CAM：自然疗法饮食干预用于 2 型糖尿病患者。
CAM: naturopathic dietary interventions for patients with type 2 diabetes.
机构信息
Bastyr University Research Institute, Kenmore WA 98128, USA.
出版信息
Complement Ther Clin Pract. 2011 Aug;17(3):157-61. doi: 10.1016/j.ctcp.2011.02.007. Epub 2011 Mar 17.
OBJECTIVE
To test feasibility, acceptability, and preliminary effectiveness of a naturopathic dietary intervention in patients with Type 2 diabetes.
METHODS
Prospective observational pilot study evaluating the change in clinical and patient-centered outcome measures following a 12-week individualized and group dietary education program delivered in naturopathic primary care.
RESULTS
HbA1c improved in all participants (n = 12); mean - 0.4% +/- 0.49% SD, (p = 0.02). Adherence to healthful eating increased from 3.5 d/wk to 5.3 d/wk (p = 0.05). Specific nutritional behavior modification included: days/week consuming ≥5 servings of fruit/vegetables (p = 0.01), attention to fat intake (p = 0.05), and -11.3% carbohydrate reduction. Measures of physical activity, self-efficacy and self-management also improved significantly.
CONCLUSION
A naturopathic dietary approach to diabetes appears to be feasible to implement among Type 2 diabetes patients. The intervention may also improve self-management, glycemic control, and have influences in other domains of self-care behaviors. Clinical trials evaluating naturopathic approaches to Type 2 diabetes are warranted.
目的
测试自然疗法饮食干预对 2 型糖尿病患者的可行性、可接受性和初步疗效。
方法
前瞻性观察性试点研究，评估 12 周个体化和小组饮食教育计划在自然疗法初级保健中的实施对临床和以患者为中心的结果测量的变化。
结果
所有参与者（n=12）的 HbA1c 均改善；平均-0.4%±0.49%SD，（p=0.02）。健康饮食的依从性从每周 3.5 天增加到每周 5.3 天（p=0.05）。具体的营养行为改变包括：每周食用≥5 份水果/蔬菜的天数（p=0.01）、关注脂肪摄入量（p=0.05）和碳水化合物减少 11.3%。身体活动、自我效能和自我管理的测量也显著改善。
结论
自然疗法的糖尿病饮食方法在 2 型糖尿病患者中似乎是可行的。该干预措施还可能改善自我管理、血糖控制，并对自我护理行为的其他领域产生影响。有必要进行评估自然疗法治疗 2 型糖尿病方法的临床试验。
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