A behavioural intervention incorporating specific glycaemic index goals improves dietary quality, weight control and glycaemic control in adults with type 2 diabetes.

Abstract:

OBJECTIVE:A lower glycaemic index (GI) diet is associated with a reduction in glycosylated Hb (HbA(1c)) in people with diabetes. Yet, little research has been conducted to determine the effects of specific goals regarding consumption of low GI (LGI) foods on diabetes outcomes. The present study evaluated a behavioural intervention on dietary intake, weight status and HbA(1c), which included a goal to consume either six or eight servings of LGI foods daily. DESIGN:A parallel two-group design was used. Following the 5-week intervention, participants were randomly assigned to the group of six (n 15) or eight (n 20) servings of LGI foods daily and followed up for 8 weeks. Dietary intake was assessed using the mean of 4 d food records. SETTING:A metropolitan community in the USA. SUBJECTS:Individuals aged 40-65 years with type 2 diabetes of ≥1 year and HbA(1c) ≥ 7·0 % were eligible. RESULTS:There was no significant difference between goal difficulty groups with regard to GI servings at the end of the study. However, mean consumption of LGI foods increased by 2·05 (SE 0·47) and 1·65 (SE 0·40) servings per 4184 kJ in the six (P < 0·001) and eight (P < 0·001) LGI serving groups, respectively. For all participants combined, there were significant decreases in mean HbA(1c) (-0·58 (SE 0·21) %; P = 0·01), weight (-2·30 (SE 0·78) kg; P = 0·01), BMI (-0·80 (SE 0·29) kg/m(2); P = 0·01) and waist circumference (-2·36 (SE 0·81) cm; P = 0·01). CONCLUSIONS:An intervention including a specific goal to consume six to eight servings of LGI foods daily can improve diabetes outcomes. Clinicians should help patients set specific targets for dietary change and identify ways of achieving those goals.

journal_name

Public Health Nutr

journal_title

Public health nutrition

authors

Miller CK,Headings A,Peyrot M,Nagaraja H

doi

10.1017/S1368980011000085

subject

Has Abstract

pub_date

2011-07-01 00:00:00

pages

1303-11

issue

7

eissn

1368-9800

issn

1475-2727

pii

S1368980011000085

journal_volume

14

pub_type

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