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Multimedia education program and nutrition therapy improves HbA1c, weight, and lipid profile of patients with type 2 diabetes: a randomized clinical trial
Purpose To evaluate the effect of a multimedia education program and nutrition therapy on metabolic control in patients with type 2 diabetes. Research question What is the effect of a multimedia education program and nutritional therapy on metabolic control in type 2 diabetes? Patients and methods A...
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| Published in: | Endocrine 2017-11, Vol.58 (2), p.236-245 |
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| container_end_page | 245 |
| container_issue | 2 |
| container_start_page | 236 |
| container_title | Endocrine |
| container_volume | 58 |
| creator | Velázquez–López, Lubia Muñoz-Torres, Abril Violeta Medina-Bravo, Patricia Vilchis-Gil, Jenny Klϋnder-Klϋnder, Miguel Escobedo–de la Peña, Jorge |
| description | Purpose
To evaluate the effect of a multimedia education program and nutrition therapy on metabolic control in patients with type 2 diabetes.
Research question
What is the effect of a multimedia education program and nutritional therapy on metabolic control in type 2 diabetes?
Patients and methods
A randomized clinical trial was conducted in 351 patients randomly assigned to either an experimental group receiving a multimedia diabetes education program (MDE) and nutrition therapy (NT) (NT + MDE:
n
= 173), or to a control group who received nutrition therapy only (NT:
n
= 178).
At baseline, 7, 14, and 21 months, the glycated hemoglobin (HbA1c), glucose, cholesterol, triglycerides, LDL-cholesterol, and HDL-cholesterol were measured. Weight, body mass index (BMI), waist circumference (WC), fat percentage, fat and lean mass, systolic blood pressure (SBP), and diastolic (DBP) were also recorded.
Results
Glycated hemoglobin decreased in both groups, although the group with NT + MDE had a greater reduction, with a difference of −0.76% (95%CI −1.33 to −0.19) at 7 months and −0.73% (95%CI −1.37 to −0.09) at 21 months. Only in the NT + MDE did the glucose decrease at 7 (−41.2 mg/dL; 95%CI −52.0 to −30.5), 14 (−27.8 mg/dL; 95%CI −32.6 to −23.1), and 21 months (−36.6 mg/dL; 95%CI −46.6 to −26.6). Triglycerides and the atherogenic index decreased in both groups at 7 and 14 months; while only in the NT + MDE group did it decrease at 21 months. (
p
|
| doi_str_mv | 10.1007/s12020-017-1416-0 |
| format | article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_1940190167</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>1940190167</sourcerecordid><originalsourceid>FETCH-LOGICAL-c372t-a355b36445354e9dc1f8b4437e0d4a3dc317ba3aa7b015fea0500790648bedb3</originalsourceid><addsrcrecordid>eNp1kctuFDEQRS0EIg_4ADbIEhsW6aT86O4xuyiCBCkomyzYtex29YyjfmG7Ew2fwtdSkwkIRWJlq-rcW2Vfxt4JOBUA9VkSEiQUIOpCaFEV8IIdirI0VAF4SXdVlgXA6vsBO0rpDkBKWdWv2YFcGUkKfch-fVv6HAb0wXL0S2tzmEY-x2kd7cDt6Pm45Bgeq3mD0c5bHgbq32PiV-5ctCf8AcN6k08e6T7Mwe_0XeiRTx2fyRHHnPhDyBuetzNyyWmaw4zpE7c8kmwawk_0vO3DGFrbc5po-zfsVWf7hG-fzmN2--Xz7cVVcX1z-fXi_LpoVS1zYemRTlVal6rUaHwrupXTWtUIXlvlWyVqZ5W1tQNRdmihpL8zUOmVQ-_UMfu4t6WlfyyYcjOE1GLf2xGnJTXCaBAGRFUT-uEZejctcaTliCqNMVUlNFFiT7VxSili18wxDDZuGwHNLrdmn1tDuTW73Bogzfsn58VRGH8Vf4IiQO6BRK1xjfGf0f91_Q3g-aRJ</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1959996614</pqid></control><display><type>article</type><title>Multimedia education program and nutrition therapy improves HbA1c, weight, and lipid profile of patients with type 2 diabetes: a randomized clinical trial</title><source>Springer Link</source><creator>Velázquez–López, Lubia ; Muñoz-Torres, Abril Violeta ; Medina-Bravo, Patricia ; Vilchis-Gil, Jenny ; Klϋnder-Klϋnder, Miguel ; Escobedo–de la Peña, Jorge</creator><creatorcontrib>Velázquez–López, Lubia ; Muñoz-Torres, Abril Violeta ; Medina-Bravo, Patricia ; Vilchis-Gil, Jenny ; Klϋnder-Klϋnder, Miguel ; Escobedo–de la Peña, Jorge</creatorcontrib><description>Purpose
To evaluate the effect of a multimedia education program and nutrition therapy on metabolic control in patients with type 2 diabetes.
