Systematic review and meta-analysis of different dietary approaches to the management of type 2 diabetes
Background: There is evidence that reducing blood glucose concentrations, inducing weight loss, and improving the lipid profile reduces cardiovascular risk in people with type 2 diabetes.Objective: We assessed the effect of various diets on glycemic control, lipids, and weight loss.Design: We conduc...
Gespeichert in:
| Veröffentlicht in: | The American journal of clinical nutrition 2013-03, Vol.97 (3), p.505-516 |
|---|---|
| Hauptverfasser: | , , |
| Format: | Artikel |
| Sprache: | eng |
| Schlagworte: | |
| Online-Zugang: | Volltext |
| Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
| container_end_page | 516 |
|---|---|
| container_issue | 3 |
| container_start_page | 505 |
| container_title | The American journal of clinical nutrition |
| container_volume | 97 |
| creator | Ajala, Olubukola English, Patrick Pinkney, Jonathan |
| description | Background: There is evidence that reducing blood glucose concentrations, inducing weight loss, and improving the lipid profile reduces cardiovascular risk in people with type 2 diabetes.Objective: We assessed the effect of various diets on glycemic control, lipids, and weight loss.Design: We conducted searches of PubMed, Embase, and Google Scholar to August 2011. We included randomized controlled trials (RCTs) with interventions that lasted ≥6 mo that compared low-carbohydrate, vegetarian, vegan, low–glycemic index (GI), high-fiber, Mediterranean, and high-protein diets with control diets including low-fat, high-GI, American Diabetes Association, European Association for the Study of Diabetes, and low-protein diets.Results: A total of 20 RCTs were included (n = 3073 included in final analyses across 3460 randomly assigned individuals). The low-carbohydrate, low-GI, Mediterranean, and high-protein diets all led to a greater improvement in glycemic control [glycated hemoglobin reductions of −0.12% (P = 0.04), −0.14% (P = 0.008), −0.47% (P < 0.00001), and −0.28% (P < 0.00001), respectively] compared with their respective control diets, with the largest effect size seen in the Mediterranean diet. Low-carbohydrate and Mediterranean diets led to greater weight loss [−0.69 kg (P = 0.21) and −1.84 kg (P < 0.00001), respectively], with an increase in HDL seen in all diets except the high-protein diet.Conclusion: Low-carbohydrate, low-GI, Mediterranean, and high-protein diets are effective in improving various markers of cardiovascular risk in people with diabetes and should be considered in the overall strategy of diabetes management. |
| doi_str_mv | 10.3945/ajcn.112.042457 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_1312175731</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>1312175731</sourcerecordid><originalsourceid>FETCH-LOGICAL-c416t-6592b54a26ba14f1b91c24371e7734b33d93006a15376ee631440d3e461e6ed43</originalsourceid><addsrcrecordid>eNpd0ctr3DAQB2BRGppt2nNvraAUevFGo9EjPobQRyCQQ5KzGdvjrBc_tpK2Zf_7avG2hR6EBPONkOYnxDtQayyNvaRtM60B9FoZbax_IVZQ4lWBWvmXYqWU0kUJzp6L1zFulQJtrtwrca4RncnFldg8HGLikVLfyMA_e_4laWrlyIkKmmg4xD7KuZNt33UceEr5lGvhIGm3CzM1G44yzTJtWI654ZnHI8od6bBjqTOnmhPHN-KsoyHy29N-IZ6-fnm8-V7c3X-7vbm-KxoDLhXOlrq2hrSrCUwHdQmNNuiBvUdTI7YlKuUILHrH7BCMUS2yccCOW4MX4vNyb37djz3HVI19bHgYaOJ5HytA0OCtR8j04390O-9D_vSiME8IMKvLRTVhjjFwV-1CP-YJVKCqYwjVMYQqh1AtIeSO96d79_XI7V__Z-oZfDoBig0NXaCp6eM_50HbUtnsPiyuo7mi55DN04NWYNVxOW3xN88gl0w</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1312340013</pqid></control><display><type>article</type><title>Systematic review and meta-analysis of different dietary approaches to the management of type 2 diabetes</title><source>MEDLINE</source><source>Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals</source><source>Alma/SFX Local Collection</source><creator>Ajala, Olubukola ; English, Patrick ; Pinkney, Jonathan</creator><creatorcontrib>Ajala, Olubukola ; English, Patrick ; Pinkney, Jonathan</creatorcontrib><description>Background: There is evidence that reducing blood glucose concentrations, inducing weight