Biologic and Quality-of-Life Outcomes From the Mediterranean Lifestyle Program: A randomized clinical trial
Deborah J. Toobert,Russell E. Glasgow,Lisa A. Strycker,Manuel Barrera,Janice L. Radcliffe,Rosemary C. Wander,John D. Bagdade +6 more
TLDR
It is demonstrated that postmenopausal women with type 2 diabetes can make comprehensive lifestyle changes that may lead to clinically significant improvements in glycemic control, some coronary heart disease risk factors, and quality of life.Abstract:
OBJECTIVE —Few multiple lifestyle behavior change programs have been designed to reduce the risk of coronary heart disease in postmenopausal women with type 2 diabetes. This study tested the effectiveness of the Mediterranean Lifestyle Program (MLP), a comprehensive lifestyle self-management program (Mediterranean low–saturated fat diet, stress management training, exercise, group support, and smoking cessation), in reducing cardiovascular risk factors in postmenopausal women with type 2 diabetes. RESEARCH DESIGN AND METHODS —Postmenopausal women with type 2 diabetes ( n = 279) were randomized to either usual care (control) or treatment (MLP) conditions. MLP participants took part in an initial 3-day retreat, followed by 6 months of weekly meetings, to learn and practice program components. Biological end points were changes in HbA 1c , lipid profiles, BMI, blood pressure, plasma fatty acids, and flexibility. Impact on quality of life was assessed. RESULTS —Multivariate ANCOVAs revealed significantly greater improvements in the MLP condition compared with the usual care group on HbA 1c , BMI, plasma fatty acids, and quality of life at the 6-month follow-up. Patterns favoring intervention were seen in lipids, blood pressure, and flexibility but did not reach statistical significance. CONCLUSIONS —These results demonstrate that postmenopausal women with type 2 diabetes can make comprehensive lifestyle changes that may lead to clinically significant improvements in glycemic control, some coronary heart disease risk factors, and quality of life.read more
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Effects of a Mediterranean-Style Diet on Cardiovascular Risk Factors: A Randomized Trial
Ramon Estruch,Miguel Ángel Martínez-González,Dolores Corella,Jordi Salas-Salvadó,Valentina Ruiz-Gutiérrez,María Isabel Covas,Miguel Fiol,Enrique Gómez-Gracia,Mari Carmen Lopez-Sabater,Ernest Vinyoles,Fernando Arós,Manuel Conde,Carlos Lahoz,José Lapetra,Guillermo T. Sáez,Emilio Ros +15 more
TL;DR: The Spanish Ministry of Health (Fondo de Investigación Sanitaria, Red G03/140) as discussed by the authors provided a grant for the Spanish National Institute of Public Health.
Journal Article
Effects of a mediterranean-style diet on cardiovascular risk factors. Authors' reply
TL;DR: A large-scale feeding trial in high-risk participants to assess the effects of 2 Mediterranean diets, one supplemented with virgin olive oil and the other supplemented with mixed nuts, compared with a low-fat diet on cardiovascular outcomes.
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The Effect of Mediterranean Diet on Metabolic Syndrome and its Components: A Meta-Analysis of 50 Studies and 534,906 Individuals
Christina-Maria Kastorini,Haralampos J. Milionis,Katherine Esposito,Dario Giugliano,John A. Goudevenos,Demosthenes B. Panagiotakos +5 more
TL;DR: The combined effect of prospective studies and clinical trials showed that adherence to the Mediterranean diet was associated with reduced risk of MS, and results from epidemiological studies also confirmed those of clinical trials.
Journal ArticleDOI
Systematic review and meta-analysis of different dietary approaches to the management of type 2 diabetes
TL;DR: Low-carbohydrate, low-GI, Mediterranean, and high-protein diets are effective in improving various markers of cardiovascular risk in people with diabetes and should be considered in the overall strategy of diabetes management.
Journal ArticleDOI
Nutrition Therapy for Adults With Diabetes or Prediabetes: A Consensus Report.
Alison B. Evert,Michelle Dennison,Christopher D. Gardner,W. Timothy Garvey,W. Timothy Garvey,Ka Hei Karen Lau,Janice MacLeod,Joanna Mitri,Raquel F. Pereira,Kelly Rawlings,Shamera Robinson,Laura R. Saslow,Sacha Uelmen,Patricia B. Urbanski,William S. Yancy,William S. Yancy +15 more
TL;DR: This Consensus Report is intended to provide clinical professionals with evidence-based guidance about individualizing nutrition therapy for adults with diabetes or predi diabetes and previous ADA nutrition position statements, which now includes information on prediabetes.
References
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