Research question
What is the effect of a multimedia education program and nutritional therapy on metabolic control in type 2 diabetes?
Patients and methods
A randomized clinical trial was conducted in 351 patients randomly assigned to either an experimental group receiving a multimedia diabetes education program (MDE) and nutrition therapy (NT) (NT + MDE:
n
= 173), or to a control group who received nutrition therapy only (NT:
n
= 178).
At baseline, 7, 14, and 21 months, the glycated hemoglobin (HbA1c), glucose, cholesterol, triglycerides, LDL-cholesterol, and HDL-cholesterol were measured. Weight, body mass index (BMI), waist circumference (WC), fat percentage, fat and lean mass, systolic blood pressure (SBP), and diastolic (DBP) were also recorded.
Results
Glycated hemoglobin decreased in both groups, although the group with NT + MDE had a greater reduction, with a difference of −0.76% (95%CI −1.33 to −0.19) at 7 months and −0.73% (95%CI −1.37 to −0.09) at 21 months. Only in the NT + MDE did the glucose decrease at 7 (−41.2 mg/dL; 95%CI −52.0 to −30.5), 14 (−27.8 mg/dL; 95%CI −32.6 to −23.1), and 21 months (−36.6 mg/dL; 95%CI −46.6 to −26.6). Triglycerides and the atherogenic index decreased in both groups at 7 and 14 months; while only in the NT + MDE group did it decrease at 21 months. (
p
< 0.05). Weight decreased at 21 months in the NT + MDE group (−1.23, −2.29 at −0.16;
p
< 0.05).
Conclusion
Nutrition therapy and a multimedia diabetes education program have a favorable impact on achieving metabolic control goals in type 2 diabetes.</description><identifier>ISSN: 1355-008X</identifier><identifier>EISSN: 1559-0100</identifier><identifier>DOI: 10.1007/s12020-017-1416-0</identifier><identifier>PMID: 28921414</identifier><language>eng</language><publisher>New York: Springer US</publisher><subject>Adult ; Blood Glucose - metabolism ; Blood pressure ; Body Mass Index ; Body Weight - physiology ; Cholesterol ; Clinical trials ; Diabetes ; Diabetes mellitus ; Diabetes Mellitus, Type 2 - blood ; Diabetes Mellitus, Type 2 - therapy ; Dietitians ; Endocrinology ; Female ; Glucose ; Glycated Hemoglobin A - analysis ; Hemoglobin ; High density lipoprotein ; Humanities and Social Sciences ; Humans ; Internal Medicine ; Lipids - blood ; Low density lipoprotein ; Male ; Medicine ; Medicine & Public Health ; Metabolism ; Middle Aged ; multidisciplinary ; Multimedia ; Nutrition ; Nutrition Therapy ; Original Article ; Patient Education as Topic ; Science ; Treatment Outcome ; Triglycerides</subject><ispartof>Endocrine, 2017-11, Vol.58 (2), p.236-245</ispartof><rights>Springer Science+Business Media, LLC 2017</rights><rights>Copyright Springer Science & Business Media 2017</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c372t-a355b36445354e9dc1f8b4437e0d4a3dc317ba3aa7b015fea0500790648bedb3</citedby><cites>FETCH-LOGICAL-c372t-a355b36445354e9dc1f8b4437e0d4a3dc317ba3aa7b015fea0500790648bedb3</cites><orcidid>0000-0002-5473-6772 ; 0000-0003-3649-2564 ; 0000-0003-2713-0203 ; 0000-0002-1189-3399 ; 0000-0003-1914-8366 ; 0000-0003-1942-7402</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/28921414$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Velázquez–López, Lubia</creatorcontrib><creatorcontrib>Muñoz-Torres, Abril Violeta</creatorcontrib><creatorcontrib>Medina-Bravo, Patricia</creatorcontrib><creatorcontrib>Vilchis-Gil, Jenny</creatorcontrib><creatorcontrib>Klϋnder-Klϋnder, Miguel</creatorcontrib><creatorcontrib>Escobedo–de la Peña, Jorge</creatorcontrib><title>Multimedia education program and nutrition therapy improves HbA1c, weight, and lipid profile of patients with type 2 diabetes: a randomized clinical trial</title><title>Endocrine</title><addtitle>Endocrine</addtitle><addtitle>Endocrine</addtitle><description>Purpose
To evaluate the effect of a multimedia education program and nutrition therapy on metabolic control in patients with type 2 diabetes.