loss, and improving the lipid profile reduces cardiovascular risk in people with type 2 diabetes.Objective: We assessed the effect of various diets on glycemic control, lipids, and weight loss.Design: We conducted searches of PubMed, Embase, and Google Scholar to August 2011. We included randomized controlled trials (RCTs) with interventions that lasted ≥6 mo that compared low-carbohydrate, vegetarian, vegan, low–glycemic index (GI), high-fiber, Mediterranean, and high-protein diets with control diets including low-fat, high-GI, American Diabetes Association, European Association for the Study of Diabetes, and low-protein diets.Results: A total of 20 RCTs were included (n = 3073 included in final analyses across 3460 randomly assigned individuals). The low-carbohydrate, low-GI, Mediterranean, and high-protein diets all led to a greater improvement in glycemic control [glycated hemoglobin reductions of −0.12% (P = 0.04), −0.14% (P = 0.008), −0.47% (P < 0.00001), and −0.28% (P < 0.00001), respectively] compared with their respective control diets, with the largest effect size seen in the Mediterranean diet. Low-carbohydrate and Mediterranean diets led to greater weight loss [−0.69 kg (P = 0.21) and −1.84 kg (P < 0.00001), respectively], with an increase in HDL seen in all diets except the high-protein diet.Conclusion: Low-carbohydrate, low-GI, Mediterranean, and high-protein diets are effective in improving various markers of cardiovascular risk in people with diabetes and should be considered in the overall strategy of diabetes management.</description><identifier>ISSN: 0002-9165</identifier><identifier>EISSN: 1938-3207</identifier><identifier>DOI: 10.3945/ajcn.112.042457</identifier><identifier>PMID: 23364002</identifier><identifier>CODEN: AJCNAC</identifier><language>eng</language><publisher>Bethesda, MD: American Society for Clinical Nutrition</publisher><subject>Biological and medical sciences ; blood glucose ; Blood Glucose - analysis ; Cardiovascular Diseases - prevention & control ; Cardiovascular system ; clinical nutrition ; Diabetes ; Diabetes Mellitus, Type 2 - diet therapy ; Diet ; Diet, Carbohydrate-Restricted ; Diet, Fat-Restricted ; Diet, Mediterranean ; Diet, Protein-Restricted ; Diet, Vegetarian ; Dietary Carbohydrates - administration & dosage ; Dietary Fats - administration & dosage ; Dietary Fiber - administration & dosage ; Dietary Proteins - administration & dosage ; Energy Intake ; Feeding. Feeding behavior ; Fundamental and applied biological sciences. Psychology ; glycemic control ; Glycemic Index ; glycohemoglobin ; high density lipoprotein ; high protein diet ; Humans ; Lipids ; Lipids - blood ; Mediterranean diet ; meta-analysis ; noninsulin-dependent diabetes mellitus ; people ; Proteins ; randomized clinical trials ; Randomized Controlled Trials as Topic ; risk ; Risk assessment ; Risk Factors ; systematic review ; vegan diet ; Vertebrates: anatomy and physiology, studies on body, several organs or systems ; Weight Loss</subject><ispartof>The American journal of clinical nutrition, 2013-03, Vol.97 (3), p.505-516</ispartof><rights>2014 INIST-CNRS</rights><rights>Copyright American Society for Clinical Nutrition, Inc. Mar 1, 2013</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c416t-6592b54a26ba14f1b91c24371e7734b33d93006a15376ee631440d3e461e6ed43</citedby><cites>FETCH-LOGICAL-c416t-6592b54a26ba14f1b91c24371e7734b33d93006a15376ee631440d3e461e6ed43</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,27903,27904</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=27125905$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/23364002$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Ajala, Olubukola</creatorcontrib><creatorcontrib>English, Patrick</creatorcontrib><creatorcontrib>Pinkney, Jonathan</creatorcontrib><title>Systematic review and meta-analysis of different dietary approaches to the management of type 2 diabetes</title><title>The American journal of clinical nutrition</title><addtitle>Am J Clin Nutr</addtitle><description>Background: There is evidence