Dietary Patterns and Weight Loss in New-onset Type 2 Diabetes Mellitus: A Sub-analysis of the St Carlos Study: A 3-year, Randomized, Clinic-based, Interventional Study
Journal Title: Journal of Advances in Medicine and Medical Research - Year 2014, Vol 4, Issue 35
Abstract
Objective: To assess lifestyle patterns associated with weight loss in newly-diagnosed type 2 diabetic patients (T2DM) in the St Carlos Study. Design: A 3-year, randomized, interventional study with three parallel groups. Setting: A single-center, outpatient clinic-based study. Participants: 195 newly-diagnosed T2DM were randomized to either the intervention group (self monitoring of blood glucose with-or-without an exercise program), or to the HbA1c control group. The same lifestyle-intervention protocol was applied in all patients. A questionnaire was applied to evaluate adherence to recommended lifestyle changes. Main outcome measures: Patients were grouped by quartiles of body-weight loss at the end of follow-up. Analysis: Multivariate linear-regression analyses were conducted to identify the independent effect of lifestyle patterns on three-year weight loss. Results: Following a 3-year follow-up, median body weight loss was 2kg (IQR: -6/2.3). A higher level and an increase on physical activity, both leisure-time activity and sport exercise, and an increase in the nutrition score, mainly due to a higher consumption of nuts in substitution of cured sausages as snacks, and to a higher consumption of vegetables, legumes, whole grain cereals and fruits instead of juices, potatoes and white cereals, were associated to a greater weight loss (p<0.05). There was no association between low-fat diet and reduced body weight. Conclusions and Implications: The application of simple recommendations (enhanced vegetable consumption, nuts for snacks, fruit instead of juices, wholegrain instead of processed cereals, legumes instead of potatoes, increased daily walking and stair-climbing) can achieve long-term, sustained weight loss in T2DM.
Authors and Affiliations
N. García de la Torre, L. del Valle, A. Durán, M. A. Rubio, M. Fuentes, R. Abad, F. Sanz, I. Runkle, A. L. Calle-Pascual
Keywords
Related Articles
- EP ID EP348851
- DOI 10.9734/BJMMR/2014/12800
- Views 67
- Downloads 0
Association between Intraoperative and Post-Anesthetic Care Unit Respiratory Events among 12,641 Children in Southern Thailand
Aims: The association between intraoperative respiratory events (IRE) and post-anesthetic care unit respiratory events (PARE) in children as well as the risk factors for PARE have not been described. The objectives of th...
Prediction of Intrauterine Growth Restriction in High Pulsatility Index of Uterine Artery
Introduction: Intrauterine growth restriction is a significant cause of neonatal mortality. The uterine artery Doppler waveform becomes transformed into a high flow with low resistance at 22-24 weeks. The apt way to redu...
Aggressive Angiomyxoma of the Vulva: Libyan Female Case Report
Aims and Background: Aggressive angiomyxoma is rare tumor of pelvic and perineal organs, occurring usually in women of reproductive age, and carrying a high tendency to local infiltration and relapse. Most literature abo...
Nigerian HIV Positive Mother Tested Negative after Fifty-Four Months on HAART
Background: There is currently no cure for HIV/AIDS infection. Antiretroviral treatment can suppress and delay AIDS-related illness for many years but cannot clear the virus completely. This case review includes an attem...
Does Circadian Preference Determine Risk for Developing Alcohol Use Disorder amongst Undergraduate and Pre-University Students? A Cross-Sectional Study
Aims: To determine the relationship between circadian preference and risk for developing alcohol use disorder among medical students and pre-university students. Study Design: An analytical cross sectional study was con...