PMID- 24532293 OWN - NLM STAT- MEDLINE DCOM- 20141014 LR - 20150102 IS - 1520-7560 (Electronic) IS - 1520-7552 (Linking) VI - 30 Suppl 1 DP - 2014 Mar TI - Ma-Pi 2 macrobiotic diet and type 2 diabetes mellitus: pooled analysis of short-term intervention studies. PG - 55-66 LID - 10.1002/dmrr.2519 [doi] AB - The macrobiotic, Ma-Pi 2 diet (12% protein, 18% fat and 70% carbohydrate), has shown benefit in adults with type 2 diabetes mellitus (T2DM). This pooled analysis aims to confirm results from four, 21-day intervention studies with the Ma-Pi 2 diet, carried out in Cuba, China, Ghana and Italy. Baseline and end of study biochemical, body composition and blood pressure data, were compared using multivariate statistical methods and assessment of the Cohen effect size (d). Results showed that all measured indicators demonstrated significant changes (p < 0.001); most of them with a very high (d >/= 1.30), or high (d = 0.80-1.29) effect size. The global effect size of the diet was Italy (1.96), China (1.79), Cuba (1.38) and Ghana (0.98). The magnitude of the individual effect on each variable by country, and the global effect by country, was independent of the sample size (p > 0.05). Similarly, glycemia and glycemic profiles in all four studies were independent of the sample size (p = 0.237). The Ma-Pi diet 2 significantly reduced glycemia, serum lipids, uremia and cardiovascular risk in adults with T2DM. These results suggest that the Ma-Pi 2 diet could be a valid alternative treatment for patients with T2DM and point to the need for further clinical studies. Mechanisms related to its benefits as a functional diet are discussed. CI - (c) 2013 The Authors. Diabetes/Metabolism Research and Reviews published by John Wiley & Sons, Ltd. FAU - Porrata-Maury, C AU - Porrata-Maury C AD - Finlay Institute, Havana, Cuba. FAU - Hernandez-Triana, M AU - Hernandez-Triana M FAU - Ruiz-Alvarez, V AU - Ruiz-Alvarez V FAU - Diaz-Sanchez, M E AU - Diaz-Sanchez ME FAU - Fallucca, F AU - Fallucca F FAU - Bin, W AU - Bin W FAU - Baba-Abubakari, B AU - Baba-Abubakari B FAU - Pianesi, M AU - Pianesi M LA - eng PT - Journal Article PT - Review PL - England TA - Diabetes Metab Res Rev JT - Diabetes/metabolism research and reviews JID - 100883450 RN - 0 (Blood Glucose) RN - 0 (Dietary Carbohydrates) RN - 0 (Dietary Fats) RN - 0 (Lipids) SB - IM CIN - Diabetes Metab Res Rev. 2014 Nov;30(8):659-60. PMID: 25400068 MH - Blood Glucose/metabolism MH - Cardiovascular Diseases/prevention & control MH - China MH - Cuba MH - Diabetes Mellitus, Type 2/*diet therapy MH - *Diet, Macrobiotic MH - Dietary Carbohydrates MH - Dietary Fats MH - Ghana MH - Humans MH - Italy MH - Lipids/blood MH - Risk Factors OTO - NOTNLM OT - Ma-Pi 2 macrobiotic diet OT - adults OT - type 2 diabetes OT - vegetarian diets OT - whole-grain cereals EDAT- 2014/02/18 06:00 MHDA- 2014/10/15 06:00 CRDT- 2014/02/18 06:00 PHST- 2013/10/23 00:00 [received] PHST- 2013/12/19 00:00 [accepted] PHST- 2014/02/18 06:00 [entrez] PHST- 2014/02/18 06:00 [pubmed] PHST- 2014/10/15 06:00 [medline] AID - 10.1002/dmrr.2519 [doi] PST - ppublish SO - Diabetes Metab Res Rev. 2014 Mar;30 Suppl 1:55-66. doi: 10.1002/dmrr.2519.