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Dietary Approaches for Japanese Patients with Diabetes: A Systematic Review

This study aimed to elucidate the effect of an energy restricted and carbohydrate restricted diet on the management of Japanese diabetes patients. Several databases including MEDLINE, EMBASE, and the Japan Medical Abstracts Society were searched for relevant articles published prior to June 2017. Th...

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Autores principales: Yamada, Satoru, Kabeya, Yusuke, Noto, Hiroshi
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6116111/
https://www.ncbi.nlm.nih.gov/pubmed/30104491
http://dx.doi.org/10.3390/nu10081080
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author Yamada, Satoru
Kabeya, Yusuke
Noto, Hiroshi
author_facet Yamada, Satoru
Kabeya, Yusuke
Noto, Hiroshi
author_sort Yamada, Satoru
collection PubMed
description This study aimed to elucidate the effect of an energy restricted and carbohydrate restricted diet on the management of Japanese diabetes patients. Several databases including MEDLINE, EMBASE, and the Japan Medical Abstracts Society were searched for relevant articles published prior to June 2017. The articles identified were systematically reviewed. We identified 286 articles on an energy restricted diet, assessed seven and included two studies in our review. On a carbohydrate restricted diet, 75 articles were extracted, seven articles assessed and three included in the review, of which two were the studies that were selected for the energy restricted diet group, since they compared energy restricted diets with carbohydrate restricted diets. All selected studies were on Japanese patients with type 2 diabetes. No studies for type 1 diabetes were found in our search. Two randomized controlled trials on an energy restricted diet were also included in the three studies for a carbohydrate restricted diet. All the three randomized controlled trials showed better glucose management with the carbohydrate restricted diet. Our study revealed that there is very little evidence on diets, particularly in Japanese patients with diabetes, and that the energy restricted diet, which has been recommended by the Japan Diabetes Society in the sole dietary management approach, is not supported by any scientific evidence. Our findings suggest that the carbohydrate restricted diet, but not the energy restricted diet, might have short term benefits for the management of diabetes in Japanese patients. However, since our analysis was based on a limited number of small randomized controlled trials, large scale and/or long term trials examining the dietary approaches in these patients are needed to confirm our findings.
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spelling pubmed-61161112018-09-04 Dietary Approaches for Japanese Patients with Diabetes: A Systematic Review Yamada, Satoru Kabeya, Yusuke Noto, Hiroshi Nutrients Article This study aimed to elucidate the effect of an energy restricted and carbohydrate restricted diet on the management of Japanese diabetes patients. Several databases including MEDLINE, EMBASE, and the Japan Medical Abstracts Society were searched for relevant articles published prior to June 2017. The articles identified were systematically reviewed. We identified 286 articles on an energy restricted diet, assessed seven and included two studies in our review. On a carbohydrate restricted diet, 75 articles were extracted, seven articles assessed and three included in the review, of which two were the studies that were selected for the energy restricted diet group, since they compared energy restricted diets with carbohydrate restricted diets. All selected studies were on Japanese patients with type 2 diabetes. No studies for type 1 diabetes were found in our search. Two randomized controlled trials on an energy restricted diet were also included in the three studies for a carbohydrate restricted diet. All the three randomized controlled trials showed better glucose management with the carbohydrate restricted diet. Our study revealed that there is very little evidence on diets, particularly in Japanese patients with diabetes, and that the energy restricted diet, which has been recommended by the Japan Diabetes Society in the sole dietary management approach, is not supported by any scientific evidence. Our findings suggest that the carbohydrate restricted diet, but not the energy restricted diet, might have short term benefits for the management of diabetes in Japanese patients. However, since our analysis was based on a limited number of small randomized controlled trials, large scale and/or long term trials examining the dietary approaches in these patients are needed to confirm our findings. MDPI 2018-08-13 /pmc/articles/PMC6116111/ /pubmed/30104491 http://dx.doi.org/10.3390/nu10081080 Text en © 2018 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
Yamada, Satoru
Kabeya, Yusuke
Noto, Hiroshi
Dietary Approaches for Japanese Patients with Diabetes: A Systematic Review
title Dietary Approaches for Japanese Patients with Diabetes: A Systematic Review
title_full Dietary Approaches for Japanese Patients with Diabetes: A Systematic Review
title_fullStr Dietary Approaches for Japanese Patients with Diabetes: A Systematic Review
title_full_unstemmed Dietary Approaches for Japanese Patients with Diabetes: A Systematic Review
title_short Dietary Approaches for Japanese Patients with Diabetes: A Systematic Review
title_sort dietary approaches for japanese patients with diabetes: a systematic review
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6116111/
https://www.ncbi.nlm.nih.gov/pubmed/30104491
http://dx.doi.org/10.3390/nu10081080
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