Effect of a nutrition education programme on clinical status and dietary behaviours of adults with type 2 diabetes in a resource-limited setting in South Africa
A randomised controlled trial
Dados Bibliográficos
| ID | 15092888 |
|---|---|
| Autores | Jane W Muchiri (0000-0002-5614-3153, University of Pretoria, autor correspondente), Gerda J Gericke, Gerda Gericke (University of Pretoria), Paul Rheeder (0000-0002-1573-4985, University of Pretoria) |
| Ano | 2016 |
| Volume | 19 |
| Fascículo | 1 |
| Páginas | 142-155 |
| Data de publicação | 2016-01-01 |
| Peer Reviewed | Sim |
| Open Access | Sim |
| Tipo | ARTICLE |
| Periódico | Public Health Nutrition (JOURNAL) |
| Identificadores do periódico | ISSN: 1368-9800 • E-ISSN: 1475-2727 |
| Editora | Cambridge University Press (CUP) (PUBLISHER) |
| DOI | 10.1017/s1368980015000956 |
| PMID | 25872641 |
| OpenAlex | W1913149916 |
| Idioma | EN |
| Citações recebidas | 9 |
| Referências citadas | 53 |
Objective To evaluate the effect of a participant-customised nutrition education programme on glycated Hb (HbA 1c ), blood lipids, blood pressure, BMI and dietary behaviours in patients with type 2 diabetes mellitus. Design A randomised controlled trial. The control group ( n 41) received education materials. The intervention group ( n 41) received the same education materials and participated in eight weekly (2–2·5 h) group nutrition education sessions and follow-up sessions. Outcomes were assessed at 6 and 12 months. An intention-to-treat analysis was conducted. ANCOVA compared the groups (adjustments for baseline values, age, sex and clinic). Setting Two community health centres, Moretele sub-district (North West Province), South Africa. Subjects Adults (aged 40–70 years) with type 2 diabetes, HbA 1c ≥8 %. Results Differences in HbA 1c (primary outcome) were −0·64 % ( P =0·15) at 6 months and −0·63 % ( P =0·16) at 12 months in favour of the intervention group. Starchy-food intake was significantly lower in the intervention group, 9·3 v. 10·8 servings/d ( P =0·005) at 6 months and 9·9 v . 11·9 servings/d ( P =0·017) at 12 months. Median energy intake was significantly lower in the intervention group at 12 months (5988 v . 6946 kJ/d, P =0·017). No significant group differences in BMI, lipid profile, blood pressure and intakes of macronutrients, vegetables and fruits were observed. Conclusions Nutrition education was not efficacious on HbA 1c ; however, it improved specific dietary behaviours. Group education and hands-on activities appeared to contribute to the improvement. Optimal goal setting and self-efficacy training/assessment could benefit future nutrition education programmes for people with type 2 diabetes mellitus in resource-limited settings
Blood pressure · Diabetes mellitus · Nutrition Education · Physical therapy · Randomized controlled trial · Type 2 diabetes · Diabetes Management and Education · Diabetes Management and Research · Diabetes, Cardiovascular Risks, and Lipoproteins · Medicine · Endocrinology · Gerontology · Internal Medicine
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| Obras citantes distintas | 9 |
|---|---|
| Citações por ano | 1 |
| Intervalo de citações | 2017 - 2026 (10) |
| Velocidade de citação | current |
| Altamente citado | Não |
| Tipos de citação | Neutras: 9 |