Effectiveness of simplified diabetes nutrition education on glycemic control and other diabetes-related outcomes in patients with type 2 diabetes mellitus

Background & aims: The study aimed to evaluate the effectiveness of the Simplified Diabetes Nutrition Education (SDNE) on glycemic control and other diabetes-related outcomes in patients with type 2 diabetes mellitus (T2DM). Methods: This a randomized controlled trial (RCT) randomized 208 patien...

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Main Authors: Hashim, Saman Agad, Mohd Yusof, Barakatun Nisak, Abu Saad, Hazizi, Ismail, Suriani, Hamdy, Osama, Mansour, Abbas Ali
Format: Article
Language:English
Published: Elsevier 2021
Online Access:http://psasir.upm.edu.my/id/eprint/96853/1/ABSTRACT.pdf
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spelling oai:psasir.upm.edu.my:96853 http://psasir.upm.edu.my/id/eprint/96853/ Effectiveness of simplified diabetes nutrition education on glycemic control and other diabetes-related outcomes in patients with type 2 diabetes mellitus Hashim, Saman Agad Mohd Yusof, Barakatun Nisak Abu Saad, Hazizi Ismail, Suriani Hamdy, Osama Mansour, Abbas Ali Background & aims: The study aimed to evaluate the effectiveness of the Simplified Diabetes Nutrition Education (SDNE) on glycemic control and other diabetes-related outcomes in patients with type 2 diabetes mellitus (T2DM). Methods: This a randomized controlled trial (RCT) randomized 208 patients with T2DM [mean age = 48.8 ± 11.8 years, Glycated Hemoglobin (HbA1c) = 9.5 ± 2.4%, and Body Mass Index = 28.0 ± 5.6 kg/m2] to intervention group (n = 104) or control group (n = 104). Participants in the intervention group received a weekly diabetes nutrition module based on the health belief model for 12 weeks in addition to the usual care whereas the control participants were given the usual care. We evaluated HbA1c and diabetes-related outcomes (metabolic parameters, dietary intake, and physical activity level) at baseline, 12 weeks, and 22 weeks. Health beliefs, diabetes knowledge, and health literacy were also evaluated. Results: After 22 weeks, HbA1c improved significantly in the intervention group (−1.7%) from the baseline value, compared to the control group (+0.01%) (p < 0.001). Furthermore, the intervention group also showed better improvement in metabolic parameters than the control group (p < 0.05). Besides, dietary intake and physical activity levels improved significantly among the intervention group compared to the control group (p < 0.05). Likewise, health beliefs, diabetes knowledge, and health literacy also improved significantly in the intervention group compared to the control group (p < 0.05). Conclusion: SDNE improves glycemic control and other diabetes-related outcomes among the intervention group compared to the control group. Elsevier 2021 Article PeerReviewed text en http://psasir.upm.edu.my/id/eprint/96853/1/ABSTRACT.pdf Hashim, Saman Agad and Mohd Yusof, Barakatun Nisak and Abu Saad, Hazizi and Ismail, Suriani and Hamdy, Osama and Mansour, Abbas Ali (2021) Effectiveness of simplified diabetes nutrition education on glycemic control and other diabetes-related outcomes in patients with type 2 diabetes mellitus. Clinical Nutrition ESPEN, 45. pp. 141-149. ISSN 2405-4577 https://www.sciencedirect.com/science/article/pii/S2405457721002795 10.1016/j.clnesp.2021.07.024
institution UPM IR
collection UPM IR
language English
description Background & aims: The study aimed to evaluate the effectiveness of the Simplified Diabetes Nutrition Education (SDNE) on glycemic control and other diabetes-related outcomes in patients with type 2 diabetes mellitus (T2DM). Methods: This a randomized controlled trial (RCT) randomized 208 patients with T2DM [mean age = 48.8 ± 11.8 years, Glycated Hemoglobin (HbA1c) = 9.5 ± 2.4%, and Body Mass Index = 28.0 ± 5.6 kg/m2] to intervention group (n = 104) or control group (n = 104). Participants in the intervention group received a weekly diabetes nutrition module based on the health belief model for 12 weeks in addition to the usual care whereas the control participants were given the usual care. We evaluated HbA1c and diabetes-related outcomes (metabolic parameters, dietary intake, and physical activity level) at baseline, 12 weeks, and 22 weeks. Health beliefs, diabetes knowledge, and health literacy were also evaluated. Results: After 22 weeks, HbA1c improved significantly in the intervention group (−1.7%) from the baseline value, compared to the control group (+0.01%) (p < 0.001). Furthermore, the intervention group also showed better improvement in metabolic parameters than the control group (p < 0.05). Besides, dietary intake and physical activity levels improved significantly among the intervention group compared to the control group (p < 0.05). Likewise, health beliefs, diabetes knowledge, and health literacy also improved significantly in the intervention group compared to the control group (p < 0.05). Conclusion: SDNE improves glycemic control and other diabetes-related outcomes among the intervention group compared to the control group.
format Article
author Hashim, Saman Agad
Mohd Yusof, Barakatun Nisak
Abu Saad, Hazizi
Ismail, Suriani
Hamdy, Osama
Mansour, Abbas Ali
spellingShingle Hashim, Saman Agad
Mohd Yusof, Barakatun Nisak
Abu Saad, Hazizi
Ismail, Suriani
Hamdy, Osama
Mansour, Abbas Ali
Effectiveness of simplified diabetes nutrition education on glycemic control and other diabetes-related outcomes in patients with type 2 diabetes mellitus
author_facet Hashim, Saman Agad
Mohd Yusof, Barakatun Nisak
Abu Saad, Hazizi
Ismail, Suriani
Hamdy, Osama
Mansour, Abbas Ali
author_sort Hashim, Saman Agad
title Effectiveness of simplified diabetes nutrition education on glycemic control and other diabetes-related outcomes in patients with type 2 diabetes mellitus
title_short Effectiveness of simplified diabetes nutrition education on glycemic control and other diabetes-related outcomes in patients with type 2 diabetes mellitus
title_full Effectiveness of simplified diabetes nutrition education on glycemic control and other diabetes-related outcomes in patients with type 2 diabetes mellitus
title_fullStr Effectiveness of simplified diabetes nutrition education on glycemic control and other diabetes-related outcomes in patients with type 2 diabetes mellitus
title_full_unstemmed Effectiveness of simplified diabetes nutrition education on glycemic control and other diabetes-related outcomes in patients with type 2 diabetes mellitus
title_sort effectiveness of simplified diabetes nutrition education on glycemic control and other diabetes-related outcomes in patients with type 2 diabetes mellitus
publisher Elsevier
publishDate 2021
url http://psasir.upm.edu.my/id/eprint/96853/1/ABSTRACT.pdf
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score 12.933938