Research question
What is the effect of a multimedia education program and nutritional therapy on metabolic control in type 2 diabetes?
Patients and methods
A randomized clinical trial was conducted in 351 patients randomly assigned to either an experimental group receiving a multimedia diabetes education program (MDE) and nutrition therapy (NT) (NT + MDE:
n
= 173), or to a control group who received nutrition therapy only (NT:
n
= 178).
At baseline, 7, 14, and 21 months, the glycated hemoglobin (HbA1c), glucose, cholesterol, triglycerides, LDL-cholesterol, and HDL-cholesterol were measured. Weight, body mass index (BMI), waist circumference (WC), fat percentage, fat and lean mass, systolic blood pressure (SBP), and diastolic (DBP) were also recorded.
Results
Glycated hemoglobin decreased in both groups, although the group with NT + MDE had a greater reduction, with a difference of −0.76% (95%CI −1.33 to −0.19) at 7 months and −0.73% (95%CI −1.37 to −0.09) at 21 months. Only in the NT + MDE did the glucose decrease at 7 (−41.2 mg/dL; 95%CI −52.0 to −30.5), 14 (−27.8 mg/dL; 95%CI −32.6 to −23.1), and 21 months (−36.6 mg/dL; 95%CI −46.6 to −26.6). Triglycerides and the atherogenic index decreased in both groups at 7 and 14 months; while only in the NT + MDE group did it decrease at 21 months. (
p
< 0.05). Weight decreased at 21 months in the NT + MDE group (−1.23, −2.29 at −0.16;
p
< 0.05).
Conclusion
Nutrition therapy and a multimedia diabetes education program have a favorable impact on achieving metabolic control goals in type 2 diabetes.</description><subject>Adult</subject><subject>Blood Glucose - metabolism</subject><subject>Blood pressure</subject><subject>Body Mass Index</subject><subject>Body Weight - physiology</subject><subject>Cholesterol</subject><subject>Clinical trials</subject><subject>Diabetes</subject><subject>Diabetes mellitus</subject><subject>Diabetes Mellitus, Type 2 - blood</subject><subject>Diabetes Mellitus, Type 2 - therapy</subject><subject>Dietitians</subject><subject>Endocrinology</subject><subject>Female</subject><subject>Glucose</subject><subject>Glycated Hemoglobin A - analysis</subject><subject>Hemoglobin</subject><subject>High density lipoprotein</subject><subject>Humanities and Social Sciences</subject><subject>Humans</subject><subject>Internal Medicine</subject><subject>Lipids - blood</subject><subject>Low density lipoprotein</subject><subject>Male</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Metabolism</subject><subject>Middle Aged</subject><subject>multidisciplinary</subject><subject>Multimedia</subject><subject>Nutrition</subject><subject>Nutrition Therapy</subject><subject>Original Article</subject><subject>Patient Education as Topic</subject><subject>Science</subject><subject>Treatment Outcome</subject><subject>Triglycerides</subject><issn>1355-008X</issn><issn>1559-0100</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2017</creationdate><recordtype>article</recordtype><recordid>eNp1kctuFDEQRS0EIg_4ADbIEhsW6aT86O4xuyiCBCkomyzYtex29YyjfmG7Ew2fwtdSkwkIRWJlq-rcW2Vfxt4JOBUA9VkSEiQUIOpCaFEV8IIdirI0VAF4SXdVlgXA6vsBO0rpDkBKWdWv2YFcGUkKfch-fVv6HAb0wXL0S2tzmEY-x2kd7cDt6Pm45Bgeq3mD0c5bHgbq32PiV-5ctCf8AcN6k08e6T7Mwe_0XeiRTx2fyRHHnPhDyBuetzNyyWmaw4zpE7c8kmwawk_0vO3DGFrbc5po-zfsVWf7hG-fzmN2--Xz7cVVcX1z-fXi_LpoVS1zYemRTlVal6rUaHwrupXTWtUIXlvlWyVqZ5W1tQNRdmihpL8zUOmVQ-_UMfu4t6WlfyyYcjOE1GLf2xGnJTXCaBAGRFUT-uEZejctcaTliCqNMVUlNFFiT7VxSili18wxDDZuGwHNLrdmn1tDuTW73Bogzfsn58VRGH8Vf4IiQO6BRK1xjfGf0f91_Q3g-aRJ</recordid><startdate>20171101</startdate><enddate>20171101</enddate><creator>Velázquez–López, Lubia</creator><creator>Muñoz-Torres, Abril