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The Dietary Approaches to Stop Hypertension eating plan affects C-reactive protein, coagulation abnormalities, and hepatic function tests among type 2 diabetic patients.

The Journal of nutrition
June 1, 2011
Leila Azadbakht et al. (4 authors)
Journal ArticleRandomized Controlled TrialResearch Support, Non-U.S. Gov'tHuman StudyClinical
Study Details

Study Goal

The researchers aimed to evaluate the effects of the DASH diet, which includes low-fat dairy, on inflammation, coagulation, and liver function in type 2 diabetic patients.

Results Summary

The DASH diet, rich in low-fat dairy, significantly reduced CRP levels, liver aminotransferases, and plasma fibrinogen compared to the control diet, indicating reduced inflammation and improved liver function.

Population

Type 2 diabetic patients (n=31)

Effective Dosage

Not specified (DASH diet included low-fat dairy as part of a broader dietary pattern)

Duration

8 weeks per diet phase, with a 4-week washout

Interactions

None mentioned

Extracted Claims (11)
InterventionDirectionEndpointPopulationDosageImpactClaim #
DASH diet
decrease
plasma CRP level
type 2 diabetic patients
-26.9 ± 3.5%
reduced
#1
control diet
decrease
plasma CRP level
type 2 diabetic patients
-5.1 ± 3.8%
reduced
#2
DASH diet
decrease
alanine aminotransferase level
type 2 diabetic patients
-14.8 ± 3.0%
decreased
#3
control diet
decrease
alanine aminotransferase level
type 2 diabetic patients
-6.6 ± 3.4%
decreased
#4
DASH diet
decrease
aspartate aminotransferase level
type 2 diabetic patients
-29.4 ± 3.7%
decreased
#5
control diet
decrease
aspartate aminotransferase level
type 2 diabetic patients
-5.9 ± 1.4%
decreased
#6
DASH diet
decrease
plasma fibrinogen level
type 2 diabetic patients
-11.4 ± 3.6%
decreased
#7
control diet
no change
plasma fibrinogen level
type 2 diabetic patients
0.5 ± 3.4%
changed
#8
DASH diet
decrease
inflammation
diabetic patients
-
can play an important role in reducing
#9
DASH diet
decrease
plasma levels of fibrinogen
diabetic patients
-
can play an important role in reducing
#10
DASH diet
decrease
liver aminotransferases
diabetic patients
-
can play an important role in reducing
#11
Abstract

Few studies exist regarding the effects of the Dietary Approaches to Stop Hypertension (DASH) diet on novel cardiovascular risk factors among type 2 diabetic patients. We evaluated the effects of the DASH eating pattern on C-reactive protein (CRP) level, coagulation abnormalities, and hepatic function tests in type 2 diabetic patients. In this randomized, crossover clinical trial, 31 type 2 diabetic patients consumed a control diet or the DASH diet for 8 wk. The DASH diet was rich in fruits, vegetables, whole grains, and low-fat dairy products and low in saturated fat, total fat, cholesterol, refined grains, and sweets, with a total of 2400 mg/d sodium. The control diet was a standard diet for diabetic patients. There was a 4-wk washout between the 2 trial phases. The main outcome measures were CRP level, coagulation indices, and hepatic function tests. The mean percent change for plasma CRP level was -26.9 ± 3.5% after the DASH diet period and -5.1 ± 3.8% after the control diet period (P = 0.02). Decreases in both alanine aminotransferase and aspartate aminotransferase levels were greater after consuming the DASH diet compared with the control diet (-14.8 ± 3.0% vs -6.6 ± 3.4%; P = 0.001; -29.4 ± 3.7% vs -5.9 ± 1.4%; P = 0.001, respectively). The decrease in the plasma fibrinogen level during the DASH diet period (-11.4 ± 3.6%) was greater than that during the control diet (0.5 ± 3.4%) (P = 0.03). Among diabetic patients, the DASH diet can play an important role in reducing inflammation, plasma levels of fibrinogen, and liver aminotransferases. Future longer term studies are recommended.

Medical Subject Headings (MeSH)
Alanine TransaminaseAspartate AminotransferasesBlood Coagulation DisordersC-Reactive ProteinCross-Over StudiesDiabetes ComplicationsDiabetes Mellitus, Type 2Diet, DiabeticFemaleFibrinogenHumansHypertensionLiver Function TestsMaleMiddle Aged
Study Links
Quality Scores
SafetyNot Assessed
Efficacy85/10
Quality80/10
Citation Metrics
Total Citations141
Citations/Year10.1
Relative Citation Ratio4.93
NIH Percentile92.9%
Research Impact Scores
APT Score0.95
Weight Score1.53
Normalized Score0.70
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