PMID- 31952131 OWN - NLM STAT- MEDLINE DCOM- 20201116 LR - 20221207 IS - 2072-6643 (Electronic) IS - 2072-6643 (Linking) VI - 12 IP - 1 DP - 2020 Jan 15 TI - Effects of Daily Low-Dose Date Consumption on Glycemic Control, Lipid Profile, and Quality of Life in Adults with Pre- and Type 2 Diabetes: A Randomized Controlled Trial. LID - 10.3390/nu12010217 [doi] LID - 217 AB - Dates have a low glycemic index and are a source of antioxidants but, nevertheless, contain more than 70% sugar. This study aims to assess the effects of date consumption (three dates daily) on glycemic profile (HbA1c), body mass index (BMI), quality of life, and lipid profile, including total cholesterol, triglyceride, high-density lipoprotein (HDL), and low-density lipoprotein (LDL) in terms of safety for type 2 diabetic mellitus (T2DM) subjects. A randomized controlled trial was conducted with a sample of 100 T2DM subjects (39 male and 61 female) randomly assigned in two groups. The first group received three dates daily for 16 weeks, and the control group avoided date consumption. After a 16-week follow-up period, the study results showed an improvement of lipid profile with a statistically significant decrease in total cholesterol of ∆ = -0.209 mmol/L (confidence interval (CI) 95% -0.358, -0.059; p < 0.05) and in LDL of ∆ = -0.171 mmol/L (CI 95% -0.358, 0.016) in the group receiving three dates daily. Intra-group mean differences of BMI were not statistically different in both groups after 16 weeks of date consumption. Even HbA1c did not change, both within and between groups after date consumption (∆ = 0.087%; CI 95% -0.086, 0.261). Between groups, mean difference changes (intervention minus control) showed a statistically significant improvement of quality of life index of ∆ = +/- 30.66 points (CI 95% 12.45, 48.23) due to the consequent improvement in mental health. Although the definitive effect of dose/intake response of date consumption on Hb1Ac, lipid profile, and BMI in T2DM subjects is still to be established, the study suggests that dates could potentially have a beneficial effect on lipid profile, especially in reducing total cholesterol and elevating HDL, because of its high polyphenolic content. In addition, a low-moderate consumption of dates did not impact glucose levels because of dates' low glycemic index. FAU - Alalwan, Tariq A AU - Alalwan TA AUID- ORCID: 0000-0002-7693-4542 AD - Department of Biology, College of Science, University of Bahrain, P.O. Box 32038, Sakhir, Bahrain. FAU - Perna, Simone AU - Perna S AUID- ORCID: 0000-0002-2720-1473 AD - Department of Biology, College of Science, University of Bahrain, P.O. Box 32038, Sakhir, Bahrain. FAU - Mandeel, Qaher A AU - Mandeel QA AD - Department of Biology, College of Science, University of Bahrain, P.O. Box 32038, Sakhir, Bahrain. FAU - Abdulhadi, Aalaa AU - Abdulhadi A AD - Department of Biology, College of Science, University of Bahrain, P.O. Box 32038, Sakhir, Bahrain. FAU - Alsayyad, Adel Salman AU - Alsayyad AS AD - Public Health Directorate, Ministry of Health, Manama, Bahrain. AD - Department of Family and Community Medicine, College of Medicine and Medical Sciences, Arabian Gulf University, Manama, Bahrain. FAU - D'Antona, Giuseppe AU - D'Antona G AD - CRIAMS-Sport Medicine Centre, University of Pavia, 27058 Voghera, Italy. FAU - Negro, Massimo AU - Negro M AUID- ORCID: 0000-0002-9159-9287 AD - CRIAMS-Sport Medicine Centre, University of Pavia, 27058 Voghera, Italy. FAU - Riva, Antonella AU - Riva A AD - Research and Development Department, Indena SpA, 20139 Milan, Italy. FAU - Petrangolini, Giovanna AU - Petrangolini G AD - Research and Development Department, Indena SpA, 20139 Milan, Italy. FAU - Allegrini, Pietro AU - Allegrini P AD - Research and Development Department, Indena SpA, 20139 Milan, Italy. FAU - Rondanelli, Mariangela AU - Rondanelli M AUID- ORCID: 0000-0001-8336-4851 AD - IRCCS Mondino Foundation, 27100 Pavia, Italy. AD - Department of Public Health, Experimental and Forensic Medicine, Unit of Human and Clinical Nutrition, University of Pavia, 27100 Pavia, Italy. LA - eng PT - Journal Article PT - Randomized Controlled Trial DEP - 20200115 PL - Switzerland TA - Nutrients JT - Nutrients JID - 101521595 RN - 0 (Blood Glucose) RN - 0 (Glycated Hemoglobin A) RN - 0 (Lipids) SB - IM MH - *Blood Glucose MH - *Diabetes Mellitus, Type 2 MH - Diet MH - Female MH - *Fruit MH - Glycated Hemoglobin MH - Humans MH - Lipids/*blood MH - Male MH - *Phoeniceae MH - Physical Abuse MH - *Prediabetic State MH - Quality of Life PMC - PMC7019638 OTO - NOTNLM OT - antioxidants OT - dates OT - diabetes OT - inflammation OT - obesity COIS- The authors declare no conflict of interest. EDAT- 2020/01/19 06:00 MHDA- 2020/11/18 06:00 PMCR- 2020/01/01 CRDT- 2020/01/19 06:00 PHST- 2019/11/10 00:00 [received] PHST- 2019/11/27 00:00 [revised] PHST- 2019/12/02 00:00 [accepted] PHST- 2020/01/19 06:00 [entrez] PHST- 2020/01/19 06:00 [pubmed] PHST- 2020/11/18 06:00 [medline] PHST- 2020/01/01 00:00 [pmc-release] AID - nu12010217 [pii] AID - nutrients-12-00217 [pii] AID - 10.3390/nu12010217 [doi] PST - epublish SO - Nutrients. 2020 Jan 15;12(1):217. doi: 10.3390/nu12010217.