NORDIC DIET FOR BLOOD GLUCOSE CONTROL: A SYSTEMATIC REVIEW AND META-ANALYSIS OF RANDOMIZED CONTROLLED CLINICAL TRIALS

  • سال انتشار: 1397
  • محل انتشار: سومین کنگره بین المللی و پانزدهمین کنگره تغذیه ایران
  • کد COI اختصاصی: INC15_654
  • زبان مقاله: انگلیسی
  • تعداد مشاهده: 349
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نویسندگان

Alireza Zimorovat

Nutrition and Food Security Research Center, Shahid Sadoughi University of Medical Sciences, Yazd, Iran

Amin Salehi-Abargouei

Nutrition and Food Security Research Center, Shahid Sadoughi University of Medical Sciences, Yazd, Iran

Mohammad Mohammadi

Nutrition and Food Security Research Center, Shahid Sadoughi University of Medical Sciences, Yazd, Iran

Nahid Ramezani-Jolfaie

Nutrition and Food Security Research Center, Shahid Sadoughi University of Medical Sciences, Yazd, Iran

چکیده

Background and Aim: Dietary interventions are important to improve blood glucose control. The Nordic diet (ND) encourages consuming whole grains, fruits, vegetables, fish, low dairy products which might has a beneficial role in glycemic control, however the findings are inconsistent.To determine efficacy of the Nordic dietary pattern for improving glycemic control, we conducted the present systematic review and meta-analysis.Methods: We conducted a systematic review and random effects meta-analysis of randomized controlled trials, including publications in PubMed, Web of Science, Scopus and Google Scholar until May 2018. The risk of bias was also assessed using the Cochrane collaboration s tool.Results: Six studies totaling 618 participants were identified and all of them had low risks of bias. Although there was no considerable change in fasting plasma glucose [weighted mean difference (WMD) = -0.05 mmol/l, 95% confidence interval (CI): -0.13, 0.01, P = 0.112], a significant reduction in insulin levels with following the ND was observed (WMD = -1.12 mU/l, 95% CI: -1.84, -0.39, P = 0.002). A significant decrease in homeostasis model assessment for insulin resistance (HOMA-IR) index was also demonstrated (WMD = -0.34, 95% CI: -0.53, -0.14, P = 0.001). This dietary pattern did not significantly affect 2-h post-prandial blood glucose and Matsuda index.Conclusion: Adherence to the ND can improve insulin resistance among patients with glucose intolerance and type 2 diabetes.

کلیدواژه ها

Nordic Diet; Baltic Sea Diet; Glucose; Insulin; Systematic Review

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