Violeta</creator><creator>Medina-Bravo, Patricia</creator><creator>Vilchis-Gil, Jenny</creator><creator>Klϋnder-Klϋnder, Miguel</creator><creator>Escobedo–de la Peña, Jorge</creator><general>Springer US</general><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-5473-6772</orcidid><orcidid>https://orcid.org/0000-0003-3649-2564</orcidid><orcidid>https://orcid.org/0000-0003-2713-0203</orcidid><orcidid>https://orcid.org/0000-0002-1189-3399</orcidid><orcidid>https://orcid.org/0000-0003-1914-8366</orcidid><orcidid>https://orcid.org/0000-0003-1942-7402</orcidid></search><sort><creationdate>20171101</creationdate><title>Multimedia education program and nutrition therapy improves HbA1c, weight, and lipid profile of patients with type 2 diabetes: a randomized clinical trial</title><author>Velázquez–López, Lubia ; Muñoz-Torres, Abril Violeta ; Medina-Bravo, Patricia ; Vilchis-Gil, Jenny ; Klϋnder-Klϋnder, Miguel ; Escobedo–de la Peña, Jorge</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c372t-a355b36445354e9dc1f8b4437e0d4a3dc317ba3aa7b015fea0500790648bedb3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2017</creationdate><topic>Adult</topic><topic>Blood Glucose - metabolism</topic><topic>Blood pressure</topic><topic>Body Mass Index</topic><topic>Body Weight - physiology</topic><topic>Cholesterol</topic><topic>Clinical trials</topic><topic>Diabetes</topic><topic>Diabetes mellitus</topic><topic>Diabetes Mellitus, Type 2 - blood</topic><topic>Diabetes Mellitus, Type 2 - therapy</topic><topic>Dietitians</topic><topic>Endocrinology</topic><topic>Female</topic><topic>Glucose</topic><topic>Glycated Hemoglobin A - analysis</topic><topic>Hemoglobin</topic><topic>High density lipoprotein</topic><topic>Humanities and Social Sciences</topic><topic>Humans</topic><topic>Internal Medicine</topic><topic>Lipids - blood</topic><topic>Low density lipoprotein</topic><topic>Male</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Metabolism</topic><topic>Middle Aged</topic><topic>multidisciplinary</topic><topic>Multimedia</topic><topic>Nutrition</topic><topic>Nutrition Therapy</topic><topic>Original Article</topic><topic>Patient Education as Topic</topic><topic>Science</topic><topic>Treatment Outcome</topic><topic>Triglycerides</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Velázquez–López, Lubia</creatorcontrib><creatorcontrib>Muñoz-Torres, Abril Violeta</creatorcontrib><creatorcontrib>Medina-Bravo, Patricia</creatorcontrib><creatorcontrib>Vilchis-Gil, Jenny</creatorcontrib><creatorcontrib>Klϋnder-Klϋnder, Miguel</creatorcontrib><creatorcontrib>Escobedo–de la Peña, Jorge</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Endocrine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Velázquez–López, Lubia</au><au>Muñoz-Torres, Abril Violeta</au><au>Medina-Bravo, Patricia</au><au>Vilchis-Gil, Jenny</au><au>Klϋnder-Klϋnder, Miguel</au><au>Escobedo–de la Peña, Jorge</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Multimedia education program and nutrition therapy improves HbA1c, weight, and lipid profile of patients with type 2 diabetes: a randomized clinical trial</atitle><jtitle>Endocrine</jtitle><stitle>Endocrine</stitle><addtitle>Endocrine</addtitle><date>2017-11-01</date><risdate>2017</risdate><volume>58</volume><issue>2</issue><spage>236</spage><epage>245</epage><pages>236-245</pages><issn>1355-008X</issn><eissn>1559-0100</eissn><abstract>Purpose
To evaluate the effect of a multimedia education program and nutrition therapy on metabolic control in patients with type 2 diabetes.
