Zakerkish Mehrnoosh, Shahmoradi Shima, Haidari Fatemeh, Latifi Seyed Mahmoud, Mohammadshahi Majid
Diabetes Research Center, Health Research Institute, Ahvaz Jundishapur University of Medical Sciences, Ahvaz 61357-15794, Iran.
Department of Nutrition, Nutrition and Metabolic Diseases Research Center, Ahvaz Jundishapur University of Medical Sciences, Ahvaz 61357-15794, Iran.
Clin Nutr Res. 2022 Jul 25;11(3):171-182. doi: 10.7762/cnr.2022.11.3.171. eCollection 2022 Jul.
As a result of a nutrition transition, chronic diseases, including diabetes, have increased in Iran. Nutrition education is a cost-effective method for modifying diet and controlling diabetes. This study aimed to examine the effect of nutrition education using MyPlate recommendations on glycemic and lipid profiles and inflammatory markers in Iranian adults diagnosed with type 2 diabetes. A 12-week randomized clinical trial was conducted on 44 adults aged 30-50 years from Ahvaz, Iran. The participants were divided into education and control groups. The education participants were taught the MyPlate recommendations. Serum levels of fasting blood sugar (FBS), hemoglobin A1c (HbA1c), lipid profiles, and inflammatory markers, including high sensitivity C-reactive protein (hs-CRP), tumor necrosis factor-α, and adiponectin, were measured at the baseline and the end of the study. The results showed that serum levels of FBS (p = 0.014) and HbA1c (p < 0.001) decreased significantly in the education group at the end of the study. The serum level of low-density lipoprotein in the education group declined significantly at the end of the study (p = 0.043). Furthermore, the serum level of hs-CRP (p = 0.005) declined significantly while the level of adiponectin (p = 0.035) increased in the education group at the end of the study. The evidence of this study showed that nutrition education using MyPlate recommendations is an effective method for controlling diabetes complications. A longitudinal analysis with a larger sample size is recommended to confirm the evidence of this study.
Iranian Registry of Clinical Trials Identifier: IRCT2015031921443N2.
由于营养转型,包括糖尿病在内的慢性病在伊朗有所增加。营养教育是改变饮食和控制糖尿病的一种经济有效的方法。本研究旨在探讨采用“我的餐盘”建议进行营养教育对伊朗成年2型糖尿病患者血糖、血脂谱及炎症标志物的影响。对来自伊朗阿瓦士的44名30至50岁的成年人进行了一项为期12周的随机临床试验。参与者被分为教育组和对照组。对教育组参与者讲授“我的餐盘”建议。在基线和研究结束时测量空腹血糖(FBS)、糖化血红蛋白(HbA1c)、血脂谱以及炎症标志物的血清水平,包括高敏C反应蛋白(hs-CRP)、肿瘤坏死因子-α和脂联素。结果显示,在研究结束时,教育组的FBS(p = 0.014)和HbA1c(p < 0.001)血清水平显著降低。教育组的低密度脂蛋白血清水平在研究结束时显著下降(p = 0.043)。此外,在研究结束时,教育组的hs-CRP血清水平显著下降(p = 0.005),而脂联素水平(p = 0.035)升高。本研究证据表明,采用“我的餐盘”建议进行营养教育是控制糖尿病并发症的有效方法。建议进行更大样本量的纵向分析以证实本研究的证据。
伊朗临床试验注册中心标识符:IRCT2015031921443N2。