Beatriz C Santos, Luana F Alves, Vivianne S Rocha, Ángela Hernandez-Ruiz, Ana Mara O Silva, Liliane V Pires
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引用次数: 0
摘要
背景：饮食质量与 2 型糖尿病（T2DM）患者的血糖控制直接相关。使用膳食指数可以全面了解膳食质量与临床结果之间的关系：目的：评估使用膳食指数衡量的膳食质量与通过健康干预改善 T2DM 患者血糖控制的影响之间的关系：本研究使用了 6 个数据库，包括 Web of Science、MEDLINE（通过 PubMed）、Embase、Bireme、Scopus 和 Cumulative Index to Nursing and Allied Health Literature (CINAHL)，以及灰色文献（Google Academic）：数据分析：数据分析：共检索到 3735 篇文章，其中 4 篇被纳入研究筛选阶段。研究中评估的质量指数包括替代健康饮食指数（AHEI）、健康饮食指数-2010（HEI-2010）、膳食质量指数-国际（DQI-I）和膳食质量指数-修订版（DQI-R）。有两项研究观察到 HbA1c 百分比有所下降，这与干预组的 AHEI 和 DQI-I 分数相关。与对照组相比，使用食品标签提高饮食质量的方法使干预组的 HbA1c 百分比降低了 0.08%。只有一项研究发现，DQI-R 指数与 HbA1c 百分比之间没有明显关联。此外，体重与 AHEI 和 DQI-I 分数之间呈负相关：健康干预改善了 T2DM 患者的饮食质量、血糖控制和体重减轻：系统综述注册：PROSPERO 编号CRD42023430036。
Effectiveness of Health Action Interventions in Enhancing Diet Quality and Glycemic Control Among Individuals With Type 2 Diabetes Mellitus: A Systematic Review of Randomized Clinical Trials.
Context: Diet quality is directly related to glycemic control in individuals with type 2 diabetes mellitus (T2DM). The use of dietary indices can provide a comprehensive understanding of the relationship between diet quality and clinical outcomes.
Objective: The aim was to evaluate the relationship between diet quality, measured using dietary indices, and its impact on improving glycemic control in individuals with T2DM through health interventions.
Data source: This study was conducted using 6 databases, including Web of Science, MEDLINE (via PubMed), Embase, Bireme, Scopus, and Cumulative Index to Nursing and Allied Health Literature (CINAHL), as well as the gray literature (Google Academic).
Data extraction: Randomized clinical trials that evaluated the effectiveness of health interventions in adult and older adult individuals with T2DM and presented data on diet quality evaluated using dietary indices and the percentage of glycated hemoglobin (%HbA1c) were included.
Data analysis: A total of 3735 articles were retrieved, 4 of which were included in the study selection stages. The quality indices assessed in the studies were the Alternate Healthy Eating Index (AHEI), Healthy Eating Index-2010 (HEI-2010), Diet Quality Index-International (DQI-I), and Diet Quality Index-Revised (DQI-R). A reduction in %HbA1c was observed in 2 studies, which correlated with the AHEI and DQI-I scores in the intervention groups. The approach of using food labels to improve diet quality reduced %HbA1c by 0.08% in the intervention group compared with the control group. Only 1 study found no significant association between the DQI-R index and %HbA1c. Additionally, negative correlations were observed between body weight and the AHEI and DQI-I scores.
Conclusion: Health interventions improved diet quality, glycemic control, and weight loss in individuals with T2DM.
期刊介绍：
Nutrition Reviews is a highly cited, monthly, international, peer-reviewed journal that specializes in the publication of authoritative and critical literature reviews on current and emerging topics in nutrition science, food science, clinical nutrition, and nutrition policy. Readers of Nutrition Reviews include nutrition scientists, biomedical researchers, clinical and dietetic practitioners, and advanced students of nutrition.
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