Calorie-counting compared to exchange system diets in the treatment of overweight patients with type II diabetes
Patients with diabetes are usually placed on exchange system diets to ensure a nutritionally adequate intake. However, there have been few studies which have actually compared the nutritional adequacy of diets selected by patients on exchange system diets, with that selected by patients on the calor...
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| Veröffentlicht in: | Addictive behaviors 1986, Vol.11 (2), p.163-168 |
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| container_title | Addictive behaviors |
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| creator | Wing, Rena R. Nowalk, Mary Patricia Epstein, Leonard H. Koeske, Randi |
| description | Patients with diabetes are usually placed on exchange system diets to ensure a nutritionally adequate intake. However, there have been few studies which have actually compared the nutritional adequacy of diets selected by patients on exchange system diets, with that selected by patients on the calorie-counting diets typically used in behavioral weight control programs. This study compared the nutritional adequacy of the diets selected by overweight patients with Type II diabetes who had been randomly assigned to either an exchange system diet or a calorie-counting diet. Three-day food diaries were completed by all patients at the start and end of a 16-week weight control program. No significant differences were observed between patients on the calorie-counting diet compared to those on the exchange system diet with respect to nutrient intake, macronutrient distribution, or percent of the RDA obtained. Patients on both types of diet reported decreases in the proportion of calories from fat. The average intake exceeded 100% of the RDA for all nutrients except calcium. This study suggests that patients are able to improve the nutritional adequacy of their intake while following either a calorie-counting or an exchange system diet. |
| doi_str_mv | 10.1016/0306-4603(86)90041-9 |
| format | Article |
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However, there have been few studies which have actually compared the nutritional adequacy of diets selected by patients on exchange system diets, with that selected by patients on the calorie-counting diets typically used in behavioral weight control programs. This study compared the nutritional adequacy of the diets selected by overweight patients with Type II diabetes who had been randomly assigned to either an exchange system diet or a calorie-counting diet. Three-day food diaries were completed by all patients at the start and end of a 16-week weight control program. No significant differences were observed between patients on the calorie-counting diet compared to those on the exchange system diet with respect to nutrient intake, macronutrient distribution, or percent of the RDA obtained. Patients on both types of diet reported decreases in the proportion of calories from fat. The average intake exceeded 100% of the RDA for all nutrients except calcium. 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However, there have been few studies which have actually compared the nutritional adequacy of diets selected by patients on exchange system diets, with that selected by patients on the calorie-counting diets typically used in behavioral weight control programs. This study compared the nutritional adequacy of the diets selected by overweight patients with Type II diabetes who had been randomly assigned to either an exchange system diet or a calorie-counting diet. Three-day food diaries were completed by all patients at the start and end of a 16-week weight control program. No significant differences were observed between patients on the calorie-counting diet compared to those on the exchange system diet with respect to nutrient intake, macronutrient distribution, or percent of the RDA obtained. Patients on both types of diet reported decreases in the proportion of calories from fat. The average intake exceeded 100% of the RDA for all nutrients except calcium. This study suggests that patients are able to improve the nutritional adequacy of their intake while following either a calorie-counting or an exchange system diet.</description><subject>Behavior Therapy - methods</subject><subject>Behavior therapy. Cognitive therapy</subject><subject>Biological and medical sciences</subject><subject>COMPORTAMIENTO</subject><subject>COMPORTEMENT</subject><subject>DIABETE</subject><subject>DIABETES</subject><subject>Diabetes Mellitus, Type 2 - complications</subject><subject>Diabetes Mellitus, Type 2 - drug therapy</subject><subject>DIETA</subject><subject>Energy Intake</subject><subject>Female</subject><subject>Humans</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Nutritional Physiological Phenomena</subject><subject>Obesity - complications</subject><subject>Obesity - drug therapy</subject><subject>Psychology. Psychoanalysis. Psychiatry</subject><subject>Psychopathology. 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Cognitive therapy</topic><topic>Biological and medical sciences</topic><topic>COMPORTAMIENTO</topic><topic>COMPORTEMENT</topic><topic>DIABETE</topic><topic>DIABETES</topic><topic>Diabetes Mellitus, Type 2 - complications</topic><topic>Diabetes Mellitus, Type 2 - drug therapy</topic><topic>DIETA</topic><topic>Energy Intake</topic><topic>Female</topic><topic>Humans</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Nutritional Physiological Phenomena</topic><topic>Obesity - complications</topic><topic>Obesity - drug therapy</topic><topic>Psychology. Psychoanalysis. Psychiatry</topic><topic>Psychopathology. 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However, there have been few studies which have actually compared the nutritional adequacy of diets selected by patients on exchange system diets, with that selected by patients on the calorie-counting diets typically used in behavioral weight control programs. This study compared the nutritional adequacy of the diets selected by overweight patients with Type II diabetes who had been randomly assigned to either an exchange system diet or a calorie-counting diet. Three-day food diaries were completed by all patients at the start and end of a 16-week weight control program. No significant differences were observed between patients on the calorie-counting diet compared to those on the exchange system diet with respect to nutrient intake, macronutrient distribution, or percent of the RDA obtained. Patients on both types of diet reported decreases in the proportion of calories from fat. The average intake exceeded 100% of the RDA for all nutrients except calcium. 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| identifier | ISSN: 0306-4603 |
| ispartof | Addictive behaviors, 1986, Vol.11 (2), p.163-168 |
| issn | 0306-4603 1873-6327 |
| language | eng |
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| source | MEDLINE; Elsevier ScienceDirect Journals |
| subjects | Behavior Therapy - methods Behavior therapy. Cognitive therapy Biological and medical sciences COMPORTAMIENTO COMPORTEMENT DIABETE DIABETES Diabetes Mellitus, Type 2 - complications Diabetes Mellitus, Type 2 - drug therapy DIETA Energy Intake Female Humans Male Medical sciences Middle Aged Nutritional Physiological Phenomena Obesity - complications Obesity - drug therapy Psychology. Psychoanalysis. Psychiatry Psychopathology. Psychiatry Random Allocation REGIME ALIMENTAIRE SOBREPESO SURPOIDS Treatments VALEUR CALORIQUE VALOR CALORICO |
| title | Calorie-counting compared to exchange system diets in the treatment of overweight patients with type II diabetes |
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