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The Effects of Intensive Nutrition Education on Late Middle-Aged Adults with Type 2 Diabetes

Objective: Many patients with type 2 diabetes find it difficult to maintain good glycemic control. Undesirable glycemic control occurs greatly due to deficiencies of nutritional knowledge and difficulty in obtaining dietary prescriptions. The late middle-aged and elder individuals are the main popul...

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Autores principales: Li, Ye, Xu, Meihong, Fan, Rui, Ma, Xiaotao, Gu, Jiaojiao, Cai, Xiaxia, Liu, Rui, Chen, Qihe, Ren, Jinwei, Mao, Ruixue, Bao, Lei, Zhang, Zhaofeng, Wang, Junbo, Li, Yong
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2016
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5036730/
https://www.ncbi.nlm.nih.gov/pubmed/27618080
http://dx.doi.org/10.3390/ijerph13090897
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author Li, Ye
Xu, Meihong
Fan, Rui
Ma, Xiaotao
Gu, Jiaojiao
Cai, Xiaxia
Liu, Rui
Chen, Qihe
Ren, Jinwei
Mao, Ruixue
Bao, Lei
Zhang, Zhaofeng
Wang, Junbo
Li, Yong
author_facet Li, Ye
Xu, Meihong
Fan, Rui
Ma, Xiaotao
Gu, Jiaojiao
Cai, Xiaxia
Liu, Rui
Chen, Qihe
Ren, Jinwei
Mao, Ruixue
Bao, Lei
Zhang, Zhaofeng
Wang, Junbo
Li, Yong
author_sort Li, Ye
collection PubMed
description Objective: Many patients with type 2 diabetes find it difficult to maintain good glycemic control. Undesirable glycemic control occurs greatly due to deficiencies of nutritional knowledge and difficulty in obtaining dietary prescriptions. The late middle-aged and elder individuals are the main populations that are affected by type 2 diabetes. The main purpose of this study was to investigate whether intensive nutrition education would make benefits for late middle-aged patients with type 2 diabetes. Method: 196 patients between 50 to 65 years old meeting type 2 diabetes criteria and eligible for the program were included in a single-blinded, 30-day centralized management of an education program in China. Participants in the program were randomly divided into a usual nutrition education group or an intensive nutrition education group. The usual nutrition education group was used as a control group and received only basic health advice and principles of diabetic diets at the beginning and the end of the study. Participants in the intensive nutrition education group were arranged to receive intensive nutritional lectures about diabetes for 30 days. The primary outcomes were the changes in weight, body mass index (BMI), fasting plasma glucose (FPG), 2-h postprandial plasma glucose (PG), glycosylated hemoglobin (HbA1c), total glycerin (TG), total cholesterol (TC), high-density lipoprotein cholesterol (HDL-c), and low-density lipoprotein cholesterol (LDL-c). Results: After 30 days of intervention, FPG, PG, and HbA1c in the treatment group decreased significantly than the control group (p < 0.05). HbA1c reduced significantly by 0.6% in the intervention group. No significant differences in the change of blood lipids were observed between groups. However, TG, TC, and HDL-c made improvements compared with the baseline in the experimental group. Both groups had a reduction in weight and BMI within groups, especially in intensive nutrition education group. However, there was no statistical significance between groups. Conclusions: Intensive nutrition education has significant effects on blood glucose control in late middle-aged adults with type 2 diabetes. Intensive education can cultivate good diet habits and increase physical activity, which are important for diabetes patients in the short and long terms. These findings may contribute to improving education methodology and nutrition therapy in patients with type 2 diabetes.
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spelling pubmed-50367302016-09-29 The Effects of Intensive Nutrition Education on Late Middle-Aged Adults with Type 2 Diabetes Li, Ye Xu, Meihong Fan, Rui Ma, Xiaotao Gu, Jiaojiao Cai, Xiaxia Liu, Rui Chen, Qihe Ren, Jinwei Mao, Ruixue Bao, Lei Zhang, Zhaofeng Wang, Junbo Li, Yong Int J Environ Res Public Health Article Objective: Many patients with type 2 diabetes find it difficult to maintain good glycemic control. Undesirable glycemic control occurs greatly due to deficiencies of nutritional knowledge and difficulty in obtaining dietary prescriptions. The late middle-aged and elder individuals are the main populations that are affected by type 2 diabetes. The main purpose of this study was to investigate whether intensive nutrition education would make benefits for late middle-aged patients with type 2 diabetes. Method: 196 patients between 50 to 65 years old meeting type 2 diabetes criteria and eligible for the program were included in a single-blinded, 30-day centralized management of an education program in China. Participants in the program were randomly divided into a usual nutrition education group or an intensive nutrition education group. The usual nutrition education group was used as a control group and received only basic health advice and principles of diabetic diets at the beginning and the end of the study. Participants in the intensive nutrition education group were arranged to receive intensive nutritional lectures about diabetes for 30 days. The primary outcomes were the changes in weight, body mass index (BMI), fasting plasma glucose (FPG), 2-h postprandial plasma glucose (PG), glycosylated hemoglobin (HbA1c), total glycerin (TG), total cholesterol (TC), high-density lipoprotein cholesterol (HDL-c), and low-density lipoprotein cholesterol (LDL-c). Results: After 30 days of intervention, FPG, PG, and HbA1c in the treatment group decreased significantly than the control group (p < 0.05). HbA1c reduced significantly by 0.6% in the intervention group. No significant differences in the change of blood lipids were observed between groups. However, TG, TC, and HDL-c made improvements compared with the baseline in the experimental group. Both groups had a reduction in weight and BMI within groups, especially in intensive nutrition education group. However, there was no statistical significance between groups. Conclusions: Intensive nutrition education has significant effects on blood glucose control in late middle-aged adults with type 2 diabetes. Intensive education can cultivate good diet habits and increase physical activity, which are important for diabetes patients in the short and long terms. These findings may contribute to improving education methodology and nutrition therapy in patients with type 2 diabetes. MDPI 2016-09-08 2016-09 /pmc/articles/PMC5036730/ /pubmed/27618080 http://dx.doi.org/10.3390/ijerph13090897 Text en © 2016 by the authors; licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC-BY) license (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Li, Ye
Xu, Meihong
Fan, Rui
Ma, Xiaotao
Gu, Jiaojiao
Cai, Xiaxia
Liu, Rui
Chen, Qihe
Ren, Jinwei
Mao, Ruixue
Bao, Lei
Zhang, Zhaofeng
Wang, Junbo
Li, Yong
The Effects of Intensive Nutrition Education on Late Middle-Aged Adults with Type 2 Diabetes
title The Effects of Intensive Nutrition Education on Late Middle-Aged Adults with Type 2 Diabetes
title_full The Effects of Intensive Nutrition Education on Late Middle-Aged Adults with Type 2 Diabetes
title_fullStr The Effects of Intensive Nutrition Education on Late Middle-Aged Adults with Type 2 Diabetes
title_full_unstemmed The Effects of Intensive Nutrition Education on Late Middle-Aged Adults with Type 2 Diabetes
title_short The Effects of Intensive Nutrition Education on Late Middle-Aged Adults with Type 2 Diabetes
title_sort effects of intensive nutrition education on late middle-aged adults with type 2 diabetes
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5036730/
https://www.ncbi.nlm.nih.gov/pubmed/27618080
http://dx.doi.org/10.3390/ijerph13090897
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