that reducing blood glucose concentrations, inducing weight loss, and improving the lipid profile reduces cardiovascular risk in people with type 2 diabetes.Objective: We assessed the effect of various diets on glycemic control, lipids, and weight loss.Design: We conducted searches of PubMed, Embase, and Google Scholar to August 2011. We included randomized controlled trials (RCTs) with interventions that lasted ≥6 mo that compared low-carbohydrate, vegetarian, vegan, low–glycemic index (GI), high-fiber, Mediterranean, and high-protein diets with control diets including low-fat, high-GI, American Diabetes Association, European Association for the Study of Diabetes, and low-protein diets.Results: A total of 20 RCTs were included (n = 3073 included in final analyses across 3460 randomly assigned individuals). The low-carbohydrate, low-GI, Mediterranean, and high-protein diets all led to a greater improvement in glycemic control [glycated hemoglobin reductions of −0.12% (P = 0.04), −0.14% (P = 0.008), −0.47% (P < 0.00001), and −0.28% (P < 0.00001), respectively] compared with their respective control diets, with the largest effect size seen in the Mediterranean diet. Low-carbohydrate and Mediterranean diets led to greater weight loss [−0.69 kg (P = 0.21) and −1.84 kg (P < 0.00001), respectively], with an increase in HDL seen in all diets except the high-protein diet.Conclusion: Low-carbohydrate, low-GI, Mediterranean, and high-protein diets are effective in improving various markers of cardiovascular risk in people with diabetes and should be considered in the overall strategy of diabetes management.</description><subject>Biological and medical sciences</subject><subject>blood glucose</subject><subject>Blood Glucose - analysis</subject><subject>Cardiovascular Diseases - prevention & control</subject><subject>Cardiovascular system</subject><subject>clinical nutrition</subject><subject>Diabetes</subject><subject>Diabetes Mellitus, Type 2 - diet therapy</subject><subject>Diet</subject><subject>Diet, Carbohydrate-Restricted</subject><subject>Diet, Fat-Restricted</subject><subject>Diet, Mediterranean</subject><subject>Diet, Protein-Restricted</subject><subject>Diet, Vegetarian</subject><subject>Dietary Carbohydrates - administration & dosage</subject><subject>Dietary Fats - administration & dosage</subject><subject>Dietary Fiber - administration & dosage</subject><subject>Dietary Proteins - administration & dosage</subject><subject>Energy Intake</subject><subject>Feeding. Feeding behavior</subject><subject>Fundamental and applied biological sciences. Psychology</subject><subject>glycemic control</subject><subject>Glycemic Index</subject><subject>glycohemoglobin</subject><subject>high density lipoprotein</subject><subject>high protein diet</subject><subject>Humans</subject><subject>Lipids</subject><subject>Lipids - blood</subject><subject>Mediterranean diet</subject><subject>meta-analysis</subject><subject>noninsulin-dependent diabetes mellitus</subject><subject>people</subject><subject>Proteins</subject><subject>randomized clinical trials</subject><subject>Randomized Controlled Trials as Topic</subject><subject>risk</subject><subject>Risk assessment</subject><subject>Risk Factors</subject><subject>systematic review</subject><subject>vegan diet</subject><subject>Vertebrates: anatomy and physiology, studies on body, several organs or systems</subject><subject>Weight Loss</subject><issn>0002-9165</issn><issn>1938-3207</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2013</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpd0ctr3DAQB2BRGppt2nNvraAUevFGo9EjPobQRyCQQ5KzGdvjrBc_tpK2Zf_7avG2hR6EBPONkOYnxDtQayyNvaRtM60B9FoZbax_IVZQ4lWBWvmXYqWU0kUJzp6L1zFulQJtrtwrca4RncnFldg8HGLikVLfyMA_e_4laWrlyIkKmmg4xD7KuZNt33UceEr5lGvhIGm3CzM1G44yzTJtWI654ZnHI8od6bBjqTOnmhPHN-KsoyHy29N-IZ6-fnm8-V7c3X-7vbm-KxoDLhXOlrq2hrSrCUwHdQmNNuiBvUdTI7YlKuUILHrH7BCMUS2yccCOW4MX4vNyb37djz3HVI19bHgYaOJ5HytA0OCtR8j04390O-9D_vSiME8IMKvLRTVhjjFwV-1CP-YJVKCqYwjVMYQqh1AtIeSO96d79_XI7V__Z-oZfDoBig0NXaCp6eM_50HbUtnsPiyuo7mi55DN04NWYNVxOW3xN88gl0w</recordid><startdate>20130301</startdate><enddate>20130301</enddate><creator>Ajala, Olubukola</creator><creator>English, Patrick</creator><creator>Pinkney, Jonathan</creator><general>American Society for Clinical Nutrition</general><general>American Society for Nutrition</general><general>American Society for Clinical Nutrition, Inc</general><scope>FBQ</scope><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QP</scope><scope>7T7</scope><scope>7TS</scope><scope>8FD</scope><scope>C1K</scope><scope>FR3</scope><scope>K9.