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Increased consumption of calcium from fat-free milk, energy-restricted diet and educational activities improves metabolic control in overweight type 2 diabetic patients.
Br J Nutr. 2020 03 14; 123(5):553-563.BJ

Abstract

We assessed the effects of increased Ca consumption from fat-free milk in an energy-restricted diet and educational activities in the metabolic control of overweight type 2 diabetes mellitus (T2DM) patients. Fourteen subjects with T2DM (BMI 29·4 (sd 4·5) kg/m2, low habitual Ca consumption (<600 mg/d)) were included in this randomised, crossover clinical trial. Subjects were randomly allocated to one of the two interventions: drink containing 700 mg of Ca (DAIR) or drink containing 0 mg of Ca (CONT) for ninety consecutive days each. Energy-restricted diets (-500 kcal/d; -2092 kJ/d), containing 800 mg of Ca from dietary sources/d, were prescribed for both groups. Questionnaires were applied at baseline and at the end of the study to assess the subjects' knowledge on the disease and on self-care, biochemical variables and physical activity. Blood pressure, food intake, body composition and anthropometry were assessed at baseline, days 45 and 90. There was a higher reduction of body fat %, waist circumference, hip circumference, neck circumference, waist:hip ratio, sagittal abdominal diameter, diastolic/systolic blood pressure and an increase in fat-free mass % in DAIR than in CONT. Uric acid, fasting glucose, Hb1Ac, parathyroid hormone and alanine aminotransferase concentrations reduced and vitamin D concentration increased after 90 d in DAIR compared with CONT. The consumption of energy-restricted diet containing 1200 mg Ca/d seems to favour metabolic control in subjects with T2DM. The educational activities increased the knowledge on the disease care.

Authors+Show Affiliations

Instituto Federal do Sudeste de Minas Gerais (UEMG) - Campus Barbacena, Barbacena, Minas GeraisCEP 36205-018, Brazil.Instituto Federal do Sudeste de Minas Gerais (UEMG) - Campus Barbacena, Barbacena, Minas GeraisCEP 36205-018, Brazil.Departamento de Nutrição e Saúde, Universidade Federal de Viçosa, Viçosa, Minas GeraisCEP 36570-000, Brazil.Departamento de Nutrição e Saúde, Universidade Federal de Viçosa, Viçosa, Minas GeraisCEP 36570-000, Brazil.

Pub Type(s)

Journal Article
Randomized Controlled Trial
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

31813388

Citation

Costa, Jorge de Assis, et al. "Increased Consumption of Calcium From Fat-free Milk, Energy-restricted Diet and Educational Activities Improves Metabolic Control in Overweight Type 2 Diabetic Patients." The British Journal of Nutrition, vol. 123, no. 5, 2020, pp. 553-563.
Costa JA, Gomes JMG, Ribeiro PVM, et al. Increased consumption of calcium from fat-free milk, energy-restricted diet and educational activities improves metabolic control in overweight type 2 diabetic patients. Br J Nutr. 2020;123(5):553-563.
Costa, J. A., Gomes, J. M. G., Ribeiro, P. V. M., & Alfenas, R. C. G. (2020). Increased consumption of calcium from fat-free milk, energy-restricted diet and educational activities improves metabolic control in overweight type 2 diabetic patients. The British Journal of Nutrition, 123(5), 553-563. https://doi.org/10.1017/S0007114519003192
Costa JA, et al. Increased Consumption of Calcium From Fat-free Milk, Energy-restricted Diet and Educational Activities Improves Metabolic Control in Overweight Type 2 Diabetic Patients. Br J Nutr. 2020 03 14;123(5):553-563. PubMed PMID: 31813388.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Increased consumption of calcium from fat-free milk, energy-restricted diet and educational activities improves metabolic control in overweight type 2 diabetic patients. AU - Costa,Jorge de Assis, AU - Gomes,Júnia Maria Geraldo, AU - Ribeiro,Priscila Vaz de Melo, AU - Alfenas,Rita de Cássia Gonçalves, Y1 - 2019/12/09/ PY - 2019/12/10/pubmed PY - 2020/10/22/medline PY - 2019/12/10/entrez KW - Adiposity KW - Calcium KW - Glycaemic control KW - Insulin resistance KW - Type 2 diabetes mellitus SP - 553 EP - 563 JF - The British journal of nutrition JO - Br J Nutr VL - 123 IS - 5 N2 - We assessed the effects of increased Ca consumption from fat-free milk in an energy-restricted diet and educational activities in the metabolic control of overweight type 2 diabetes mellitus (T2DM) patients. Fourteen subjects with T2DM (BMI 29·4 (sd 4·5) kg/m2, low habitual Ca consumption (<600 mg/d)) were included in this randomised, crossover clinical trial. Subjects were randomly allocated to one of the two interventions: drink containing 700 mg of Ca (DAIR) or drink containing 0 mg of Ca (CONT) for ninety consecutive days each. Energy-restricted diets (-500 kcal/d; -2092 kJ/d), containing 800 mg of Ca from dietary sources/d, were prescribed for both groups. Questionnaires were applied at baseline and at the end of the study to assess the subjects' knowledge on the disease and on self-care, biochemical variables and physical activity. Blood pressure, food intake, body composition and anthropometry were assessed at baseline, days 45 and 90. There was a higher reduction of body fat %, waist circumference, hip circumference, neck circumference, waist:hip ratio, sagittal abdominal diameter, diastolic/systolic blood pressure and an increase in fat-free mass % in DAIR than in CONT. Uric acid, fasting glucose, Hb1Ac, parathyroid hormone and alanine aminotransferase concentrations reduced and vitamin D concentration increased after 90 d in DAIR compared with CONT. The consumption of energy-restricted diet containing 1200 mg Ca/d seems to favour metabolic control in subjects with T2DM. The educational activities increased the knowledge on the disease care. SN - 1475-2662 UR - https://www.unboundmedicine.com/medline/citation/31813388/Increased_consumption_of_calcium_from_fat_free_milk_energy_restricted_diet_and_educational_activities_improves_metabolic_control_in_overweight_type_2_diabetic_patients_ L2 - https://www.cambridge.org/core/product/identifier/S0007114519003192/type/journal_article DB - PRIME DP - Unbound Medicine ER -