Universität zu Köln

Galendi, Julia Simoes Correa, Occhiuto Ferreira Leite, Renata Giacomini, Banzato, Luisa Rocco and Nunes-Nogueira, Vania Dos Santos (2022). Effectiveness of Strategies for Nutritional Therapy for Patients with Type 2 Diabetes and/or Hypertension in Primary Care: A Systematic Review and Meta-Analysis. Int. J. Environ. Res. Public Health, 19 (7). BASEL: MDPI. ISSN 1660-4601

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Abstract

A central aspect to the management of type 2 Diabetes Mellitus (T2DM) and hypertension is promoting a healthy lifestyle, and nutritional therapy (NT) can support patients achieving glycemic control and blood pressure targets. This systematic review aimed to evaluate the effectiveness of NT in the management of patients with T2DM and/or hypertension in primary care. Primary outcomes were HbA1c, systolic blood pressure (SBP) and diastolic blood pressure (DBP). Thirty-nine studies were included, thirty on T2DM and nine on hypertension. With a moderate quality of evidence, educational/counseling programs and food replacement programs in primary care likely reduce HbA1c on patients with T2DM (mean difference (MD): -0.37, 95% CI: -0.57 to -0.17, 7437 patients, 27 studies; MD: -0.54, 95% CI: -0.75 to -0.32, 440 patients, 2 studies, respectively). Mediterranean diet for T2DM was accessed by one study, and no difference between the groups was found. Educational and counseling programs likely reduce DBP in patients with hypertension (MD: -1.79, 95% CI: -3.46, -0.12, 2840 patients, 9 studies, moderate quality of the evidence), but the effect in SBP was unclear due to risk of bias and imprecision. Nutritional therapy strategies (i.e., educational/counseling programs and food replacement programs) in primary care improved HbA1c in patients with T2DM and DBP in individuals with hypertension.

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code Galendi, Julia Simoes Correa UNSPECIFIED UNSPECIFIED UNSPECIFIED Occhiuto Ferreira Leite, Renata Giacomini UNSPECIFIED UNSPECIFIED UNSPECIFIED Banzato, Luisa Rocco UNSPECIFIED UNSPECIFIED UNSPECIFIED Nunes-Nogueira, Vania Dos Santos UNSPECIFIED UNSPECIFIED UNSPECIFIED
URN:	urn:nbn:de:hbz:38-664704
DOI:	10.3390/ijerph19074243
Journal or Publication Title:	Int. J. Environ. Res. Public Health
Volume:	19
Number:	7
Date:	2022
Publisher:	MDPI
Place of Publication:	BASEL
ISSN:	1660-4601
Language:	English
Faculty:	Unspecified
Divisions:	Unspecified
Subjects:	no entry
Uncontrolled Keywords:	Keywords Language LIFE-STYLE INTERVENTION; RANDOMIZED CONTROLLED-TRIAL; SELF-MANAGEMENT EDUCATION; PRIMARY-HEALTH-CARE; GLYCEMIC CONTROL; CLINICAL-TRIAL; BLOOD-PRESSURE; SOUTH-AFRICA; MELLITUS; ADULTS Multiple languages Environmental Sciences; Public, Environmental & Occupational Health Multiple languages
URI:	http://kups.ub.uni-koeln.de/id/eprint/66470