</scope><scope>NAPCQ</scope><scope>P64</scope><scope>7X8</scope></search><sort><creationdate>20130301</creationdate><title>Systematic review and meta-analysis of different dietary approaches to the management of type 2 diabetes</title><author>Ajala, Olubukola ; English, Patrick ; Pinkney, Jonathan</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c416t-6592b54a26ba14f1b91c24371e7734b33d93006a15376ee631440d3e461e6ed43</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2013</creationdate><topic>Biological and medical sciences</topic><topic>blood glucose</topic><topic>Blood Glucose - analysis</topic><topic>Cardiovascular Diseases - prevention & control</topic><topic>Cardiovascular system</topic><topic>clinical nutrition</topic><topic>Diabetes</topic><topic>Diabetes Mellitus, Type 2 - diet therapy</topic><topic>Diet</topic><topic>Diet, Carbohydrate-Restricted</topic><topic>Diet, Fat-Restricted</topic><topic>Diet, Mediterranean</topic><topic>Diet, Protein-Restricted</topic><topic>Diet, Vegetarian</topic><topic>Dietary Carbohydrates - administration & dosage</topic><topic>Dietary Fats - administration & dosage</topic><topic>Dietary Fiber - administration & dosage</topic><topic>Dietary Proteins - administration & dosage</topic><topic>Energy Intake</topic><topic>Feeding. Feeding behavior</topic><topic>Fundamental and applied biological sciences. Psychology</topic><topic>glycemic control</topic><topic>Glycemic Index</topic><topic>glycohemoglobin</topic><topic>high density lipoprotein</topic><topic>high protein diet</topic><topic>Humans</topic><topic>Lipids</topic><topic>Lipids - blood</topic><topic>Mediterranean diet</topic><topic>meta-analysis</topic><topic>noninsulin-dependent diabetes mellitus</topic><topic>people</topic><topic>Proteins</topic><topic>randomized clinical trials</topic><topic>Randomized Controlled Trials as Topic</topic><topic>risk</topic><topic>Risk assessment</topic><topic>Risk Factors</topic><topic>systematic review</topic><topic>vegan diet</topic><topic>Vertebrates: anatomy and physiology, studies on body, several organs or systems</topic><topic>Weight Loss</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Ajala, Olubukola</creatorcontrib><creatorcontrib>English, Patrick</creatorcontrib><creatorcontrib>Pinkney, Jonathan</creatorcontrib><collection>AGRIS</collection><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Calcium & Calcified Tissue Abstracts</collection><collection>Industrial and Applied Microbiology Abstracts (Microbiology A)</collection><collection>Physical Education Index</collection><collection>Technology Research Database</collection><collection>Environmental Sciences and Pollution Management</collection><collection>Engineering Research Database</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Premium</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>MEDLINE - Academic</collection><jtitle>The American journal of clinical nutrition</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Ajala, Olubukola</au><au>English, Patrick</au><au>Pinkney, Jonathan</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Systematic review and meta-analysis of different dietary approaches to the management of type 2 diabetes</atitle><jtitle>The American journal of clinical nutrition</jtitle><addtitle>Am J Clin Nutr</addtitle><date>2013-03-01</date><risdate>2013</risdate><volume>97</volume><issue>3</issue><spage>505</spage><epage>516</epage><pages>505-516</pages><issn>0002-9165</issn><eissn>1938-3207</eissn><coden>AJCNAC</coden><abstract>Background: There is