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Effectiveness of medical nutrition treatment delivered by dietitians on glycaemic outcomes and lipid profiles of Arab, Omani patients with Type 2 diabetes.
Diabet Med. 2012 Feb; 29(2):236-44.DM

Abstract

AIMS

In this randomized controlled trial we evaluated the effectiveness of medical nutritional therapy on Arab patients with Type 2 diabetes in Oman delivered by a dietitian.

METHODS

Patients with Type 2 diabetes (n = 170) were randomly assigned to a group receiving usual nutritional care (n = 85) or a group receiving practice guidelines nutritional care (n = 85). Anthropometric (weight, height, BMI and waist circumference) and biochemical (fasting blood glucose, HbA1c) variables were measured at baseline and after each appointment. Patients were given 1-3 appointments with a dietitian over 6 months.

RESULTS

Those in the group receiving practice guidelines nutritional care (n = 85) had significant changes in HbA(1c) (-0.8%, P = 0.001), fasting plasma glucose (-1.3 mmol\l, P = 0.003) and weight (-5.1 kg, P = 0.05), whereas the patients in the usual nutritional care group (n = 85) had no significant improvements in either HbA(1c) (-0.4%, P = 0.248) or fasting plasma glucose (-0.2 mmol/l, P = 0.638) during the same period. We also found a significant difference between the group receiving practice guidelines nutritional care and the usual nutritional care group, respectively, in waist circumference (96.9 ± 7.9 vs. 100.0 ± 8.7 cm, P = 0.019), triglycerides levels (1.42 ± 0.58 vs. 1.98 ± 0.96 mmol\l, P = 0.001), cholesterol levels (5.1 ± 1.0 vs. 5.5 ± 0.9 mmol/l, P = 0.009) and LDL cholesterol levels (3.58 ± 0.98 vs. 3.89 ± 0.98 mmol/l, P = 0.046).

CONCLUSIONS

Medical nutrition therapy provided by dietitians to Arab patients with Type 2 diabetes in Oman resulted in significant improvements in anthropometric and biochemical outcomes in both the usual nutritional care group and the group receiving practice guidelines nutritional care. Subjects with Type 2 diabetes tended to do better with practice guidelines nutritional care than with usual nutritional care. Ongoing medical counselling in nutrition by a trained dietitian is important for better long-term metabolic control.

Authors+Show Affiliations

College of Medicine and Health Sciences, Sultan Qaboos University, Al-khod, Oman, Malaysia.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Randomized Controlled Trial

Language

eng

PubMed ID

21824187

Citation

Al-Shookri, A, et al. "Effectiveness of Medical Nutrition Treatment Delivered By Dietitians On Glycaemic Outcomes and Lipid Profiles of Arab, Omani Patients With Type 2 Diabetes." Diabetic Medicine : a Journal of the British Diabetic Association, vol. 29, no. 2, 2012, pp. 236-44.
Al-Shookri A, Khor GL, Chan YM, et al. Effectiveness of medical nutrition treatment delivered by dietitians on glycaemic outcomes and lipid profiles of Arab, Omani patients with Type 2 diabetes. Diabet Med. 2012;29(2):236-44.
Al-Shookri, A., Khor, G. L., Chan, Y. M., Loke, S. C., & Al-Maskari, M. (2012). Effectiveness of medical nutrition treatment delivered by dietitians on glycaemic outcomes and lipid profiles of Arab, Omani patients with Type 2 diabetes. Diabetic Medicine : a Journal of the British Diabetic Association, 29(2), 236-44. https://doi.org/10.1111/j.1464-5491.2011.03405.x
Al-Shookri A, et al. Effectiveness of Medical Nutrition Treatment Delivered By Dietitians On Glycaemic Outcomes and Lipid Profiles of Arab, Omani Patients With Type 2 Diabetes. Diabet Med. 2012;29(2):236-44. PubMed PMID: 21824187.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Effectiveness of medical nutrition treatment delivered by dietitians on glycaemic outcomes and lipid profiles of Arab, Omani patients with Type 2 diabetes. AU - Al-Shookri,A, AU - Khor,G L, AU - Chan,Y M, AU - Loke,S C, AU - Al-Maskari,M, PY - 2011/8/10/entrez PY - 2011/8/10/pubmed PY - 2012/3/23/medline SP - 236 EP - 44 JF - Diabetic medicine : a journal of the British Diabetic Association JO - Diabet. Med. VL - 29 IS - 2 N2 - AIMS: In this randomized controlled trial we evaluated the effectiveness of medical nutritional therapy on Arab patients with Type 2 diabetes in Oman delivered by a dietitian. METHODS: Patients with Type 2 diabetes (n = 170) were randomly assigned to a group receiving usual nutritional care (n = 85) or a group receiving practice guidelines nutritional care (n = 85). Anthropometric (weight, height, BMI and waist circumference) and biochemical (fasting blood glucose, HbA1c) variables were measured at baseline and after each appointment. Patients were given 1-3 appointments with a dietitian over 6 months. RESULTS: Those in the group receiving practice guidelines nutritional care (n = 85) had significant changes in HbA(1c) (-0.8%, P = 0.001), fasting plasma glucose (-1.3 mmol\l, P = 0.003) and weight (-5.1 kg, P = 0.05), whereas the patients in the usual nutritional care group (n = 85) had no significant improvements in either HbA(1c) (-0.4%, P = 0.248) or fasting plasma glucose (-0.2 mmol/l, P = 0.638) during the same period. We also found a significant difference between the group receiving practice guidelines nutritional care and the usual nutritional care group, respectively, in waist circumference (96.9 ± 7.9 vs. 100.0 ± 8.7 cm, P = 0.019), triglycerides levels (1.42 ± 0.58 vs. 1.98 ± 0.96 mmol\l, P = 0.001), cholesterol levels (5.1 ± 1.0 vs. 5.5 ± 0.9 mmol/l, P = 0.009) and LDL cholesterol levels (3.58 ± 0.98 vs. 3.89 ± 0.98 mmol/l, P = 0.046). CONCLUSIONS: Medical nutrition therapy provided by dietitians to Arab patients with Type 2 diabetes in Oman resulted in significant improvements in anthropometric and biochemical outcomes in both the usual nutritional care group and the group receiving practice guidelines nutritional care. Subjects with Type 2 diabetes tended to do better with practice guidelines nutritional care than with usual nutritional care. Ongoing medical counselling in nutrition by a trained dietitian is important for better long-term metabolic control. SN - 1464-5491 UR - https://www.unboundmedicine.com/medline/citation/21824187/Effectiveness_of_medical_nutrition_treatment_delivered_by_dietitians_on_glycaemic_outcomes_and_lipid_profiles_of_Arab_Omani_patients_with_Type_2_diabetes_ L2 - https://doi.org/10.1111/j.1464-5491.2011.03405.x DB - PRIME DP - Unbound Medicine ER -