کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
8629936 1568776 2018 39 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Effect of dietary carbohydrate restriction on glycemic control in adults with diabetes: A systematic review and meta-analysis
ترجمه فارسی عنوان
اثر محدودیت کربوهیدرات در رژیم غذایی بر کنترل گلیسمی در بزرگسالان مبتلا به دیابت: بررسی منظم و متاآنالیز
موضوعات مرتبط
علوم زیستی و بیوفناوری بیوشیمی، ژنتیک و زیست شناسی مولکولی علوم غدد
چکیده انگلیسی
Nutrition therapy is considered a key component of diabetes management, yet evidence around the ideal macronutrient composition of the diet remains inconclusive. A systematic review and meta-analysis was performed to assess the effects of carbohydrate-restricted diets (≤45% of total energy) compared to high carbohydrate diets (>45% of total energy) on glycemic control in adults with diabetes mellitus. Six databases were searched for articles published between January 1980 and August 2016. Primary outcome was between-group difference in HbA1c change. Individual effect sizes were standardized, and a meta-analysis performed to calculate pooled effect size using random effects. 25 RCTs involving 2412 participants were included. Carbohydrate-restricted diets, in particular those that restrict carbohydrate to <26% of total energy, produced greater reductions in HbA1c at 3 months (WMD −0.47%, 95% CI: −0.71, −0.23) and 6 months (WMD −0.36%, 95% CI: −0.62, −0.09), with no significant difference at 12 or 24 months. There was no difference between moderately restricted (26-45% of total energy) and high carbohydrate diets at any time point. Although there are issues with the quality of the evidence, this review suggests that carbohydrate-restricted diets could be offered to people living with diabetes as part of an individualised management plan.
ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Diabetes Research and Clinical Practice - Volume 139, May 2018, Pages 239-252
نویسندگان
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