane Library, MEDLINE, EMBASE, CINAHL, AMED, bibliographies and contacted relevant experts. Selection criteria: All randomised controlled trials, of six months or longer, in which dietary advice was the main intervention. Data collection and analysis: The lead investigator performed all data extraction and quality scoring with duplication being carried out by one of the other six investigators independently with discrepancies resolved by discussion and consensus. Authors were contacted for missing data. Main results: Thirty-six articles reporting a total of eighteen trials following 1467 participants were included. Dietary approaches assessed in this review were low-fat/high-carbohydrate diets, high-fat/low-carbohydrate diets, low-calorie (1000 kcal per day) and very-low-calorie (500 kcal per day) diets and modified fat diets. Two trials compared the American Diabetes Association exchange diet with a standard reduced fat diet and five studies assessed low-fat diets versus moderate fat or low-carbohydrate diets. Two studies assessed the effect of a very-low-calorie diet versus a low-calorie diet. Six studies compared dietary advice with dietary advice plus exercise and three other studies assessed dietary advice versus dietary advice plus behavioural approaches. The studies all measured weight and measures of glycaemic control although not all studies reported these in the articles published. Other outcomes which were measured in these studies included mortality, blood pressure, serum cholesterol (including LDL and HDL cholesterol), serum triglycerides, maximal exercise capacity and compliance. The results suggest that adoption of regular exercise is a good way to promote better glycaemic control in type 2 diabetic patients, however all of these studies were at high risk of bias.-
dc.publisherWiley-Blackwell-
dc.rightsIn return for the grant of the licence, the author(s) shall have the following rights: The right to post the review as an electronic file on the author's own website and/or the author's institution's website, using the PDF version of the review available in the Cochrane Database of Systematic Reviews. [Advice from CEO of The Cochrane Collaboration]-
dc.subjecttype 2 diabetes-
dc.subjectdietary advice-
dc.subjectdietary management-
dc.subjectdiabetes-
dc.subjectdiabetes mellitus-
dc.subjectmortality-
dc.subjectblood pressure-
dc.subjectserum cholesterol-
dc.subjectserum triglycerides-
dc.subjectexercise capacity-
dc.subjectglycaemic control-
dc.titleDietary advice for treatment of type 2 diabetes mellitus in adults-
dc.typeArticle-
dc.contributor.departmentUniversity of Teesside. School of Health and Social Care; University of East Anglia. School of Medicine, Health Policy & Practice; University of Manchester. Department of Public Health and Epidemiology; University of Manchester. Division of Cardiovascular and Endocrine Sciences. Core Technology Facility; University of Teesside. Postgraduate Institute of Health; Durham University. School of Medicine and Health. Wolfson Research Institute.-
dc.identifier.journalCochrane Database of Systematic Reviews-
ref.assessmentRAE 2008-
ref.citationcount10 [Scopus, 15/12/09]-
or.citation.harvardNield, L. et al. (2007) 'Dietary advice for treatment of type 2 diabetes mellitus in adults', Cochrane Database of Systematic Reviews. 3, pp.1-73-
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