Research question
What is the effect of a multimedia education program and nutritional therapy on metabolic control in type 2 diabetes?
Patients and methods
A randomized clinical trial was conducted in 351 patients randomly assigned to either an experimental group receiving a multimedia diabetes education program (MDE) and nutrition therapy (NT) (NT + MDE:
n
= 173), or to a control group who received nutrition therapy only (NT:
n
= 178).
At baseline, 7, 14, and 21 months, the glycated hemoglobin (HbA1c), glucose, cholesterol, triglycerides, LDL-cholesterol, and HDL-cholesterol were measured. Weight, body mass index (BMI), waist circumference (WC), fat percentage, fat and lean mass, systolic blood pressure (SBP), and diastolic (DBP) were also recorded.
Results
Glycated hemoglobin decreased in both groups, although the group with NT + MDE had a greater reduction, with a difference of −0.76% (95%CI −1.33 to −0.19) at 7 months and −0.73% (95%CI −1.37 to −0.09) at 21 months. Only in the NT + MDE did the glucose decrease at 7 (−41.2 mg/dL; 95%CI −52.0 to −30.5), 14 (−27.8 mg/dL; 95%CI −32.6 to −23.1), and 21 months (−36.6 mg/dL; 95%CI −46.6 to −26.6). Triglycerides and the atherogenic index decreased in both groups at 7 and 14 months; while only in the NT + MDE group did it decrease at 21 months. (
p
< 0.05). Weight decreased at 21 months in the NT + MDE group (−1.23, −2.29 at −0.16;
p
< 0.05).
Conclusion
Nutrition therapy and a multimedia diabetes education program have a favorable impact on achieving metabolic control goals in type 2 diabetes.</abstract><cop>New York</cop><pub>Springer US</pub><pmid>28921414</pmid><doi>10.1007/s12020-017-1416-0</doi><tpages>10</tpages><orcidid>https://orcid.org/0000-0002-5473-6772</orcidid><orcidid>https://orcid.org/0000-0003-3649-2564</orcidid><orcidid>https://orcid.org/0000-0003-2713-0203</orcidid><orcidid>https://orcid.org/0000-0002-1189-3399</orcidid><orcidid>https://orcid.org/0000-0003-1914-8366</orcidid><orcidid>https://orcid.org/0000-0003-1942-7402</orcidid></addata></record> |
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| ispartof | Endocrine, 2017-11, Vol.58 (2), p.236-245 |
| issn | 1355-008X 1559-0100 |
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| source | Springer Link |
| subjects | Adult Blood Glucose - metabolism Blood pressure Body Mass Index Body Weight - physiology Cholesterol Clinical trials Diabetes Diabetes mellitus Diabetes Mellitus, Type 2 - blood Diabetes Mellitus, Type 2 - therapy Dietitians Endocrinology Female Glucose Glycated Hemoglobin A - analysis Hemoglobin High density lipoprotein Humanities and Social Sciences Humans Internal Medicine Lipids - blood Low density lipoprotein Male Medicine Medicine & Public Health Metabolism Middle Aged multidisciplinary Multimedia Nutrition Nutrition Therapy Original Article Patient Education as Topic Science Treatment Outcome Triglycerides |
| title | Multimedia education program and nutrition therapy improves HbA1c, weight, and lipid profile of patients with type 2 diabetes: a randomized clinical trial |
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