The Effect of Local Food-Based Dietary Recommendations and Physical Activity on Glycemic Control in Patients with Type ۲ Diabetes Mellitus

Background: Type ۲ Diabetes Mellitus (T۲DM) is a major global health issue that requires integrated management strategies. Indigenous dietary practices and physical activity may offer culturally relevant and sustainable interventions. This study aimed to assess the effect of local food-based dietary recommendations (FBR), alone and in combination with physical exercise (PE), on glycemic control in patients with T۲DM.Methods: In a quantitative study and employing a pre-post experimental design, ۶۹ participants were enrolled and randomly assigned to three groups of FBR (n=۲۴), FBR together with physical exercise (FBR+PE) (n=۲۴) and standard care control (n=۲۱). The intervention lasted ۴ weeks and the pre- and post-intervention assessments were dietary adherence, physical activity compliance, and glycemic control parameters (fasting blood glucose, ۲-h postprandial glucose, and glycated albumin).Results: The FBR and FBR+PE groups showed an increase in dietary intake adherence to several nutrients. The FBR+PE group exhibited significant improvement in all glycemic control parameters after the intervention period. Notably, the combined intervention group exhibited a significantly greater reduction in glycated albumin level when comparedto the control and FBR-only groups.Conclusion: Integrating local FBR with physical activity could enhance glycemic control in T۲DM and can be a promising strategy for management of culturally relevant diseases.

کلیدواژه ها:

Type ۲ diabetes mellitus ، Glycemic control ، Blood glucose ، Exercise ، Diet