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Dietary program and physical activity impact on biochemical markers in patients with type 2 diabetes: A systematic review.

Atencion primaria
December 1, 2018
Eduarda Barreira et al. (4 authors)
Journal ArticleSystematic ReviewHuman Study
Study Details

Study Goal

The researchers aimed to evaluate the effectiveness of dietary and physical activity programs, including probiotics, on blood glucose and lipid profiles in patients with type 2 diabetes aged 60 and over.

Results Summary

The study found that probiotics, along with other dietary and physical activity interventions, improved blood glucose levels and lipid profiles in patients with type 2 diabetes.

Population

Patients with type 2 diabetes aged 60 years and over.

Effective Dosage

Not specified

Duration

Not specified

Interactions

None mentioned

Extracted Claims (14)
InterventionDirectionEndpointPopulationDosageImpactClaim #
physical activity programs (aerobic, resistance, flexibility and combined exercises)
decrease
blood glucose levels
patients with type 2 diabetes
-
improves
#1
physical activity programs (aerobic, resistance, flexibility and combined exercises)
improve
lipid profile
patients with type 2 diabetes
-
improves
#2
programs based on a higher intake of vegetables, grains, legumes, fruits, unsaturated fatty acids
decrease
blood glucose levels
patients with type 2 diabetes
-
improves
#3
programs based on a higher intake of vegetables, grains, legumes, fruits, unsaturated fatty acids
improve
lipid profile
patients with type 2 diabetes
-
improves
#4
consumption of foods with low glycaemic index
decrease
blood glucose levels
patients with type 2 diabetes
-
improves
#5
consumption of foods with low glycaemic index
improve
lipid profile
patients with type 2 diabetes
-
improves
#6
calorie restriction
decrease
blood glucose levels
patients with type 2 diabetes
-
improves
#7
calorie restriction
improve
lipid profile
patients with type 2 diabetes
-
improves
#8
intake of probiotics
decrease
blood glucose levels
patients with type 2 diabetes
-
improves
#9
intake of probiotics
improve
lipid profile
patients with type 2 diabetes
-
improves
#10
vitamin D supplementation
decrease
blood glucose levels
patients with type 2 diabetes
-
improves
#11
vitamin D supplementation
improve
lipid profile
patients with type 2 diabetes
-
improves
#12
educational sessions about diabetes
decrease
blood glucose levels
patients with type 2 diabetes
-
improves
#13
educational sessions about diabetes
improve
lipid profile
patients with type 2 diabetes
-
improves
#14
Abstract

OBJECTIVES: Evaluate the effectiveness of the implementation of independently or combined dietary and physical activity programs on the blood glucose values and lipid profile in patients with type 2 diabetes, including participants aged 60 years and over. DESIGN: Systematic review. DATA SOURCE: PubMed/Medline database, with language restrictions. Papers published between 2010 and 2016 were included. STUDY SELECTION: A total of 30 randomised controlled trials were included that focused on physical activity and dietary interventions in patients with type 2 diabetes mellitus and include participants aged 60 years and over. RESULTS: The selected articles have shown that the implementation of physical activity programs (aerobic, resistance, flexibility and combined exercises), and programs based on a higher intake of vegetables, grains, legumes, fruits, unsaturated fatty acids, as well as consumption of foods with low glycaemic index, calorie restriction, intake of probiotics, vitamin D supplementation and educational sessions about diabetes improves blood glucose levels, as well as the lipid profile, in patients with type 2 diabetes. CONCLUSIONS: Physical activity and dietary programs are fundamental in the treatment and metabolic control of type 2 diabetes mellitus. OBJETIVOS: Evaluar la efectividad de la implementación de programas de actividad física y dietética independientemente o combinados en los valores de glucosa en sangre y perfil lipídico en pacientes con diabetes tipo 2, incluyendo participantes de 60 años y más. DISEÑO: Revisión sistemática. FUENTES DE DATOS: PubMed/Medline, con restricciones de idioma. Se incluyeron artículos publicados entre 2010 y 2016. SELECCIÓN DE ESTUDIOS: Se incluyeron 30 estudios controlados aleatorios, centrados en la actividad física e intervenciones dietéticas en pacientes con diabetes tipo 2 que incluían sujetos de 60 años y más. RESULTADOS: Los artículos seleccionados han demostrado que la implementación de programas de actividad física (ejercicios aeróbicos, resistencia, flexibilidad y ejercicios combinados) y programas basados en una mayor ingesta de vegetales, granos, legumbres, frutas, ácidos grasos insaturados, el consumo de alimentos con bajo índice glucémico, restricción calórica, ingesta de probióticos, suplementos de vitamina D y sesiones educativas sobre la diabetes mejoran los niveles glucémicos, así como el perfil lipídico en pacientes con diabetes tipo 2. CONCLUSIONES: Los programas de actividad física y dietéticos son fundamentales en el tratamiento y control metabólico de la diabetes mellitus tipo 2.

Medical Subject Headings (MeSH)
BiomarkersCombined Modality TherapyDiabetes Mellitus, Type 2DietExerciseExercise TherapyHumansRandomized Controlled Trials as Topic
Study Links
Quality Scores
SafetyNot Assessed
Efficacy75/10
Quality85/10
Citation Metrics
Total Citations18
Citations/Year2.6
Relative Citation Ratio1.15
NIH Percentile55.3%
Research Impact Scores
APT Score0.75
Weight Score2.19
Normalized Score0.67
Related Supplements
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