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The Effects of Intensive Nutrition Education on Late Middle-Aged Adults with Type 2 Diabetes

Author

Listed:
  • Ye Li

    (Department of Nutrition and Food Hygiene, School of Public Health, Peking University, Beijing 100191, China)

  • Meihong Xu

    (Department of Nutrition and Food Hygiene, School of Public Health, Peking University, Beijing 100191, China)

  • Rui Fan

    (Department of Nutrition and Food Hygiene, School of Public Health, Peking University, Beijing 100191, China)

  • Xiaotao Ma

    (Department of Nutrition, China-Japan Friendship Hospital, Beijing 100029, China)

  • Jiaojiao Gu

    (Department of Nutrition and Food Hygiene, School of Public Health, Peking University, Beijing 100191, China)

  • Xiaxia Cai

    (Department of Nutrition and Food Hygiene, School of Public Health, Capital Medical University, Beijing 100069, China)

  • Rui Liu

    (Department of Nutrition and Food Hygiene, School of Public Health, Peking University, Beijing 100191, China)

  • Qihe Chen

    (Department of Nutrition and Food Hygiene, School of Public Health, Peking University, Beijing 100191, China)

  • Jinwei Ren

    (Department of Nutrition and Food Hygiene, School of Public Health, Peking University, Beijing 100191, China)

  • Ruixue Mao

    (Department of Nutrition and Food Hygiene, School of Public Health, Peking University, Beijing 100191, China)

  • Lei Bao

    (Department of Clinical Nutrition, Peking University International Hospital, Beijing 102206, China)

  • Zhaofeng Zhang

    (Department of Nutrition and Food Hygiene, School of Public Health, Peking University, Beijing 100191, China)

  • Junbo Wang

    (Department of Nutrition and Food Hygiene, School of Public Health, Peking University, Beijing 100191, China)

  • Yong Li

    (Department of Nutrition and Food Hygiene, School of Public Health, Peking University, Beijing 100191, China)

Abstract

Objective : Many patients with type 2 diabetes find it difficult to maintain good glycemic control. Undesirable glycemic control occurs greatly due to deficiencies of nutritional knowledge and difficulty in obtaining dietary prescriptions. The late middle-aged and elder individuals are the main populations that are affected by type 2 diabetes. The main purpose of this study was to investigate whether intensive nutrition education would make benefits for late middle-aged patients with type 2 diabetes. Method : 196 patients between 50 to 65 years old meeting type 2 diabetes criteria and eligible for the program were included in a single-blinded, 30-day centralized management of an education program in China. Participants in the program were randomly divided into a usual nutrition education group or an intensive nutrition education group. The usual nutrition education group was used as a control group and received only basic health advice and principles of diabetic diets at the beginning and the end of the study. Participants in the intensive nutrition education group were arranged to receive intensive nutritional lectures about diabetes for 30 days. The primary outcomes were the changes in weight, body mass index (BMI), fasting plasma glucose (FPG), 2-h postprandial plasma glucose (PG), glycosylated hemoglobin (HbA1c), total glycerin (TG), total cholesterol (TC), high-density lipoprotein cholesterol (HDL-c), and low-density lipoprotein cholesterol (LDL-c). Results : After 30 days of intervention, FPG, PG, and HbA1c in the treatment group decreased significantly than the control group ( p < 0.05). HbA1c reduced significantly by 0.6% in the intervention group. No significant differences in the change of blood lipids were observed between groups. However, TG, TC, and HDL-c made improvements compared with the baseline in the experimental group. Both groups had a reduction in weight and BMI within groups, especially in intensive nutrition education group. However, there was no statistical significance between groups. Conclusions : Intensive nutrition education has significant effects on blood glucose control in late middle-aged adults with type 2 diabetes. Intensive education can cultivate good diet habits and increase physical activity, which are important for diabetes patients in the short and long terms. These findings may contribute to improving education methodology and nutrition therapy in patients with type 2 diabetes.

Suggested Citation

  • Ye Li & Meihong Xu & Rui Fan & Xiaotao Ma & Jiaojiao Gu & Xiaxia Cai & Rui Liu & Qihe Chen & Jinwei Ren & Ruixue Mao & Lei Bao & Zhaofeng Zhang & Junbo Wang & Yong Li, 2016. "The Effects of Intensive Nutrition Education on Late Middle-Aged Adults with Type 2 Diabetes," IJERPH, MDPI, vol. 13(9), pages 1-10, September.
  • Handle: RePEc:gam:jijerp:v:13:y:2016:i:9:p:897-:d:77810
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    References listed on IDEAS

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    1. Xiaoping Luo & Tingting Liu & Xiaojing Yuan & Song Ge & Jing Yang & Changwei Li & Wenjie Sun, 2015. "Factors Influencing Self-Management in Chinese Adults with Type 2 Diabetes: A Systematic Review and Meta-Analysis," IJERPH, MDPI, vol. 12(9), pages 1-24, September.
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    Cited by:

    1. Carlos Vasconcelos & António Almeida & Maria Cabral & Elisabete Ramos & Romeu Mendes, 2019. "The Impact of a Community-Based Food Education Program on Nutrition-Related Knowledge in Middle-Aged and Older Patients with Type 2 Diabetes: Results of a Pilot Randomized Controlled Trial," IJERPH, MDPI, vol. 16(13), pages 1-16, July.
    2. Grainne O’Donoghue & Cliona O’Sullivan & Isabelle Corridan & Jennifer Daly & Ronan Finn & Kathryn Melvin & Casey Peiris, 2021. "Lifestyle Interventions to Improve Glycemic Control in Adults with Type 2 Diabetes Living in Low-and-Middle Income Countries: A Systematic Review and Meta-Analysis of Randomized Controlled Trials (RCT," IJERPH, MDPI, vol. 18(12), pages 1-16, June.

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