evidence that reducing blood glucose concentrations, inducing weight loss, and improving the lipid profile reduces cardiovascular risk in people with type 2 diabetes.Objective: We assessed the effect of various diets on glycemic control, lipids, and weight loss.Design: We conducted searches of PubMed, Embase, and Google Scholar to August 2011. We included randomized controlled trials (RCTs) with interventions that lasted ≥6 mo that compared low-carbohydrate, vegetarian, vegan, low–glycemic index (GI), high-fiber, Mediterranean, and high-protein diets with control diets including low-fat, high-GI, American Diabetes Association, European Association for the Study of Diabetes, and low-protein diets.Results: A total of 20 RCTs were included (n = 3073 included in final analyses across 3460 randomly assigned individuals). The low-carbohydrate, low-GI, Mediterranean, and high-protein diets all led to a greater improvement in glycemic control [glycated hemoglobin reductions of −0.12% (P = 0.04), −0.14% (P = 0.008), −0.47% (P < 0.00001), and −0.28% (P < 0.00001), respectively] compared with their respective control diets, with the largest effect size seen in the Mediterranean diet. Low-carbohydrate and Mediterranean diets led to greater weight loss [−0.69 kg (P = 0.21) and −1.84 kg (P < 0.00001), respectively], with an increase in HDL seen in all diets except the high-protein diet.Conclusion: Low-carbohydrate, low-GI, Mediterranean, and high-protein diets are effective in improving various markers of cardiovascular risk in people with diabetes and should be considered in the overall strategy of diabetes management.</abstract><cop>Bethesda, MD</cop><pub>American Society for Clinical Nutrition</pub><pmid>23364002</pmid><doi>10.3945/ajcn.112.042457</doi><tpages>12</tpages><oa>free_for_read</oa></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0002-9165 |
| ispartof | The American journal of clinical nutrition, 2013-03, Vol.97 (3), p.505-516 |
| issn | 0002-9165 1938-3207 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_1312175731 |
| source | MEDLINE; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; Alma/SFX Local Collection |
| subjects | Biological and medical sciences blood glucose Blood Glucose - analysis Cardiovascular Diseases - prevention & control Cardiovascular system clinical nutrition Diabetes Diabetes Mellitus, Type 2 - diet therapy Diet Diet, Carbohydrate-Restricted Diet, Fat-Restricted Diet, Mediterranean Diet, Protein-Restricted Diet, Vegetarian Dietary Carbohydrates - administration & dosage Dietary Fats - administration & dosage Dietary Fiber - administration & dosage Dietary Proteins - administration & dosage Energy Intake Feeding. Feeding behavior Fundamental and applied biological sciences. Psychology glycemic control Glycemic Index glycohemoglobin high density lipoprotein high protein diet Humans Lipids Lipids - blood Mediterranean diet meta-analysis noninsulin-dependent diabetes mellitus people Proteins randomized clinical trials Randomized Controlled Trials as Topic risk Risk assessment Risk Factors systematic review vegan diet Vertebrates: anatomy and physiology, studies on body, several organs or systems Weight Loss |
| title | Systematic review and meta-analysis of different dietary approaches to the management of type 2 diabetes |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-01-23T15%3A05%3A52IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_cross&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Systematic%20review%20and%20meta-analysis%20of%20different%20dietary%20approaches%20to%20the%20management%20of%20type%202%20diabetes&rft.jtitle=The%20American%20journal%20of%20clinical%20nutrition&rft.au=Ajala,%20Olubukola&rft.date=2013-03-01&rft.volume=97&rft.issue=3&rft.spage=505&rft.epage=516&rft.pages=505-516&rft.issn=0002-9165&rft.eissn=1938-3207&rft.coden=AJCNAC&rft_id=info:doi/10.3945/ajcn.112.042457&rft_dat=%3Cproquest_cross%3E1312175731%3C/proquest_cross%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=1312340013&rft_id=info:pmid/23364002&rfr_iscdi=true |